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Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
[Extra corporeal shock wave lithotripsy (ESWL) procedure in urology]
1Service d'urologie, Pavilion C Guérin, CHU de Poitiers, La Milétrie, France. b.dore@chu-poitiers.fr
Annales D'Urologie
|November 24, 2005
Summary
Extra corporeal shock wave lithotripsy (ESWL) is a primary treatment for kidney and ureteral stones. Modern electromagnetic lithotripters achieve an 80% stone-free rate for various calculi.
Area of Science:
- Nephrology
- Urology
- Medical Devices
Context:
- Extra corporeal shock wave lithotripsy (ESWL) has been a primary treatment for renal and ureteral calculi since 1980.
- Treatment indications are based on stone localization, chemical composition, and size.
- Technological advancements have led to various lithotripter generations (electrohydraulic, piezoelectric, electromagnetic) with improved localization systems.
Purpose:
- To review the evolution and efficacy of extra corporeal shock wave lithotripsy (ESWL) for treating kidney and ureteral stones.
- To highlight the impact of technological advancements on ESWL procedures and outcomes.
- To assess the current stone-free rates achieved by third-generation lithotripters.
Summary:
- ESWL is a widely adopted first-line therapy for adult and pediatric kidney and ureteral stones.
- Despite challenges in comparing results due to device diversity, modern third-generation mobile electromagnetic lithotripters demonstrate an average 80% stone-free rate.
- ESWL can be performed on an outpatient basis, often without anesthesia, improving patient accessibility.
Impact:
- Enhanced understanding of ESWL efficacy and technological progression in stone management.
- Provides benchmarks for current stone-free rates using advanced lithotripsy devices.
- Informs clinical practice regarding the selection and application of ESWL for renal and ureteral calculi.
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