II. Indications
- Nephrolithiasis
-
Gallstones
- Solitary noncalcified stones <20mm diameter
- Functioning gallbladder
- Large pancreatic stones or Common Bile Duct Stones (with ERCP following ESWL)
III. Protocol: Gallstones
- Used in conjunction with Oral Dissolution Therapy
IV. Efficacy: Gallstones
- May be effective for up to 95% of patients
- Recurrence
- Recurrence infrequent for single small stones
- Recurrence common for multiple stones
V. Complications: Gallstones
- Biliary Pancreatitis
- Liver Hematoma
- Choledocholithiasis
VI. Complications: Nephrolithiasis
- Obstruction
- Discomfort, pain, or colic
- Obstructive Pyelonephritis or other infection
- Perianal bleeding
- Delayed fragment discharge
- Residual fragments