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[Extracorporeal lithotripsy by shock waves. Initial results (322 cases)].
Journal D'Urologie
|January 1, 1986
Summary
Extracorporeal shock wave lithotripsy effectively fragments kidney stones, achieving a 92% success rate with minimal complications. This non-invasive treatment offers a high success rate for various stone types and locations.
Area of Science:
- Urology
- Nephrology
- Medical Technology
Context:
- Extracorporeal shock wave lithotripsy (ESWL) is a key treatment for urolithiasis.
- Assessing the efficacy and safety of ESWL using Dornier and Sonolithe lithotripters is crucial for patient outcomes.
Purpose:
- To report the results of 322 patients treated with ESWL for kidney stones.
- To evaluate the fragmentation rates, success rates, and complications associated with two different lithotripsy devices.
Summary:
- ESWL demonstrated high fragmentation rates (84% excellent after one session) and a 92% success rate for residual stone clearance after 3 months.
- The Dornier lithotripter had an 11% repeat rate, while the Sonolithe showed 6.6% fragmentation failure.
- Complications included renal colic (25%), septic complications (6 patients), and one case of kidney non-function; most were managed successfully.
Impact:
- ESWL provides a safe and effective non-invasive option for kidney stone management.
- The study highlights the comparable efficacy of different ESWL technologies and informs clinical decision-making.
- Understanding complication rates and management strategies optimizes patient care following ESWL treatment.