The Adoption and Use of Extracorporeal Shock Wave Lithotripsy by Hospitals in the United States

1987 ◽  
Vol 3 (3) ◽  
pp. 397-404 ◽  
Author(s):  
Elaine J. Power
Keyword(s):  
United States ◽  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
The United States ◽  
Urinary Stones ◽  
Extracorporeal Shock Wave ◽  
Government Payment ◽  
Planning Policies

AbstractExtracorporeal shock wave lithotripsy (ESWL) for upper urinary stones has been in use in the United States since 1984. It was accepted immediately by hospitals and physicians, and its diffusion has been and continues to be rapid. Government payment and planning policies do not seem to have slowed this diffusion, although they have had some effect on the ownership of lithotripters and the manner in which ESWL is provided. An unintended but foreseeable result of ESWL's popularity with hospitals, physicians, and patients is that ESWL is not only rapidly replacing traditional surgery but is being used on many patients who would not have had surgery. It is likely that many more upper urinary stones are being treated aggressively now than before ESWL was introduced.

Report of the United States Cooperative Study of Extracorporeal Shock Wave Lithotripsy

1986 ◽  
Vol 135 (6) ◽  
pp. 1127-1133 ◽  
Author(s):  
George W. Drach ◽  
Study Coordinator ◽  
Stephen Dretler ◽  
William Fair ◽  
Birdwell Finlayson ◽  
...  
Keyword(s):  
United States ◽  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
The United States ◽  
Cooperative Study ◽  
Extracorporeal Shock Wave

Which are the results of extracorporeal shock wave lithotripsy (ESWL) in the treatment of urinary stones in lower renal calyx?

2019 ◽  
Vol 18 (7) ◽  
pp. e2890
Author(s):  
A. Artiles Medina ◽  
I. Laso García ◽  
G. Duque Ruiz ◽  
J. Brasero Burgos ◽  
M. Ruiz Hernández ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stones ◽  
Extracorporeal Shock Wave

Effect of size and site on the outcome of extracorporeal shock wave lithotripsy of proximal urinary stones in children

2013 ◽  
Vol 9 (3) ◽  
pp. 323-327 ◽  
Author(s):  
Enmar I. Habib ◽  
Hany A. Morsi ◽  
Mohammed S. ElSheemy ◽  
Waseem Aboulela ◽  
Mohamed A. Eissa
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stones ◽  
Extracorporeal Shock Wave

scholarly journals Urinary stone characteristics of patients treated with extracorporeal shock wave lithotripsy in Cipto Mangunkusumo Hospital Jakarta, 2008–2014: a gender analysis

2015 ◽  
Vol 24 (4) ◽  
pp. 234-8 ◽  
Author(s):  
Endrika Noviandrini ◽  
Ponco Birowo ◽  
Nur Rasyid
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Kidney Stone ◽  
Shock Wave Lithotripsy ◽  
Urinary Stone ◽  
Urinary Stones ◽  
Extracorporeal Shock Wave ◽  
Common Location ◽  
Frequent Site ◽  
Stone Characteristics

Background: The incidence of urinary stone patient in Indonesia has increased every year in both genders. Data showed that urolithiasis was higher in male rather than female. The aimed of this study was to describe the characteristics of urinary stone found in patient who underwent extracorporeal shock wave lithotripsy (ESWL) at Cipto Mangunkusumo Hospital, Jakarta from 2008–2014. Methods: Data obtained from ESWL medical record Cipto Mangunkusumo Hospital, Jakarta from 2008–2014. We obtained 5,174 out of 6,020 data due to incompleteness data record. We sorted data records by gender, age, stone location, stone opacity, size of the stone, and history of ESWL, and analyzed by statistic tools (SPSS v 20 for Mac).Results: From 5,174 records, we found that the incidence of urinary stones was two times higher in male rather than female (66.3%:33.64%), occurred mostly in productive age (65.2% male, 65.9% female). Unilateral kidney stone was most common location found for both gender (50.2% male, 57.2% female), and most frequent site located in calyx inferior (24.8% male, 28.9% female). About 72.9% stone was radiopaque (73.7% male and 71.5% female). The mean size of the stone in male and female was 11.34±7.15 mm and 11.90±7.54 mm, respectively. This study also showed that 79.3% patients came for first ESWL.Conclusion: Urinary stone founds two times higher in male than female, and mostly occurs on their productive ages. Unilateral kidney stone in calyx inferior become the most common stone found in both gender. Most of the stone has radiopaque opacity.

