scholarly journals THE EFFECT OF DOUBLE J STENT ON THE EFFICACY OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN THE TREATMENT OF URETERAL STONES.

2018 ◽  
Vol 6 (2) ◽  
pp. 1-6
Author(s):  
VenugopalA V ◽  
◽  
ShanmughaDas KV ◽  
Bhavish VS ◽  
Felix Cardoza ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stones ◽  
Extracorporeal Shock Wave ◽  
Double J Stent

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.

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