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Related Experiment Videos

Ureteric stone management using a second generation lithotriptor.

S F Mishriki1, M I Wills, A Mukherjee

  • 1Lithotriptor Unit, Southmead Hospital, Bristol.

British Journal of Urology
|March 1, 1992
PubMed
Summary
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Extracorporeal shock wave lithotripsy (ESWL) effectively treats ureteric calculi, achieving high stone-free rates for upper, mid, and lower ureteric stones. This study demonstrates ESWL

Area of Science:

  • Urology
  • Nephrology
  • Medical Technology

Background:

  • Ureteric calculi (stones) are a common cause of urinary tract obstruction.
  • Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive treatment option for kidney and ureteral stones.
  • Success rates of ESWL can vary depending on stone location and patient factors.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of ESWL for treating ureteric calculi.
  • To assess the success rates of ESWL based on the location of ureteric stones (upper, mid, lower).
  • To analyze treatment parameters such as the number of shocks, treatments, and hospital stay.

Main Methods:

  • A retrospective analysis of 209 consecutive patients with ureteric calculi treated with ESWL.
  • Treatments were performed using the Siemens Lithostar over a 25-month period.

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  • Data collected included stone location, side, pre-treatment interventions (stents, nephrostomies), anesthesia use, number of shocks, number of treatments, and hospital stay.

    • Main Results:

    • Complete stone clearance was achieved in 82% of upper, 89% of mid-ureteric, and 80% of lower ureteric stones.
    • The average number of ESWL treatments per patient was 1.42.
    • The average hospital stay was 1.79 days, with most treatments performed without anesthesia.

    Conclusions:

    • ESWL is a highly effective treatment for ureteric calculi, including challenging mid and lower ureteric stones.
    • The use of X-ray localization facilitates successful ESWL treatment for a significant proportion of ureteric calculi.
    • ESWL offers a successful treatment modality with minimal anesthesia requirements and short hospital stays.