Extracorporeal shockwave lithotripsy in the management of urinary stones: New concepts and techniques to improve outcomes

IF 2.4 3区医学 Q2 UROLOGY & NEPHROLOGY

Asian Journal of Urology Pub Date : 2024-04-01 DOI:10.1016/j.ajur.2024.02.002

Pilar Bahilo-Mateu , Alberto Budia-Alba

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引用次数: 0

Abstract

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.

查看原文本刊更多论文

体外冲击波碎石术治疗泌尿系统结石：提高疗效的新概念和新技术

目的体外冲击波碎石术（SWL）目前在治疗尿路结石方面发挥着重要作用。本文旨在描述可改善体外冲击波碎石术治疗尿路结石效果的新概念和程序策略，从而实现更好的临床实践。方法2003年1月至2023年3月在PubMed/PMC上进行了系统性综述。对最重要的方面进行了叙述性综述。结果总结了关于适当选择 SWL 治疗候选患者的重要建议，以及更好地应用该技术的新策略。结论为了实现有效碎石的治疗目标，同时不增加并发症的风险，有必要对患者进行适当的选择，并在应用治疗时特别注意几个重要因素。新一代设备的技术发展将有助于改善目前的 SWL 效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Journal of Urology UROLOGY & NEPHROLOGY-

CiteScore

4.00

自引率

3.80%

发文量

100

审稿时长

4 weeks

期刊介绍： Asian Journal of Urology (AJUR), launched in October 2014, is an international peer-reviewed Open Access journal jointly founded by Shanghai Association for Science and Technology (SAST) and Second Military Medical University (SMMU). AJUR aims to build a communication platform for international researchers to effectively share scholarly achievements. It focuses on all specialties of urology both scientifically and clinically, with article types widely covering editorials, opinions, perspectives, reviews and mini-reviews, original articles, cases reports, rapid communications, and letters, etc. Fields of particular interest to the journal including, but not limited to: • Surgical oncology • Endourology • Calculi • Female urology • Erectile dysfunction • Infertility • Pediatric urology • Renal transplantation • Reconstructive surgery • Radiology • Pathology • Neurourology.