lithotripsy hematoma

i have a huge hematoma around my kidney after lithotripsy. surgery was three weeks ago and its unclear if it has gotten bigger. had sonograms, cts and xrays. my urologist is not responsive as to what to do. shouldn't i be referred to a specialist? my pain is excruciating and ended up in the er yesterday only to determine its larger in size and there were no signs of liquifaction compared tothe songram i had 4 days ago which reported no change in size but liquifaction was seen. what do i do ? who do i believe? how should this be treated?
bill67

[Dr Santos]

Hi Bill,

How are you? Renal hematoma after shock wave lithotripsy is more frequent than what is believed.  In subcapsular and perirenal hematomas, ultrasound may show progressing hematoma diameters. Have this evaluated by your nephrologist with careful follow-up and physical resting. Lumbar pain may persist up to six months in some patients with significant hematoma after shockwave lithotripsy.(ref: http://www.urotoday.com/52/browse_categories/stone_disease/renal_hematoma_after_extracorporeal_shockwave_lithotripsy_in_a_series_of_324_consecutive_sessions_with_the_dolis_lithotripter_incidents_characteristrics_multifactorial_analysis_and_review__abstract.html)

Take care and do keep us posted.