Preview
Anyone who has undergone open surgery or even a percutaneous procedure for a urinary stone appreciates the ease and safety of extracorporeal shock wave lithotripsy (ESWL). However, urosepsis can result when bacteria within the stone are liberated by the disintegration process. The authors summarize their experience with prophylactic treatment of patients using antibiotics before ESWL and explain their preference for a once-daily dose of cephalosporin.