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Urol Res. 2010 Feb;38(1):61-3. doi: 10.1007/s00240-009-0242-0. Epub 2009 Dec 15.

Extracorporeal shock-wave lithotripsy and garlic consumption: a lesson to learn.

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  • 1Department of Urology, Medical School, University of Thessalia, Feidiou 6-8, 412 21, Larissa, Greece.


The first case of a kidney haematoma after extracorporeal shock-wave lithotripsy (SWL) in a patient with nephrolithiasis who was taking aged garlic extraction is reported. Patient was treated conservatively without the need of any intervention. Urologists should be aware that herbal products including garlic, ginkgo, and ginseng have been associated with potential increased bleeding. The present case emphasises the need to specifically seek out a history of herbal use in presurgical patients. It is suggested that herbal medications should be discontinued up to 15 days prior to urologic surgery or SWL to minimise the risk of complications.

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