When is surgical intervention contraindicated for the treatment of nephrolithiasis?

Updated: Jun 21, 2018
  • Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

General contraindications to definitive stone manipulation include the following:

  • Active, untreated UTI

  • Uncorrected bleeding diathesis

  • Pregnancy (a relative, but not absolute, contraindication)

Specific contraindications may apply to a given treatment modality. For example, do not perform ESWL if a ureteral obstruction is distal to the calculus or the patient is pregnant.


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