[Local vibrotherapy of patients following telelithotripsy]

Trying to solve an actual problem of enhancing the spontaneous passage of fragments, "calculous trails" and gravel in the patients who underwent remote lithotripsy the authors used the technique of local vibrotherapy in 54 postoperative patients. The technique employed two unique vibrators; lumbar and manual, and the frequencies close to the resonance frequency of the upper urinary tracts. Spontaneous passage of the fragments and "calculous trails" within 30 days was recorded in 48 (89 per cent) of the patients and in 4 (19 per cent) patients out of 21 controls. Postponed local vibrotherapy, the size of the fragments exceeding 1 cm, pelvic dilatation of a compromised kidney exceeding 2 cm were prognostically unfavourable conditions. Therefore, the authors came to the conclusion that in patients with fragments sized more than 1 cm, fragment-induced ureteral obstruction of more than 0.8 cm resulting in pelvic dilatation of more than 2 cm, as well as in those whose "calculous trails" consisted of large (0.8 cm) fragments causing ureterohydronephrosis, a repeat remote lithotripsy was indicated. The use of local vibrotherapy in combination with phytotherapeutic agent, nierone in particular, was found to be the most beneficial treatment. Advantage of local vibrotherapy versus the general one was emphasized as was the possibility of its employment both on inpatient and outpatient bases and, in perspective, at home. A favourable combination of local vibrotherapy with other techniques of nephroureterolithiasis conservative treatment advocates for the advisability of its wider implementation into the urological practice.