This site complies with the HONcode standard for trustworthy health information:
verify here.

Rewarding for
you and us
Defeat Diabetes Foundation

Defeat Diabetes
Foundation
150 153rd Ave,
Suite 300
Madeira Beach, FL 33708

Kidney Stone Therapy Increases Risk for Hypertension and Diabetes

Posted: Friday, July 14, 2006

Beware! Shock wave lithotripsy (SWL) for renal calculi patients may increase the risk of hypertension and diabetes in long-term follow-up.

This study compared 288 patients undergoing SWL for renal stone disease to a cohort stone patient group with no surgery for renal stones matched by age, sex, and year of presentation. At 19 years of follow-up, hypertension was more prevalent in the SWL group and this was related primarily to bilateral treatment of renal stones. In addition, in the SWL group 16.8% of the patients developed diabetes and this was statistically higher than in the controlled group. Most interestingly even by controlling for change in body mass index, there still was a persistent risk of diabetes in the SWL group compared to the non-surgical renal stone group. Diabetes was related to the number of administered shocks and treatment intensity, but not the side treated.

This study was based on the HM3 lithotripter which is considered the goal standard for SWL. Further studies with other lithotripters and review of patients treated with SWL for pancreatic stones should be undertaken. However, SWL is not a benign treatment and the patient should be advised with regards to the importance of blood pressure monitoring and follow-up, particularly for bilateral SWL.

Source: Diabetes In Control: J Urol 175: 1742-1747, 2006