Review article

https://doi.org/10.21860/medflum2017_182971

Extracorporeal shock wave lithotripsy

Stanislav Sotošek ; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Juraj Ahel ; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Nino Rubinić ; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Klara Smolić ; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Dean Markić ; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska

Abstract

Extracorporeal shock wave lithotripsy (ESWL) is a novel method for the treatment of urolithiasis. It is based on the use of shock waves that are generated in the generator, focused and directed to the stone in the body of the patent. Cracking of the stone is the result of several different effects of these waves. It results with stone fragmentation and spontaneous elimination of fragments. ESWL is used in the treatment of kidney stones and stones in the ureter. These method is the method of choice for treating kidney stones smaller than 2 cm, and those in the proximal part of the ureter up to 1 cm. Complicatons are rare and usually clinically insignificant. The effectiveness of this method depends on the stone size, its compositon, the renal system morphology and the experience and skill of the urologist. The great advantage of this method is that anesthesia is not needed, unlike other minimally-invasive treatements. Also, the ESWL treatment can be repeated several times. There is no proven damaging effect on the renal function and can be used for treatment of stones in the children.

Keywords

extracorporeal shock wave lithotripsy; nephrolithiasis; ureterolithiasis

Hrčak ID:

184832

URI

https://hrcak.srce.hr/184832

Publication date:

1.9.2017.

Article data in other languages: croatian

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