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Related Experiment Videos

Extracorporeal shock-wave lithotripsy. Initial Australian experience.

A J Brooks, J M Drummond, J M Collison

    The Medical Journal of Australia
    |April 20, 1987
    PubMed
    Summary

    Extracorporeal shock-wave lithotripsy effectively treated upper urinary tract calculi in 80% of patients within one month. This minimally invasive procedure offered a short hospital stay with few complications for kidney stone removal.

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    Area of Science:

    • Urology
    • Nephrology
    • Surgical Technology

    Background:

    • Upper urinary tract calculi (kidney stones) pose a significant clinical challenge.
    • Extracorporeal shock-wave lithotripsy (ESWL) is a non-invasive treatment option for kidney stones.

    Purpose of the Study:

    • To evaluate the efficacy and safety of extracorporeal shock-wave lithotripsy for treating upper urinary tract calculi.
    • To assess patient outcomes, including stone-free rates and complication incidence.

    Main Methods:

    • Fifty patients with upper urinary tract calculi underwent extracorporeal shock-wave lithotripsy.
    • Procedures were performed under epidural or general anesthesia.
    • Patient outcomes, including stone fragment clearance and length of stay, were monitored.

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    Main Results:

    • 80% of patients were stone-free within one month post-treatment.
    • The mean length of hospital stay was 3.6 days.
    • Minimal postoperative complications were observed, though six patients required repeat ESWL for residual fragments.

    Conclusions:

    • Extracorporeal shock-wave lithotripsy is an effective treatment for upper urinary tract calculi, achieving high stone-free rates.
    • The procedure is associated with minimal complications and a short hospital stay.
    • Further interventions may be necessary for residual stone fragments in a small subset of patients.