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Ambulatory extracorporeal shockwave lithotripsy.

I Nisonson, W S Witus, M L Madorsky

    Urology
    |November 1, 1986
    PubMed
    Summary

    Extracorporeal shock wave lithotripsy (ESWL) is a safe and effective outpatient treatment for kidney and ureteral stones. This ambulatory facility achieved a 99% success rate, demonstrating ESWL

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    Area of Science:

    • Urology
    • Nephrology
    • Ambulatory Surgery

    Background:

    • Kidney and ureteral stones pose a significant health burden.
    • Traditional surgical interventions for calculi can involve substantial patient recovery times and costs.

    Purpose of the Study:

    • To evaluate the feasibility, safety, and cost-effectiveness of outpatient Extracorporeal Shock Wave Lithotripsy (ESWL).
    • To assess the outcomes of ESWL treatment at an ambulatory facility.

    Main Methods:

    • Retrospective analysis of 226 patients treated with ESWL.
    • 258 kidneys treated over a five-month period.
    • Data collection on success rates and post-treatment admission rates.

    Main Results:

    • Achieved a 99% success rate in treating renal and ureteral calculi.
    • Reported a 14.2% post-treatment admission rate (immediate and delayed).
    • Demonstrated the viability of ESWL in an ambulatory setting.

    Conclusions:

    • Outpatient ESWL is a feasible and medically safe treatment option for both renal and ureteral calculi.
    • ESWL offers a cost-effective solution for stone management.
    • Ambulatory ESWL facilitates efficient patient throughput and successful stone clearance.

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