SWL literature
Slider

Reynolds LF et al., 2018: Indications and contraindications for shock wave lithotripsy and how to improve outcomes

Kroczak T, Pace KT.
Division of Urology, St. Michael's Hospital, Toronto, Canada.

Abstract

For over 35 years shock wave lithotripsy has proven to be an effective, safe and truly minimally invasive option for the treatment of nephrolithiasis. Various technical factors as well as patient selection can impact the success of the procedure. We used published work focusing on outcomes of shock wave lithotripsy, risk of complications, and strategies for improving stone fragmentation to create this review. Multiple patient and technical factors have been found to impact success of treatment. Skin to stone distance, stone density and composition, size and location of the stone within the urinary system all influence stone free rates. A slower rate with a gradual increasing voltage, precise targeting, proper coupling will improve stone fragmentation and decrease risk of complications. The selection of appropriate patients through a shared decision making process and attention to the technical factors that improve stone free rates is key to providing an effective treatment and patient satisfaction.

Asian J Urol. 2018 Oct;5(4):256-263. doi: 10.1016/j.ajur.2018.08.006. Epub 2018 Sep 4. Review.

 

 

0
 

Comments 1

Peter Alken on Thursday, 02 May 2019 08:30

This general review offers 101 references to readers with no or limited knowledge of ESWL.

This general review offers 101 references to readers with no or limited knowledge of ESWL.
Guest
Tuesday, 17 September 2019
STORZ MEDICAL AG
Lohstampfestrasse 8
8274 Tägerwilen
Switzerland
Tel.: +41 (0)71 677 45 45
Fax: +41 (0)71 677 45 05

www.storzmedical.com