II. Indications

  1. Nephrolithiasis
  2. Gallstones
    1. Solitary noncalcified stones <20mm diameter
    2. Functioning gallbladder
    3. Large pancreatic stones or Common Bile Duct Stones (with ERCP following ESWL)

III. Protocol: Gallstones

  1. Used in conjunction with Oral Dissolution Therapy

IV. Efficacy: Gallstones

  1. May be effective for up to 95% of patients
  2. Recurrence
    1. Recurrence infrequent for single small stones
    2. Recurrence common for multiple stones

V. Complications: Gallstones

VI. Complications: Nephrolithiasis

  1. Obstruction
  2. Discomfort, pain, or colic
  3. Obstructive Pyelonephritis or other infection
  4. Perianal bleeding
  5. Delayed fragment discharge
  6. Residual fragments

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