Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes
Objective: Extracorporeal shockwave lithotripsy (SWL) currently plays an important role in the treatment of urinary tract lithiasis. The purpose of this article was to describe new concepts and procedural strategies that would improve results using SWL as a treatment for urolithiasis, thereby achiev...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-04-01
|
| Series: | Asian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388224000134 |
| _version_ | 1797198825395322880 |
|---|---|
| author | Pilar Bahilo-Mateu Alberto Budia-Alba |
| author_facet | Pilar Bahilo-Mateu Alberto Budia-Alba |
| author_sort | Pilar Bahilo-Mateu |
| collection | DOAJ |
| description | Objective: Extracorporeal shockwave lithotripsy (SWL) currently plays an important role in the treatment of urinary tract lithiasis. The purpose of this article was to describe new concepts and procedural strategies that would improve results using SWL as a treatment for urolithiasis, thereby achieving better clinical practice. Methods: A systematic review process was carried in PubMed/PMC from January 2003 to March 2023. A narrative synthesis of the most important aspects has been made. Results: The important recommendations for the adequate selection of the candidate patient for treatment with SWL are summarized, as well as the new strategies for a better application of the technique. Aspects about intraoperative position, stone localization and monitoring, analgesic control, machine and energy settings, and measures aiming at reduced risk of complications are described. Conclusion: To achieve the therapeutic goal of efficient stone disintegration without increasing the risk of complications, it is necessary to make an adequate selection of patients and to pay special attention to several important factors in the application of treatment. Technological development in later generation devices will help to improve current SWL results. |
| first_indexed | 2024-04-24T07:06:01Z |
| format | Article |
| id | doaj.art-f9ceea4e071742c0a01b8c733a616c42 |
| institution | Directory Open Access Journal |
| issn | 2214-3882 |
| language | English |
| last_indexed | 2024-04-24T07:06:01Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj.art-f9ceea4e071742c0a01b8c733a616c422024-04-22T04:11:43ZengElsevierAsian Journal of Urology2214-38822024-04-01112143148Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomesPilar Bahilo-Mateu0Alberto Budia-Alba1Lithotripsy and Endourology Unit, La Fe University and Polytechnic Hospital, Valencia, SpainLithotripsy and Endourology Unit, La Fe University and Polytechnic Hospital, Valencia, Spain; Lithotripsy and Endourology Unit, Urology Department, La Fe University and Polytechnic Hospital, Valencia, Spain; Corresponding author. Lithotripsy and Endourology Unit, La Fe University and Polytechnic Hospital, Valencia, Spain.Objective: Extracorporeal shockwave lithotripsy (SWL) currently plays an important role in the treatment of urinary tract lithiasis. The purpose of this article was to describe new concepts and procedural strategies that would improve results using SWL as a treatment for urolithiasis, thereby achieving better clinical practice. Methods: A systematic review process was carried in PubMed/PMC from January 2003 to March 2023. A narrative synthesis of the most important aspects has been made. Results: The important recommendations for the adequate selection of the candidate patient for treatment with SWL are summarized, as well as the new strategies for a better application of the technique. Aspects about intraoperative position, stone localization and monitoring, analgesic control, machine and energy settings, and measures aiming at reduced risk of complications are described. Conclusion: To achieve the therapeutic goal of efficient stone disintegration without increasing the risk of complications, it is necessary to make an adequate selection of patients and to pay special attention to several important factors in the application of treatment. Technological development in later generation devices will help to improve current SWL results.http://www.sciencedirect.com/science/article/pii/S2214388224000134LithotripsyExtracorporeal shockwaveStone diseaseTreatmentUrinary stone |
| spellingShingle | Pilar Bahilo-Mateu Alberto Budia-Alba Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes Asian Journal of Urology Lithotripsy Extracorporeal shockwave Stone disease Treatment Urinary stone |
| title | Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes |
| title_full | Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes |
| title_fullStr | Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes |
| title_full_unstemmed | Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes |
| title_short | Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes |
| title_sort | extracorporeal shockwave lithotripsy in the management of urinary stones new concepts and techniques to improve outcomes |
| topic | Lithotripsy Extracorporeal shockwave Stone disease Treatment Urinary stone |
| url | http://www.sciencedirect.com/science/article/pii/S2214388224000134 |
| work_keys_str_mv | AT pilarbahilomateu extracorporealshockwavelithotripsyinthemanagementofurinarystonesnewconceptsandtechniquestoimproveoutcomes AT albertobudiaalba extracorporealshockwavelithotripsyinthemanagementofurinarystonesnewconceptsandtechniquestoimproveoutcomes |