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[Complications with portable ESWL--a multicenter study]

D M Wilbert1, A Heinz, D Jocham

  • 1Abteilung Urologie, Klinikum Eberhard-Karls-Universität Tübingen.

Der Urologe. Ausg. A
|May 1, 1997
PubMed
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Portable lithotripsy units offer a viable alternative for urological departments. Studies show that infrequent use of extracorporeal shock wave lithotripsy (ESWL) with these units does not increase complication rates.

Area of Science:

  • Urology
  • Nephrology
  • Medical Devices

Background:

  • Portable lithotripsy units are increasingly used by urological departments lacking in-house systems.
  • This approach is often adopted when purchasing a dedicated system is not feasible.
  • Concerns exist regarding potential increases in complications with infrequent use of extracorporeal shock wave lithotripsy (ESWL).

Purpose of the Study:

  • To evaluate the complication rates associated with the use of mobile lithotripsy units in urological departments.
  • To determine if infrequent application of ESWL impacts major complication incidence.

Main Methods:

  • Data on major complications were collected from 54 urological departments utilizing mobile lithotripsy units between 1993 and 1995.
  • A total of 12,901 ESWL treatments were analyzed.

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Main Results:

  • A total of 85 major complications (0.66%) were recorded across all treatments.
  • Intrarenal or perirenal hematomas constituted the majority of complications (64 cases).
  • No fatal complications occurred, and only three patients required subsequent nephrectomy.

Conclusions:

  • The use of mobile lithotripsy units is associated with a low rate of major complications.
  • Infrequent application of ESWL does not appear to increase complication rates compared to high-volume centers.
  • These findings support the use of portable lithotripsy as a safe alternative in various urological settings.