Lithotripsy: Contraindications

Advanced, Organ-Based and Clinical Sciences

Extracorporeal Shockwave Lithotripsy (ESWL) is a procedure that involves targeting renal or ureteral stones with electromagnetic shocks that work to break up the stones into smaller fragments. Ideally, these smaller fragments can then be excreted via urine without additional instrumentation or interventional support. Prior to performing the procedure, both the anesthesiologist and urologist should be familiar with the contraindications to ESWL.

ESWL Contraindications table at


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Sam Maccormick, MD