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Extracorporeal shock wave lithotripsy for vesical lithiasis

Y Kojima¹, M Yoshimura, Y Hayashi

¹Department of Urology, Nagoya City Higashi General Hospital, and Nagoya City University Medical School, Nagoya, Japan.

Urologia Internationalis

|October 30, 1998

Summary

Extracorporeal shock-wave lithotripsy (ESWL) is a safe and effective treatment for bladder stones in men. Most patients became stone-free within a week after ESWL therapy.

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Area of Science:

Urology
Nephrology

Background:

Bladder stones (vesical lithiasis) can cause significant patient discomfort and complications.
Extracorporeal shock-wave lithotripsy (ESWL) is a non-invasive treatment option for bladder stones.

Purpose of the Study:

To evaluate the efficacy and safety of ESWL for treating bladder stones in male patients.

Main Methods:

Retrospective analysis of 17 male patients with bladder stones treated with ESWL between 1991 and 1997.
ESWL was performed under epidural anesthesia or intravenous sedation.
Some patients required repeat sessions or additional mechanical cystolithotripsy.

Main Results:

Complete stone fragmentation was achieved in 9 patients after one session and 4 required two sessions.

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Four patients underwent ESWL followed by mechanical cystolithotripsy.

Fourteen patients were stone-free within one week post-procedure.

No major complications were reported.

Conclusions:

ESWL is a simple, effective, and safe treatment for vesical lithiasis.
The procedure demonstrates a high success rate with minimal complications.