Volume 10, Number 3Case ReviewShock Wave Lithotripsy and Renal HemorrhageCase ReviewJ Kellogg ParsonsJonathan SilbersteinCharles M LakinAlthough shock wave lithotripsy is a safe and efficacious treatment for nephrolithiasis, the most common acute complication is renal hemorrhage. Shock wave–induced renal hemorrhage is a potentially devastating injury if not promptly recognized and treated appropriately. The authors report a large perirenal hematoma occurring after shock wave lithotripsy and review the causes, prevention, and treatment of shock wave–induced renal hemorrhage. [Rev Urol. 2008;10(3):236-241]NephrolithiasisShock wave lithotripsyHematoma
Volume 10, Number 1Case ReviewUse of a Vacuum-Assisted Device for Fournier’s Gangrene: A New ParadigmCase ReviewJulia GrabowskiJ Kellogg ParsonsJonathan SilbersteinFournier’s gangrene is a necrotizing infection of the scrotum or perineum that requires aggressive surgical debridement. Radical debridement of perineal necrotizing fasciitis can leave extensive tissue defects that are difficult to close and often require multiple surgical interventions. Vacuum-assisted closure (VAC) devices have been shown to assist in a more rapid closure of these wounds, but placement of such devices in the perineum can pose significant challenges. We have had success with use of VAC devices and report our techniques for their placement. [Rev Urol. 2008;10(1):76-80]Fournier’s gangreneVacuum-assisted closure devices