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[Extracorporeal lithotripsy, endocorporeal lithotripsy].

B Lobel1, F Guillé

  • 1Service urologie, CHRU Pontchaillou, Rennes.

La Revue Du Praticien
|October 1, 1991
PubMed
Summary

Extracorporeal shock wave lithotripsy is a revolutionary treatment for urinary stones, benefiting 75% of patients. However, surgery and intracorporeal lithotripsy remain essential for specific complex cases.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Technology

Background:

  • Urologists in the 1990s had diverse tools for urinary stone treatment.
  • Extracorporeal shock wave lithotripsy (ESWL) significantly advanced urinary lithiasis management.
  • ESWL became a dominant treatment modality for urinary calculi.

Purpose of the Study:

  • To review the treatment options for urinary stones in the 1990s.
  • To highlight the efficacy and limitations of extracorporeal shock wave lithotripsy.
  • To define the role of alternative treatments like intracorporeal lithotripsy and surgery.

Main Methods:

  • Review of established urological treatment modalities for urinary stones.
  • Analysis of the success rates and indications for different lithotripsy techniques.
  • Comparison of extracorporeal shock wave lithotripsy with conventional surgery and intracorporeal methods.

Main Results:

  • Extracorporeal shock wave lithotripsy (ESWL) is effective for a majority of urinary stone patients (75%).
  • ESWL is not suitable for all cases, particularly large stones (>30 mm) or impacted ureteral stones.
  • Intracorporeal lithotripsy and surgery are indicated for specific challenging cases (20% and 6% respectively).

Conclusions:

  • While ESWL revolutionized urinary stone treatment, it does not offer a universal solution.
  • A combination of ESWL, intracorporeal lithotripsy, and surgery provides comprehensive management for urinary calculi.
  • Urologists must select the appropriate treatment based on stone size, location, and impaction.

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