Effect of Vibration Massage Therapy after Extracorporeal Shockwave Lithotripsy in Patients with Lower Caliceal Stones

Koşar, Alim; Öztürk, Ahmet; Serel, Ahmet; Akkuş, Selami; Ünal, Orçun

doi:10.1089/end.1999.13.705

Cited by 34 publications

(8 citation statements)

References 12 publications

(3 reference statements)

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“…Previous investigations demonstrated inverse correlations between stone-free rates (SFRs) and stone sizes [ 15 16 17 18 ] and reported on the risk of ureteral obstruction with the need for additional procedures [ 15 ]. Unfavorable factors for success of SWL include SWL-resistant stones, steep infundibular-pelvic angles, a long lower pole calyx (>10 mm), and a narrow infundibulum (<5 mm) [ 19 20 21 22 23 ]. Furthermore, SWL often requires multiple treatments and longer treatment periods than other surgical methods in patients with multiple stones.…”

Section: Current Role Of Flexible Ureteroscopymentioning

confidence: 99%

Current status of flexible ureteroscopy in urology

Cho

2015

Korean J Urol

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Retrograde intrarenal surgery (RIRS) is being performed for the surgical management of upper urinary tract pathology. With the development of surgical instruments with improved deflection mechanisms, visuality, and durability, the role of RIRS has expanded to the treatment of urinary calculi located in the upper urinary tract, which compensates for the shortcomings of shock wave lithotripsy and percutaneous nephrolithotomy. RIRS can be considered a conservative treatment of upper urinary tract urothelial cancer (UTUC) or for postoperative surveillance after radical treatment of UTUC under an intensive surveillance program. RIRS has a steep learning curve and various surgical techniques can be used. The choice of instruments during RIRS should be based on increased surgical efficiency, decreased complications, and improved cost-benefit ratio.

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Section: Current Role Of Flexible Ureteroscopymentioning

confidence: 99%

Current status of flexible ureteroscopy in urology

Cho

2015

Korean J Urol

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“…The value of supportive measures, e.g. inversion, vibration or hydration, remains under discussion [10,18] . Thus, many factors have been implicated in impeding fragment clearance from the lower pole, but discussion continues and the topic remains controversial.…”

Section: Eswlmentioning

confidence: 99%

Extracorporeal shockwave lithotripsy vs. percutaneous nephrolithotomy vs. flexible ureterorenoscopy for lower-pole stones

Knoll

Buchholz

Wendt‐Nordahl

2012

Arab Journal of Urology

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ObjectivesTo review previous reports and discuss current trends in extracorporeal shockwave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) and ureterorenoscopy (URS). ESWL was recommended as the first-line treatment for small and intermediate-sized stones in the lower pole, while it is the standard treatment for large stones. However, the stone clearance rate after ESWL seems to be lower than that of stones in other locations. This seems to result from a lower rate of fragment passage, due to anatomical factors.MethodsReports on urinary stone disease were reviewed, assessing only publications in peer-reviewed, Medline-listed journals in the English language (publication years 1990–2011).ResultsRecent experience with flexible URS (fURS) for intrarenal stones showed that excellent stone-free rates can be achieved. With increasing experience and technically improved equipment, fURS has become an alternative to ESWL for small and intermediate-sized renal stones. Furthermore, several authors reported successful retrograde treatment for large renal stones, proposing fURS as an alternative to PCNL. However, the major drawbacks are long operating times and commonly, staged procedures, which is why PCNL remains the method of choice for such stones.ConclusionsConsidering the currents trends and evidence, the 2012 update of the European Association of Urology Guidelines on Urolithiasis has upgraded the endourological treatment of kidney stones. Individual factors such as body habitus, renal anatomy, costs and patient preference must be considered.

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“…Patients were advised to use mechanical percussion and inversion therapy to enhance clearance. 7,8 Patients having prior SWL, prior stenting, complex lowerpole anatomy, and stone treated with more than one session of SWL were excluded from the analysis. Complex lower-pole anatomy was defined as crowding of the calices with gross dysmorphism on IVU.…”

Section: Methodsmentioning

confidence: 99%