scholarly journals Sudden, Painless Incontinence following Extracorporeal Shock Wave Lithotripsy: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Fatih Akbulut ◽  
Alpaslan Akbas ◽  
Dilek Sahin
Keyword(s):  
Shock Wave ◽  
Urinary Incontinence ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urethral Sphincter ◽  
External Urethral Sphincter ◽  
Related Complication ◽  
Extracorporeal Shock Wave ◽  
First Case ◽  
Double J Stent

Urinary incontinence is a stent-related complication; however, total incontinence is not often seen in emergency departments. We report a patient who presented with a sudden, painless, and total urinary incontinence after extracorporeal shock wave lithotripsy. This is the first case of total incontinence due to migrated ureteral double J stent through the external urethral sphincter into the urethra following extracorporeal shock wave lithotripsy.

scholarly journals Extracorporeal shock wave lithotripsy in the treatment of renal and ureteral stones

2015 ◽  
Vol 61 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Fábio César Miranda Torricelli ◽  
Alexandre Danilovic ◽  
Fábio Carvalho Vicentini ◽  
Giovanni Scala Marchini ◽  
Miguel Srougi ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Meta Analysis ◽  
Ureteral Stones ◽  
Level Of Evidence ◽  
Extracorporeal Shock Wave ◽  
Double J Stent ◽  
High Level ◽  
Technical Principles

The use of certain technical principles and the selection of favorable cases can optimize the results of extracorporeal shock wave lithotripsy (ESWL). The aim of this study is to review how ESWL works, its indications and contraindications, predictive factors for success, and its complications. A search was conducted on the Pubmed® database between January 1984 and October 2013 using "shock wave lithotripsy" and "stone" as key-words. Only articles with a high level of evidence, in English, and conducted in humans, such as clinical trials or review/meta-analysis, were included. To optimize the search for the ESWL results, several technical factors including type of lithotripsy device, energy and frequency of pulses, coupling of the patient to the lithotriptor, location of the calculus, and type of anesthesia should be taken into consideration. Other factors related to the patient, stone size and density, skin to stone distance, anatomy of the excretory path, and kidney anomalies are also important. Antibiotic prophylaxis is not necessary, and routine double J stent placement before the procedure is not routinely recommended. Alpha-blockers, particularly tamsulosin, are useful for stones >10mm. Minor complications may occur following ESWL, which generally respond well to clinical interventions. The relationship between ESWL and hypertension/diabetes is not well established.

scholarly journals Outcome of Extracorporeal Shock Wave Lithotripsy

2010 ◽  
Vol 49 (177) ◽  
Author(s):  
B Shrestha ◽  
J L Baidya
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Open Surgery ◽  
Shock Wave Lithotripsy ◽  
Management Strategies ◽  
Noninvasive Method ◽  
Extracorporeal Shock Wave ◽  
Double J Stent ◽  
A Prospective Study ◽  
Invasive Intervention

NTRODUCTION: Extracorporeal Shock Wave Lithotripsy is an effective noninvasive method to treat urolithiasis. This study aims to evaluate itsoutcome and determine appropriate management strategies for urolithiasis. METHODS: It was a prospective study which included one hundred patients who underwent ESWL for the management of solitary urolithiasis during a period of eight months (December 2007-August 2008). Status of stone and complications were observed and managed accordingly within a period of six postoperative weeks. RESULTS: Out of 100 patients, 93% had complete clearance of stone by the end of six postoperative weeks. Seven percent of the patients required adjunct invasive intervention including open surgery in 3%. Number of sessions of ESWL was found to increase as the size of stone increased. However, in three patients stones were completely refractory to ESWL even after two consecutive sessions. CONCLUSIONS: ESWL is highly effective noninvasive modality in the management of urolithiasis in appropriately selected patients. Keywords: double J stent, extracorporal shockwave lithotripsy, steinstrasse, ultrasonography, ureterorenoscopy.

scholarly journals Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Mehdi Younesi Rostami ◽  
Mehrdad Taghipour-Gorgikolai ◽  
Rayka Sharifian
Keyword(s):  
Shock Wave ◽  
Kidney Stones ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Standard Treatment ◽  
Renal Calculi ◽  
Upper Urinary Tract ◽  
Short Term ◽  
Extracorporeal Shock Wave ◽  
Double J Stent

Background. Extracorporeal shock wave lithotripsy (ESWL) has progressively acquired popularity as being the gold standard treatment for upper urinary tract lithiasis in infants since 1980. Our aim was to evaluate the outcome of ESWL for kidney stones and the use of double-J stent in infants.Material and Methods. A prospective clinical trial study performed on 50 infants with renal calculi at pelvic admitted in the Urology ward of Shafa Hospital, Sari, Iran, between 2001 and 2010. Main outcome measure of our study was clearing stones after one or more consecutive sessions of ESWL.Results. The study included 50 patients with renal calculi at pelvic. Among them, there were 35 (70%) boys and 15 (30%) girls with the age ranging from 1 to 13 months (mean of 7 month ± 3 days). All of them were treated by standard ESWL using Simons Lithostor plus machine. The stone sizes ranged from 6 mm to 22 mm. Double-J stents were placed in 11 infants (22%) with stones larger than 13 mm. Most of the patients required only one ESWL session.Conclusion. Since there were no complications following ESWL treatment, we can conclude that, in short term, ESWL is an effective and safe treatment modality for renal lithiasis in infants. In addition, we recommend double-J stent in infants with stones larger than 13 mm.

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