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Extracorporeal shock wave lithotripsy: What is new?
Christian Bach1, Theocharis Karaolides1, Noor Buchholz1
1Endourology and Stone Services, Barts and The London NHS Trust, United Kingdom.
Arab Journal of Urology
|November 12, 2015
Summary
Extracorporeal shockwave lithotripsy (ESWL) remains a primary treatment for urinary stones. Recent advancements in technology and refined protocols enhance treatment effectiveness and patient selection for better outcomes.
Area of Science:
- Urology
- Nephrology
- Medical Technology
Background:
- Extracorporeal shockwave lithotripsy (ESWL) is a cornerstone treatment for urinary tract stones.
- Despite its long history, ESWL technology and treatment strategies have continuously evolved.
Purpose of the Study:
- To review the latest advancements in ESWL technology and treatment protocols.
- To summarize clinically relevant aspects of modern ESWL for urinary stone management.
Main Methods:
- Literature search of PubMed.
- Consultation of European Association of Urology guidelines.
- Review of standard urological textbooks.
Main Results:
- New ESWL technologies include twin-head generators, wide-focus systems, improved coupling, and automated tracking.
- Refined indications improve patient selection, identifying those likely to respond to ESWL.
- Optimized protocols involve lower shock-wave rates, better coupling, abdominal compression, power ramping, and medical expulsion therapy.
Conclusions:
- Emerging ESWL technologies show promise for increasing stone-free rates.
- Adherence to refined indications and optimized treatment protocols is crucial for achieving optimal ESWL results.
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