Cargando…

Extracorporeal shock wave lithotripsy: What is new?

OBJECTIVES: Thirty years after its introduction, extracorporeal shockwave lithotripsy (ESWL) is still first-line treatment for more than half of all urinary tract stones, but machines and treatment strategies have significantly developed over time. In this review, we summarise the latest knowledge a...

Descripción completa

Detalles Bibliográficos
Autores principales: Bach, Christian, Karaolides, Theocharis, Buchholz, Noor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442960/
https://www.ncbi.nlm.nih.gov/pubmed/26558039
http://dx.doi.org/10.1016/j.aju.2012.04.002
_version_ 1782372949855043584
author Bach, Christian
Karaolides, Theocharis
Buchholz, Noor
author_facet Bach, Christian
Karaolides, Theocharis
Buchholz, Noor
author_sort Bach, Christian
collection PubMed
description OBJECTIVES: Thirty years after its introduction, extracorporeal shockwave lithotripsy (ESWL) is still first-line treatment for more than half of all urinary tract stones, but machines and treatment strategies have significantly developed over time. In this review, we summarise the latest knowledge about the clinically important aspects of ESWL. METHODS: We searched PubMed to identify relevant reports and the latest European Association of Urology guidelines, and standard urological textbooks were consulted. RESULTS: New technical developments include: Twin-head and tandem-pulse shock-wave generators; wide-focus, low-pressure systems; optimised coupling; and automated location and acoustic tracking systems. Indications have been refined, making possible the identification of patients in whom ESWL treatment is likely to fail. By lowering the shock-wave rate, improving coupling, applying abdominal compression, power ‘ramping’ and postoperative medical expulsion therapy, treatment protocols have been optimised. CONCLUSIONS: Promising new technical developments are under development, with the potential to increase the stone-free rate after ESWL. For optimal results, the refined indications need to be respected and optimised treatment protocols should be applied.
format Online
Article
Text
id pubmed-4442960
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-44429602015-11-10 Extracorporeal shock wave lithotripsy: What is new? Bach, Christian Karaolides, Theocharis Buchholz, Noor Arab J Urol Review OBJECTIVES: Thirty years after its introduction, extracorporeal shockwave lithotripsy (ESWL) is still first-line treatment for more than half of all urinary tract stones, but machines and treatment strategies have significantly developed over time. In this review, we summarise the latest knowledge about the clinically important aspects of ESWL. METHODS: We searched PubMed to identify relevant reports and the latest European Association of Urology guidelines, and standard urological textbooks were consulted. RESULTS: New technical developments include: Twin-head and tandem-pulse shock-wave generators; wide-focus, low-pressure systems; optimised coupling; and automated location and acoustic tracking systems. Indications have been refined, making possible the identification of patients in whom ESWL treatment is likely to fail. By lowering the shock-wave rate, improving coupling, applying abdominal compression, power ‘ramping’ and postoperative medical expulsion therapy, treatment protocols have been optimised. CONCLUSIONS: Promising new technical developments are under development, with the potential to increase the stone-free rate after ESWL. For optimal results, the refined indications need to be respected and optimised treatment protocols should be applied. Elsevier 2012-09 2012-05-24 /pmc/articles/PMC4442960/ /pubmed/26558039 http://dx.doi.org/10.1016/j.aju.2012.04.002 Text en © 2012 Arab Association of Urology. Production and hosting by Elsevier B.V. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Review
Bach, Christian
Karaolides, Theocharis
Buchholz, Noor
Extracorporeal shock wave lithotripsy: What is new?
title Extracorporeal shock wave lithotripsy: What is new?
title_full Extracorporeal shock wave lithotripsy: What is new?
title_fullStr Extracorporeal shock wave lithotripsy: What is new?
title_full_unstemmed Extracorporeal shock wave lithotripsy: What is new?
title_short Extracorporeal shock wave lithotripsy: What is new?
title_sort extracorporeal shock wave lithotripsy: what is new?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442960/
https://www.ncbi.nlm.nih.gov/pubmed/26558039
http://dx.doi.org/10.1016/j.aju.2012.04.002
work_keys_str_mv AT bachchristian extracorporealshockwavelithotripsywhatisnew
AT karaolidestheocharis extracorporealshockwavelithotripsywhatisnew
AT buchholznoor extracorporealshockwavelithotripsywhatisnew