AI Article Synopsis
- The study analyzed the negative effects of extracorporeal shock-wave lithotripsy (ECSWL) in 101 patients aged 20 to 72.
- Urinary hemoglobin levels increased in all patients, with protein levels rising when stones were in the kidneys or lower ureter.
- A significant increase in plasma free hemoglobin suggests that ECSWL may cause damage to surrounding tissues and trigger a systemic hematological response.
Article Abstract
Negative effects of extracorporeal shock-wave lithotripsy (ECSWL) were analysed in 101 patients aged 20 to 72 years. Urinary hemoglobin rise was found in all the patients. Protein levels rose if the calculi were located in the kidneys and low ureter. A 5-fold rise in plasma free hemoglobin in any position of the concrement indicates intravascular hemolysis as ECSWL hazards. Thus, ECSWL seems to damage stone-adjacent tissues and induce a general hematological reaction.
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