Related Experiment Video
Updated: Jul 26, 2025
05:17
Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source
Published on: December 23, 2022
2.7K
Is Extracorporeal Shock Wave Lithotripsy a Treatment Option for Renal Colic?
María Del Pilar Alcoba García1, Gonzalo Bueno Serrano1, Juan Tabares Jiménez1
1Department of Urology, Jiménez Díaz Foundation Hospital, 28040 Madrid, Spain.
Archivos Espanoles De Urologia
|June 21, 2023
Summary
Rapid extracorporeal shock wave lithotripsy (SWL) effectively relieved renal colic pain in 81% of patients. This study shows SWL is a safe and efficient treatment for kidney stone pain management.
Area of Science:
- Urology
- Nephrology
- Pain Management
Background:
- Renal colic causes severe flank pain, often managed with NSAIDs.
- Extracorporeal shock wave lithotripsy (SWL) offers a noninvasive pain relief alternative.
Purpose of the Study:
- To evaluate the effectiveness of rapid SWL in treating renal colic.
- To present outcomes of SWL for renal colic patients at our center.
Main Methods:
- Analyzed 214 patients undergoing rapid SWL between October 2014 and June 2018.
- Collected data on patient demographics, stone size and location (PUJ, proximal, mid, distal ureter).
Main Results:
- 81.31% of patients achieved pain relief.
- Stone resolution occurred in 78.50% of cases within 4 weeks.
- Complications, including persistent pain and fever, occurred in 20.56% of patients.
Conclusions:
- Rapid SWL is a safe and effective treatment for renal colic pain.
- The procedure demonstrated significant pain relief and stone resolution rates.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
01:30Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
01:28Urinary Tract Calculi V: Nursing Management
14
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
16
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
16
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
11
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
11
01:24Imaging Studies II: Ultrasonography
31
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
31