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Emerging Technologies in Ultrasonic and Pneumatic Lithotripsy
Daniel A Wollin1, Michael E Lipkin2
1Division of Urologic Surgery, Duke University Medical Center, 40 Medicine Circle, Durham, NC 27710, USA; Division of Urologic Surgery, VA Boston Healthcare System, 1400 VFW Parkway, West Roxbury, MA 02132, USA.
The Urologic Clinics of North America
|April 10, 2019
Summary
Percutaneous nephrolithotomy is key for large kidney stones. This review covers pneumatic and ultrasonic lithotripsy devices, aiding urologists in choosing optimal treatments for renal calculi.
Area of Science:
- Urology
- Nephrology
- Surgical Technology
Background:
- Percutaneous nephrolithotomy (PCNL) is the primary treatment for large renal stones.
- Effective stone fragmentation requires understanding of lithotripsy devices.
- Advancements enable diverse treatment options based on stone characteristics.
Purpose of the Study:
- To review the mechanisms of pneumatic and ultrasonic lithotripsy devices.
- To examine data on current and novel combination lithotrites.
- To inform urologists on surgical options for renal stone management.
Main Methods:
- Review of existing literature on lithotripsy technologies.
- Analysis of device mechanisms for stone fragmentation.
- Examination of clinical data for PCNL devices.
Main Results:
- Pneumatic and ultrasonic devices offer efficient stone fragmentation.
- Advanced technologies provide varied treatment approaches.
- Combination lithotrites show promise in clinical application.
Conclusions:
- Urologists must understand lithotripsy mechanisms for effective PCNL.
- Novel lithotripsy methods enhance treatment efficacy for renal calculi.
- Selection of appropriate lithotripsy is crucial for patient outcomes.
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