Extracoporeal shock wave lithotripsy in current urological practice
Authors:
Leo Pšenčík
Authors place of work:
Urologické oddělení KNTB Zlín a. s.
Published in the journal:
Ces Urol 2014; 18(4): 288-299
Category:
Review article
Summary
Since the introduction of extracorporeal shock wave lithotripsy (ESWL) in the 1980s, this method has become one of the most widely used therapeutic modalities for patients with urolithiasis. ESWL gained popularity among urologists for its non-invasiveness and also for its high efficiency and good tolerance by patients. Over the years there has been significant progress in new types of lithotripter machines. Nowadays it is difficult to compare the success of individual ESWL machines. Data suggest that the more recently developed lithotripters don’t have a better fragmentation effect or less side effects. At the same time, great progress has been made in interventional endourology, mainly in the use of flexible instruments. Endourology is becoming a viable alternative to shock wave litotripsy for the treatment of nephrolithiasis. Even though, ESWL is a non-invasive therapeutic method which is well tolerated, it does have side effects. Some of them (although rare) can be very serious and it is important to take them into account and deal with them in a timely fashion. ESWL is often indicated by a large number of doctors. It is therefore necessary that these urologists are familiar with the main physical principles of shock waves and the function of lithotripters. This knowledge enables Urologists to refine indications, select proper patients, enhance the therapy process, and limit the occurrence of side effects. This article summarizes the indication and contraindication criteria for ESWL. It also outlines suggestions on how to improve preoperative planning, perform surgery, and provides some recommendations for potential methods to reduce side effects.
Key words:
nefrolithiasis, therapy, shock wave, ESWL, ureterorenoscopy.
Zdroje
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Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2014 Číslo 4
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