scholarly journals Extracorporeal Shock Wave Lithotripsy in Management of Urolithiasis

2015 ◽  
Vol 1 (1) ◽  
pp. 4-7
Author(s):  
Bhairab Kumar Hamal ◽  
Bharat Bahadur Bhandari ◽  
Narayan Thapa
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
West Germany ◽  
Urinary Stones ◽  
Cross Sectional ◽  
Stone Clearance ◽  
Extracorporeal Shock Wave

Introductions: Since 1980, when Chaussy in West Germany first demonstrated the efficacy of Dornier prototype lithotripsy HM1, extra corporeal shock wave lithotripsy has become a convenient, noninvasive, outpatient procedure used to fragment urinary stones. It is a standard internationally accepted first line preferred option for the management of renal stone less than 2.5 cm size. Methods: A cross sectional study was conducted in the department of surgery of Shree Birendra Hospital on outpatient department basis during the period of March 2002 to February 2012. All consecutive patients presenting with renal and upper ureteric stones detected either on X-ray or ultrasound of the Kidney- Ureter-Bladder who were treated with extra corporeal shock wave lithotripsy. Descriptive analysis included age, sex, stone location, need of total session, use of double J stent and complications. Results: Total 710 diagnosed cases of urolithiasis were taken for the study. The youngest age was 16 years and oldest 69 years of age. Overall stone clearance rate was 73.52%. The stone free rate for upper, middle, and lower calyx were 85.94%, 90.20% and 50.52% respectively. Conclusions: Extracorporeal shock wave lithotripsy was successful in the management of the stones smaller than 2.5 cm in all caliceal locations and minimal morbidity.Plain Language Summary ESWL with new generation Lithotripter was safe and effective in adult out patients with urolithiasis less than 2.5 cm in functioning kidney without distal obstruction or urine infection. Stone clearance was 70%. DJ stenting was done in stone larger than 2 cm. DOI: http://dx.doi.org/10.3126/jpahs.v1i1.13007 Journal of Patan Academy of Health Sciences. 2014 Jun;1(1):4-7

scholarly journals Emergency “Hot” Shock Wave Lithotripsy

2020 ◽  
Vol 3 (2) ◽  
pp. e16-e19
Author(s):  
Musaab Yassin ◽  
Abigail Cressey ◽  
Louise Goldsmith ◽  
Ben Turney ◽  
John Reynard
Keyword(s):  
Shock Wave ◽  
Urinary Tract ◽  
Effective Treatment ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stones ◽  
Invasive Therapy ◽  
Non Invasive ◽  
Extracorporeal Shock Wave

