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Related Experiment Videos

Extracorporeal shock wave lithotripsy for vesical lithiasis: initial experience

V Bhatia1, C S Biyani

  • 1RG Stone Clinic, New Delhi, India.

British Journal of Urology
|June 1, 1993
PubMed
Summary

Extracorporeal shock wave lithotripsy (ESWL) offers a well-tolerated, effective treatment for bladder stones, avoiding surgery. This method achieved complete fragmentation in most patients, with minimal complications.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Devices

Background:

  • Traditional treatments for bladder stones (vesical lithiasis) include surgery and endoscopic procedures.
  • These conventional methods necessitate anesthesia and hospitalization, posing risks and inconvenience to patients.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Siemens Lithostar device for treating bladder stones.
  • To assess the feasibility of using extracorporeal shock wave lithotripsy (ESWL) as a primary treatment for vesical lithiasis.

Main Methods:

  • Eighteen male patients with bladder stones were treated using the Siemens Lithostar.
  • Treatment involved a 3-way Foley catheter with saline irrigation, often in the prone position.
  • Immediate evacuation of stone fragments was performed in some cases.

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Main Results:

  • Complete stone fragmentation was achieved in 14 out of 18 patients after a single ESWL session.
  • Four patients required two sessions for complete fragmentation.
  • Morbidity was minimal, with only two patients experiencing impacted fragments requiring retrieval.

Conclusions:

  • Extracorporeal shock wave lithotripsy (ESWL) is a simple, well-tolerated, and effective treatment for bladder stones.
  • ESWL presents a viable alternative to surgical interventions for vesical lithiasis.
  • The Siemens Lithostar demonstrated successful outcomes in this patient cohort.