Journal Article10.1007/S00240-010-0322-1
Shock wave lithotripsy for distal ureteric stones: supin or prone
Mustafa Okan Istanbulluoglu,Mustafa Burak Hoscan,Mehmet Ilteris Tekin,Tufan Cicek,Bülent Öztürk,Hakan Ozkardes +5 more
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TL;DR: The results suggest that supine position is effective and better than prone position for SWL in patients with distal ureteric stones.
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Abstract: Shock Wave Lithotripsy (SWL) has become the preferred first-line approach to most patients with symptomatic urolithiasis. The purpose of this study is to assess the ideal patient position during SWL for the treatment of distal ureter stones. A total of 342 patients included in this retrospective study. 148 (108 men, 40 women) patients were included in the first group and were treated in supine position. The remaining 194 (143 men, 51 women) patients were included to second group and were treated in prone position. This study designed retrospectively. The procedure was accepted as a success if the patient was stone free or had only clinically insignificant fragments (≤3 mm) for 3 months or more after the last SWL session. Before SWL, the mean is one area in the first group was 61.32 mm2 while the mean stone area in the second group was 59.04 mm2 (p = 0.208). Mean energy, Mean energy maximum and mean number of applied shock waves of the first group was 4.65, 3.19 and 3,960, respectively. The same parameters in second group were 4.26, 3.03 and 2,953, respectively. These results show that there are statistically significant differences between two groups with respect to mean energy, mean energy maximum and mean number of applied shock waves (p = 0.003, p = 0.010, p = 0.000, respectively). Success rate was 85.1% in group 1 and 72.7% in group 2 (p = 0.006). Our results suggest that supine position is effective and better than prone position for SWL in patients with distal ureteric stones.
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Citations
The transgluteal approach to shockwave lithotripsy to treat distal ureter stones: a prospective, randomized, and multicenter study
TL;DR: SWL using the transgluteal approach via a supine position through the greater sciatic foramen was more effective than via the conventional prone position and provided a comparably safe and satisfactory procedure.
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Impact of official technical training for urologists on the efficacy of shock wave lithotripsy
Atsushi Okada,Takahiro Yasui,Kazumi Taguchi,Kazuhiro Niimi,Yasuhiko Hirose,Shuzo Hamamoto,Ryosuke Ando,Yasue Kubota,Yukihiro Umemoto,Keiichi Tozawa,Shoichi Sasaki,Yutaro Hayashi,Kenjiro Kohri +12 more
TL;DR: Assessment of company-initiated training of urologists on shock wave lithotripsy treatment results found skills in targeting stones using ultrasonography and selecting the proper therapeutic position are essential for improving the success rate of stone removal.
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Supine Transgluteal vs Prone Position in Extracorporeal Shock Wave Lithotripsy of Distal Ureteric Stones
TL;DR: Transgluteal SWL while patient in supine position proved efficacy for treatment of distal ureteric stones in a prospective, randomized, comparative study.
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Supine versus Prone Position during Extracorporeal Shockwave Lithotripsy for Treating Distal Ureteral Calculi: A Systematic Review and Meta-Analysis
TL;DR: Assessment of extracorporeal shockwave lithotripsy for treating distal ureteral calculi performed in supine vs. prone position showed that supine SWL was associated with a significantly higher stone-free rate than prone SWL, and this difference was consistent for both the first and the final SWL session.
Shock Wave Lithotripsy
Achim M. Loske
- 01 Jan 2017
TL;DR: Although SWL is a routine in urology and millions of treatments have been performed successfully, improvements to increase stone fragmentation efficiency and reduce tissue damage are still being sought.
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References
Guidelines on urolithiasis
TL;DR: Recommendations are given for the management of patients with acute stone colic and for active removal of stones from the ureter and kidney and the principles for risk evaluation of Patients with recurrent stone formation and appropriate recurrence preventive treatment are given.
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Extracorporeally induced destruction of kidney stones by shock waves
TL;DR: Disintergration of kidney stones by shock waves seems to be a promising form of treatment that reduces the need for surgery and can in many cases be done under epidural instead of general anaesthesia.
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The Role of Lithotripsy and Its Side Effects
TL;DR: Over-all, extra-corporeal shock wave lithotripsy is associated with significantly lower morbidity than percutaneous nephrostolithotomy but stone-free rates are lower for extracorporeal shockWave lithotRIpsy than for percutaneously neph Frostolithotomy, which is slight for kidneys containing minimal stone burden but increases in direct proportion to increasing stone burden.
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Extracorporeal Shock Wave Lithotripsy in the Prone Position: Treatment of Stones in the Distal Ureter or Anomalous Kidney
TL;DR: ESWL with the patient in the prone position is a safe and effective treatment of calculi in the distal ureter or anomalous kidney and prevents blockage of shock wave energy by the bony pelvis.
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Treatment of Prevesical Ureteral Calculi by Extracorporeal Shock Wave Lithotripsy
TL;DR: High total power led to complete stone disintegration and a success rate of 95 per cent was achieved and extracorporeal shock wave lithotripsy is the method of choice for the treatment of distal ureteral stones.
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