Abstract: ObjectiveTo evaluate the strategy for management of urosepsis after extracorporeal shock wave lithotripsy (ESWL).
MethodsThe clinical data were analyzed in4cases of urosepsis caused by ESWL during the period from January,2008to
October2011. ResultsTwo of the patients had kidney stones and two had ureteral stones. Analysis of urine bacterial culture
revealed the presence of E. coli in2cases,Klebsiella pneumoniaein 1case andPseudomonas putidacombinedE. coliin 1case. All
the 4 patients were monitored for ECG, blood pressure and oxygen saturation, and received fluid replacement and
anti-inflammatory therapy. The vital signs of the patients became stable after5-11days (mean6.75days). Three patients
underwent ureteroscopic lithotripsy, and1patient had emergency ureteral stent indwelling. All the4patients were cured and
discharged.ConclusionsESWL is more likely to cause urosepsis in patients with ureteral stones and urinary infection, for
which early nonsurgical interventions should be administered immediately after the diagnosis is established.