scholarly journals MP06-16 EFFICIENCY ANALYSIS OF AN INCREASE OF FOCAL SHOCK WAVE ENERGY THROUGH AN EXPANDED NUMBER OF SHOCKWAVES PER SESSION FOR TREATING URINARY STONES UP TO 2 CM WITH EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY

2021 ◽  
Vol 206 (Supplement 3) ◽  
Author(s):  
Jose Daniel Löpez-Acón ◽  
Javier Díaz-Carnicero ◽  
Alberto Budía ◽  
Domingo Guzman Ordaz ◽  
Pilar Bahilo-Mateu ◽  
...  
Keyword(s):  
Shock Wave ◽  
Wave Energy ◽  
Efficiency Analysis ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Urinary Stones ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Shock Wave Energy

scholarly journals Non-surgical treatment of urinary stone

2020 ◽  
Vol 63 (11) ◽  
pp. 668-676
Author(s):  
Hyung Joon Kim
Keyword(s):  
Shock Wave ◽  
Percutaneous Nephrostomy ◽  
Urinary Stone ◽  
Shock Rate ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Urinary Stones ◽  
Surgical Approaches ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Enhanced Computed Tomography

Some patients with urinary stones can be managed non-surgically through observation, medication, or extracorporeal shockwave lithotripsy (ESWL). Symptomatic urinary stones can initially be treated conservatively using analgesics and hydration. When uncontrolled pain or infection is present, immediate diversion via either percutaneous nephrostomy or ureteral stenting may be necessary. Medical expulsive therapy utilizing alpha-blocker may benefit a selected group of patients with stones larger than 5 mm. Oral or percutaneous chemolysis is a well-established non-invasive option with a reasonable success rate for patients with a certain component such as uric acid. When medical treatment is applied, its unintended side effects should be considered and routinely monitored. Extracorporeal shockwave lithotripsy is a highly effective and safe modality in treating urinary stones when adequately indicated. In addition to the size and location of the stone, information obtained from non-enhanced computed tomography such as stone density, stone heterogenicity index, and stone-to-skin distance can be applied to predict the possibility of ESWL failure. Modifications in shock wave delivery by altering shock rate and voltage can improve shock wave efficacy. Urinary stones can be managed effectively and safely using non-surgical approaches.

scholarly journals Shock wave lithotripsy in patients requiring anticoagulation or antiplatelet agents

2013 ◽  
Vol 5 (1) ◽  
pp. 53 ◽  
Author(s):  
Bader Alsaikhan ◽  
Sero Andonian
Keyword(s):  
Shock Wave ◽  
Shock Wave Lithotripsy ◽  
Invasive Procedure ◽  
Antiplatelet Agents ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Upper Tract ◽  
Extracorporeal Shockwave ◽  
Coagulation Therapy

Extracorporeal shockwave lithotripsy (SWL) remains the only trulyminimally invasive procedure for the treatment of upper tract nephrolithiasis.Recently, there has been a recent rise in the patientson antiplatelet agents. Therefore, the aim of the present study isto review the literature available regarding SWL in these high-riskpatients requiring anti-coagulation therapy. Alternative therapiesto SWL are also presented.

scholarly journals The reasons of unsatisfactory results of extracorporeal shock wave lithotripsy in patients with ureterolithiasis

2021 ◽  
pp. 48-53
Author(s):  
Oleksandr Vozianov
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Minimal Invasive ◽  
Diagnostic Methods ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Aim Analysis ◽  
Extracorporeal Shockwave ◽  
Extracorporeal Shock Wave

The article dedicate to the problem of failure of extracorporeal shockwave lithotripsy in patients with ureterolithiasis and reveal the changes which appear in the ureter in the location of the stone.The aim. Analysis of the results of treatment in patients, suffering ureteric stones, using the ureterolithotripsy procedure after failure extracorporeal shockwave lithotripsy. Materials and methods. In 137 patients with ureteric stones, whom ureterolithotripsy procedure after failure extracorporeal shockwave lithotripsy was conducted, the symptoms of the disease, the diagnostic methods value, efficacy of surgical treatment and reasons of the failure of previous method of treatment were analyzed. Results. In 135 patients endoscopic removal of stones has been succeeded, in 2 patients because of total obliteration of the ureter, uretero-ureteral anastomosis has been performed. If the symptoms, with are characteristic of ureterolithiasis, persists up to one week stones don’t cause significant macroscopic changes to the ureter wall. If the stone persists in the ureter longer than a week we identified local appearing of oedema. Long–term (more than two months) ureteric stone persistence increase the risk of intramucosal “ingrowth” of the calculi greatly. Conclusion. The URS and ESWL are high effective and minimal invasive methods of surgical intervention for patients with ureterolithiasis, guaranteeing high level of postoperative “stone free rate”. Prolongation of the stone insertion time in the ureter causes the ureteric wall changes, complicating performance of minimal invasive interventions (ureterolithotripsy and extracorporeal shock–wave lithotripsy) and reduce its efficacy.

