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Urology (Expert Forum)
Continued Bleeding after Lithotripsy
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Continued Bleeding after Lithotripsy
by cp, Sep 23, 1999 12:00AM
A week ago I had lithotripsy for the 11th time. It appeared to be uneventful. However, I have not stopped bleeding very heavily.
So far this week I have had exrays, blood work, CT scan, my bladder scoped, antibiotics and more blood work. No one knows where the blood is coming from. I have no infections. No lesions. The CT scan showed normal.
If no one can see where this blood is coming from, where is it coming from and how do we get it to stop?
So far this week I have had exrays, blood work, CT scan, my bladder scoped, antibiotics and more blood work. No one knows where the blood is coming from. I have no infections. No lesions. The CT scan showed normal.
If no one can see where this blood is coming from, where is it coming from and how do we get it to stop?
Doctor's Answer
by HFHS M.D.-CK, Sep 30, 1999 12:00AM
Dear CP,
Although extracorporeal shock wave lithotrypsy (ESWL) is minimally invasive, it is not without potential side effects. Bleeding, pain, ureteral obstruction from stone fragments, infection, and temporary decreased kidney function are all possible side effects. A hematoma (blood clot) around the kidney after ESWL is not uncommon, but these are usually of no consequence.
In your case, you have persistent blood in the urine and several studies have been performed. Sometimes an injury to the blood vessels in the kidney occurs, and this can be diagnosed on a renal arteriogram. This x-ray test of the kidney blood vessels is somewhat invasive, but if a leaking blood vessel is identified it can be closed off during the same procedure (embolization). You should also be evaluated for any clotting abnormalities (platelets, clotting factors, blood thinning medications etc.).
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK
* Keyword: ESWL, gross hematuria
Although extracorporeal shock wave lithotrypsy (ESWL) is minimally invasive, it is not without potential side effects. Bleeding, pain, ureteral obstruction from stone fragments, infection, and temporary decreased kidney function are all possible side effects. A hematoma (blood clot) around the kidney after ESWL is not uncommon, but these are usually of no consequence.
In your case, you have persistent blood in the urine and several studies have been performed. Sometimes an injury to the blood vessels in the kidney occurs, and this can be diagnosed on a renal arteriogram. This x-ray test of the kidney blood vessels is somewhat invasive, but if a leaking blood vessel is identified it can be closed off during the same procedure (embolization). You should also be evaluated for any clotting abnormalities (platelets, clotting factors, blood thinning medications etc.).
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK
* Keyword: ESWL, gross hematuria
Member Comments
by stormraven, Oct 25, 2008 01:58AM
A related discussion, long bleeding after lithotripsy was started.
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