title: Complications of electrohydraulic lithotresis.
abstract: The urologic literature reports excellent success with minimal complications utilizing electrohydraulic lithotresis for bladder calculi. Our recent experience with 10 patients suggests that small stones of struvite/carbonate apatite composition can be fragmented easily, but larger stones, particularly of uric acid or oxalate composition, may be better handled by open cystolithotomy. Failure to disrupt stones occurred in 6 patients. Significant complications developed in 3 of these patients, including breakage of the electrode tip in 2 and sepsis in another related to prolonged operative time.
mesh_terms: D000328:Adult; D000368:Aged; D002129:Calcium Oxalate / Q000032:analysis; D004566:Electrodes; D004598:Electrosurgery / Q000009:adverse effects*; D006244:Hardness; D006801:Humans; D008875:Middle Aged; D014527:Uric Acid / Q000032:analysis; D001743:Urinary Bladder / Q000293:injuries; D001744:Urinary Bladder Calculi / Q000378:metabolism / Q000601:surgery*
chemical_list: D002129:Calcium Oxalate; D014527:Uric Acid