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You may experience internal bleeding and need a blood transfusion. You can develop infection and even kidney damage when a stone fragment blocks the flow of urine out of the kidneys. The lithotripsy can damage the kidneys, and they may not work as well after the procedure. Possible serious complications may include high blood pressure or kidney failure.
Studies show Hounsfield Units greater than 1000 are less likely to be successful with lithotripsy. There is a limit of approximately 2500 to 3000 shocks that can be given in the kidney, however, one can easily go up to 4000 or more shocks at a higher voltage for stones that are in the ureter blow the kidney.