Ureteroscopy and extracorporeal shock wave lithotripsy (ESWL) are two widely used methods for the treatment of ureteric and pelviureteric junction (PUJ) stones. ESWL remains the only non-invasive therapy modality for the treatment of urinary stones. Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive, safe and effective treatment for urinary tract lithiasis Ureteroscopy and extracorporeal shock wave lithotripsy (ESWL) are two widely used methods for the treatment of ureteric and pelviureteric junction (PUJ) stones. ESWL remains the only non-invasive therapy modality for the treatment of urinary stones. Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive,safe and effective treatment for urinary tract lithiasis ObjectivesTo evaluate the effectiveness of emergency “hot” shock wave lithotripsy in treating symptomatic ureteric/ PUJ stones. Materials and MethodsA retrospective study looking at the emergency referrals for shock wave lithotripsy to the Churchill Hos-pital between June 2013 to Dec 2017. The Lithotripsy Database and patients’ electronic records were used to complete this project. Emergency referrals triaged by the on-call urology team and go through a renal colic clinic. ResultsIn total, 201 patients underwent emergency shock wave lithotripsy for ureteric/PUJ stones.The mean stone size was 7.7mm (SD 2.9). 12.4% (25) were PUJ, 45.3% (91) proximal and 42.3% (85) distal ureteric stones. 1% (2) were bilateral ureteric stones. 9% (18) had previous lithotripsy treatment before being referred.The number of shocks used was 4000 in 52.7%, >=3000 in 40.3%, >=2000 in 4.5% and >=1000 in 2.5%. The median shock frequency was 2 Hz. The median number of treatments for the targeted stone was 2. Stone fragmentation was visible in 27.4% (55), possible in 30.8% (62) and not visible in 41.8% (84).In terms of follow up, 48.3% (97) were discharged stone-free, while 17.4% (35) were discharged with residual fragments. 21.8% (44) had further clinic follow up while 12.4% (25) had no follow-up information available, possibly because they were referred from different hospitals. 19.9% (40) needed ureteroscopy, while 7% (14) needed further lithotripsy sessions. ConclusionsEmergency extracorporeal lithotripsy can be offered as an effective and safe treatment for patients with symptomatic stones.

scholarly journals Combined (citrate and herbal) drug uriklar in extracorporeal shock wave lithotripsy and metaphylaxis of urolithiasis

2018 ◽  
Vol 8 (1) ◽  
pp. 19-25
Author(s):  
Aleksandr Yu Shestaev ◽  
Vladimir V Protoshchak ◽  
Mikhail V Paronnikov ◽  
Artyem O Kiselev
Keyword(s):  
Shock Wave ◽  
Urinary Tract ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Main Group ◽  
Urinary Stones ◽  
Control Group ◽  
Total Efficiency ◽  
Herbal Drug ◽  
Extracorporeal Shock Wave

The aim of the study was to study the clinical efficiency and safety of the drug uriklar in extracorporeal shock wave lithotripsy (ESWL) and early metaphylaxis of urolithiasis. Materials and methods. 45 patients were included in the prospective study. The patients were divided into two groups. The main group consisted of 25 patients, they received uriklar 1 capsule three times a day for one month before and three after ESWL. The control group included 20 patients who underwent ESWL only. Uriklar is combined drug with citrate and herbal components. Results. The total efficiency of ESWL was 92% in I group versus 75% in control group. Among the patients of the main group, the frequency of renal colic after ESWL was 24% (6 patients), while in the control group colic occurred in 9 patients (45%). The severity of pain syndrome was of 5.12 ± 2.1 in I group and of 7.48 ± 2.2 and in II group (p < 0.05). Uriklar in the first group of patients increased the pH of urine and the excretion of citrate significantly and decreased excretion of uric acid. After 3 months, the vast majority of patients (n = 24, 96%) of the main group underwent curing of the urinary tract, and daily diuresis remained at 2.3 ± 0.3 l/day. Conclusions. The uriklar taking increases the fragmentation of urinary stones and the elimination of the resulting fragments from the urinary tract, promotes the normalization of metabolic disorders, and effectively eliminates infectious-inflammatory complications of urolithiasis. It is also well-tolerated and has no side effects. (For citation: Shestaev AYu, Protoshchak VV, Paronnikov MV, Kiselev AO. Combined (citrate and herbal) drug uriklar in extracorporeal shock wave lithotripsy and metaphylaxis of urolithiasis. Urologicheskie vedomosti. 2018;8(1):19-25. doi: 10.17816/uroved8119-25).

Sign in / Sign up

Export Citation Format

Share Document