Extracorporeal Shockwave Lithotripsy Versus Flexible Ureteroscopy for the Management of Upper Tract Urinary Stones in Children

2017 ◽  
Vol 31 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Lucas Freton ◽  
Benoit Peyronnet ◽  
Alexis Arnaud ◽  
Lauranne Tondut ◽  
Juliette Hascoet ◽  
...  
Keyword(s):  
Extracorporeal Shockwave Lithotripsy ◽  
Urinary Stones ◽  
Flexible Ureteroscopy ◽  
Shockwave Lithotripsy ◽  
Upper Tract ◽  
Extracorporeal Shockwave

scholarly journals A large series of extracorporeal shockwave lithotripsy in the very elderly

2019 ◽  
Vol 11 ◽  
pp. 175628721987041
Author(s):  
Guilherme Braga Lamacchia ◽  
Fernando Korkes ◽  
Willy Baccaglini ◽  
Luiz Gustavo Miolaro de Mello ◽  
Marcelo Szwarc ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Urinary Calculi ◽  
The Elderly ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Urinary Stones ◽  
Shockwave Lithotripsy ◽  
World Population ◽  
Very Elderly ◽  
Extracorporeal Shockwave

Background: The incidence of urinary lithiasis has been increasing in recent decades at all ages, including the elderly. In parallel, the world population is aging and there is a paucity of data on treatment of urinary stones in very elderly people. Our main objective was to evaluate the effects of extracorporeal shockwave lithotripsy (ESWL) in patients older than 75 years, and the characteristics of this population. Complications and mortality rates after this procedure in octogenarians were also described. Methods: We retrospectively evaluated very elderly patients who underwent ESWL at our institution from 1998 to 2015, through chart review, telephone interviews, and consultation with the municipal mortality information program. Measured outcomes included demographic and clinical data, ESWL characteristics and complications, interval between ESWL and death, and cause of death. Results: Demographic and treatment characteristics were similar between very elderly and younger patients who underwent ESWL during the same period. No severe complications occurred among older patients. Octogenarians treated in our cohort had a significant life expectancy when ESWL procedures were performed. Even though 38.9% of the patients passed away during the studied period, mortality occurred on average 4.38 years after the ESWL session. Conclusions: In conclusion, ESWL has been used by urologists as a first-line treatment for uncomplicated urinary calculi in very elderly patients. Despite changes associated with aging, and the high prevalence of comorbidities, this procedure seems to be safe and well tolerated in elderly people.

Current Trends in the Management of Urinary Stones

1988 ◽  
Vol 29 (2) ◽  
pp. 145-150
Author(s):  
T. P. Smith ◽  
W. R. Castaneda-Zuniga ◽  
M. D. Darcy ◽  
A. H. Cragg ◽  
D. W. Hunter ◽  
...  
Keyword(s):  
Medical Therapy ◽  
Percutaneous Nephrolithotomy ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Urinary Stones ◽  
Ureteral Stones ◽  
Shockwave Lithotripsy ◽  
Current Application ◽  
Extracorporeal Shockwave ◽  
The Past ◽  
Current Trends

The treatment of renal and ureteral stones has undergone rapid and major changes over the past ten years. Extracorporeal Shockwave lithotripsy has become the most commonly used modality for the treatment of renal and upper ureteral stones. Lower ureteral stones are more commonly being approached by retrograde techniques. Percutaneous nephrolithotomy, medical therapy, and open surgical nephrolithotomy offer viable alternatives in given situations. Presented here is the current application of each of these techniques, both alone and in combination, for the treatment of urinary stones.

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