Professional paper

ESWL — a report on the first 500 patients

Antun Tucak
Ignac Stipanić
Dalibor Koprolčec
Hrvoje Kuveždić
Tomislav Kalem
Rudolf Pastović

Abstract

In the last five years ESWL-technique has been rapidly accepted all over the world as the method of choice in the treatment of urinary stones. It is estimated that up to now over a million of patients have been treated by this method. The use of this non-invasive technique, combined with percutaneous and transurethral lithotripsy leads in 3 — 6 months to the complete healing in 93 % of cases, so that operative procedures have been minimized. This paper presents the results of the treatment of the first 500 patients treated at the second generation lithotriptor SIEMENS »LITHOSTAR«. In 500 patients with 607 stones 521 treatment was performed with 799 session. Six months after the ESWL treatment 522 out of 607 stones (86 %) were desintegrated completely, i.e. 87.2 % of the patients were stone-free. The best results were achieved with solitary pelvic (95.51 %) and ureteral stones (95.8 %). In 52 patients (10.4%) complications due to obstruction were sucessfully solved by endoscopic procedures. These results clearly show ESWL to be the best method in the treatment of urolithiasis patients.

Keywords

extracorporeal shockwave lithotripsy

Hrčak ID:

196989

URI

https://hrcak.srce.hr/196989

Publication date:

1.12.1989.

Article data in other languages: croatian

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