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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.
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.
- 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.