Hematomas renales tras Litotricia Extracorpórea por Ondas de Choque (LEOCH) |
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| Authors: | Héctor Pastor Navarro Pedro Carrión López Jesús Martínez Ruiz José Mª Pastor Guzmán Mariano Martínez Martín A Julio Virseda Rodríguez |
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| Institution: | 1. Hospital Virgen del Consuelo-Grupo NISA de Valencia, Valencia, España;2. Hospital Universitario y Politécnico La Fe, Valencia, España;1. Unidad de Gestión Clínica de Urología y Nefrología, Hospitales Universitarios Virgen del Rocío, Sevilla, España;2. Unidad de Gestión Clínica de Diagnóstico por la Imagen, Hospitales Universitarios Virgen del Rocío, Sevilla, España;3. Unidad de Gestión Clínica de Laboratorios Clínicos, Hospitales Universitarios Virgen del Rocío, Sevilla, España;1. Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC;2. Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH;3. Department of Urology, Medical School, Cairo University, Cairo, Egypt;4. Department of Urology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH;5. Department of Urology, Menoufia University, Shebin Al Kom, Egypt;1. Division of Urologic Surgery, Duke Cancer Institute, Duke University Hospital, Durham, NC- 2 Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran;2. Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran;3. Urology Department, Cleveland Clinic, Cleveland, OH;4. Urology Department, Medical School, Cairo University, Cairo, Egypt;1. Lokman Hekim University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey;2. Hacettepe University, School of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey;3. Emirates Integra Medical & Surgery Centre, Department Orthopaedic Sports Medicine, Dubai Healthcare City, Dubai, United Arab Emirates;4. Emirates Healthcare, Dubai, United Arab Emirates;5. Landsthul Regional Medical Center, Division of Surgery, Department of Orthopedic Surgery, Landsthul, Germany;6. 7th Medical Support Unit-Europe, Kaiserslautern, Germany |
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| Abstract: | IntroductionThe use of fragmentation due to shock- waves as a treatment of urinary stone was one of the most important therapeutics findings in the history of urology. It´s the first election treatment for most of the calculus at renal and urethral location due to the fact that it is a low invasive treatment and it has a few number of complications, but this method also has a few negative side effects, it can caused a more or less important traumatic lesion at the organs which crosses the shock- waves, including the kidney where it can caused a small contusion or renal hematoma with different resolution and treatment.Material and methodWe reviewed 4815 extracorporeal shock-wave lithotripsy that we performed in our department in which we found six cases with subcapsular and perirrenal hematoma which we followed up and treated.ResultsAfter the urological complications (pain, obstruction and infection) the renal and perirrenal hematic collections are the most frequent adverse effects of shock- waves used in lithotripsy, these are related to the power of energy used and patient age.ConclusionsBetween the years 1992-2007 we performed 4.815 extracorporeal shock-wave lithotripsy finding seven cases of severe hematoma, less then 1%.Treatment of these complications is usually not aggressive though sometimes it is necessary to perform surgical drainage and even nephrectomy. |
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