Electronic Lithotripsy for Vesical Calculus With “Urat-1”

Rouvalis, P

doi:10.1111/j.1464-410x.1970.tb04488.x

Cited by 36 publications

(2 citation statements)

References 3 publications

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“…However, the large probe size (9F) and concerns regarding safety had initially restricted its use mainly to the treatment of bladder calculi. '-3 Recent advances in technology have made EHL particularly suitable for the treatment of ureteric ~a l c u l i .~~~ (1) The introduction of finer probes of only 2F or 3F size.…”

Section: Introductionmentioning

confidence: 99%

Electrohydraulic Lithotripsy: An Effective and Economical Modality of Endoscopic Ureteric Lithotripsy

See¹,

Ng²,

Chng³

1997

Australian and New Zealand Journal of Surgery

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Background: Electrohydraulic lithotripsy (EHL) has been available for endoscopic treatment of urinary calculi since 1960, but the large probe size and concerns regarding safety had previously restricted its use to the treatment of bladder calculi. However, recent refinements have made it particularly suitable for the treatment of ureteric calculi. Methods: The authors report their initial experience using EHL in conjunction with mini-ureteroscopy in the treatment of 94 ureteric calculi in 89 patients. The size of the calculi ranged from 3 to 19 mm in diameter, with a mean of 8.2 mm. The mean operating time was 29 min, ranging from 10 to 120 min. Results: A complete fragmentation rate of 91.5% of the calculi was achieved. There were no major complications and a low incidence of minor complications: haematuria (2.2%), urinary tract infection (3.4%) and postoperative ureteric colic (2.2%). There were four cases of minor ureteric perforations (4.5%); all were successfully treated using conservative measures. Conclusions: It is concluded that EHL is a safe and effective method of treating ureteric calculi.

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Section: Introductionmentioning

confidence: 99%

Electrohydraulic Lithotripsy: An Effective and Economical Modality of Endoscopic Ureteric Lithotripsy

See¹,

Ng²,

Chng³

1997

Australian and New Zealand Journal of Surgery

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“…E queste possibilità si sono moltiplicate anche per quanto riguarda le fonti di energia utilizzate per la litotrissia. Nel 1955 a Kiev, Yutkin inventò la litotrissia elettroidraulica (32) che però non venne applicata fino al 1970 quando Rouvalis riportò il trattamento di calcolosi vescicale in 100 pazienti con l'Urat-1 EHL (33). Seppur tale energia trovò impiego anche nel trattamento della calcolosi ureterale, lo sviluppo delle fonti ultrasoniche, sempre negli stessi anni, ne hanno ridotto il ruolo, visto anche la sua scarsa sicurezza.…”

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PCNL: what's changed?

Bianchi

Rosa

2014

Urologia

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PCNL is a endourological technique for the treatment of kidney stones disease. It's aim is to achieve the complete clearance via a percutaneous access. This technique, as we know it today, was developed by Johanson and Fernstrom in 1976 who used the technological advances in percutaneous fluoroscopy to get the percutaneous access. Following the application of various sources of energy for the fragmentation of the calculi such as ultrasound energy, there was the worldwide diffusion of PCNL thanks to Alken and Marbergen in Europe, Segura and Clayman in the USA. Despite in the early '80s the PCNL lost the initial impulse in favor of the SWL, in the '90s, it revived a second golden age through the application of emerging technologies such as computed tomography, techniques of obtaining the percutaneous access, flexible instrumentation, laser energy and, more recently, robotic surgery, and virtual reality. All of these contributed to bring the PCNL on the road up of the mini-invasiveness to the latest development of Microperc. The Microperc allows the treatment of stones of 2 cm in diameter also, obtaining the access under ultrasound, fluoroscopic and direct vision guidance. A complete system including micor-optics, laser fiber and irrigation system is then inserted into the same needle with a diameter of 4.85, 8 or 10 Fr The CROES used logistic developments by creating a global network and a multi-center database. The PCNL study, concluded in 2009, has led to the publication of as many as 27 scientific papers on this subject.

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Percutaneous Lithotripsy and Stone Extraction

Lasser

Pareek

2012

Smith's Textbook of Endourology

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Electronic Lithotripsy for Vesical Calculus With “Urat-1”

Cited by 36 publications

References 3 publications

Electrohydraulic Lithotripsy: An Effective and Economical Modality of Endoscopic Ureteric Lithotripsy

Electrohydraulic Lithotripsy: An Effective and Economical Modality of Endoscopic Ureteric Lithotripsy

PCNL: what's changed?

Percutaneous Lithotripsy and Stone Extraction

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