Adding a diuretic to extracorporeal shock wave lithotripsy (ESWL) improves ureteral stone fragmentation and clearance, researchers reported in the Saudi Journal of Kidney Diseases and Transplantation (2008;19:397-400).


A team at Tabriz Medical Science University in Tabriz, Iran, randomized 87 patients with ureteral stones to receive either ESWL alone or ESWL plus 40 mg of the diuretic furosemide.

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Fragmentation and clearance rates were 81% and 68% in the ESWL-alone group versus 93% and 88% in the combined treatment arm.