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Related Experiment Videos

Ultrasonic lithotripsy in the ureter.

G J Fuchs1

  • 1UCLA Stone Center.

The Urologic Clinics of North America
|August 1, 1988
PubMed
Summary

Ureteroscopic stone removal is now reserved for complex cases due to advances in extracorporeal shock-wave lithotripsy. However, ureterolitholapaxy remains a safe and effective treatment option for experienced urologists.

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Area of Science:

  • Urology
  • Endourology
  • Nephrolithiasis Treatment

Background:

  • Extracorporeal shock-wave lithotripsy (ESWL) indications have expanded, shifting complex stone cases to other modalities.
  • Ureteroscopic stone removal is increasingly utilized for challenging ureteral calculi.

Observation:

  • The "easy" cases of ureteral stone removal have largely been superseded by ESWL.
  • Ureterolitholapaxy is now frequently performed on more difficult stone burdens.

Findings:

  • Clinical experience demonstrates ureterolitholapaxy to be a safe procedure.
  • Ureterolitholapaxy is an effective treatment for ureteral stones.
  • The reliability of ureterolitholapaxy is confirmed in experienced hands.

Implications:

  • Ureterolitholapaxy remains a valuable tool in the urologist's armamentarium for stone management.
  • Experienced urologists can achieve excellent outcomes with ureterolitholapaxy.
  • This technique is crucial for managing complex ureteral stones not amenable to ESWL.

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