Inversion, Hydration and Diuresis during Extracorporeal Shock Wave Lithotripsy: Does It Improve the Stone-Free Rate for Lower Pole Stone Clearance?

Document Type





Objective:It was the aim of this study to assess the efficacy and safety of combined forced hydration and diuresis with limited inversion during shock wave lithotripsy (SWL) by comparing this treatment modality with conventional SWL for lower calyceal nephrolithiasis. Patients and


In this prospective, non-randomized study, we included 100 Patients with lower calyceal calculi Results: Clinical outcomes were available in 90 Patients. Follow-up at 3 months showed that 83.3% of the Patients belonging to the study group were rendered stone free, whereas 71.5% were stone free in the control (p > 0.05). Complications were minimal and not statistically significant. Conclusions: Forced diuresis and inversion therapy is very well tolerated, however, the stone-free rate was not significantly improved.

Publication (Name of Journal)

Urologia Internationalis