In situ extracorporeal shock wave lithotripsy for primary ureteric calculi

Farsi, Hasan M.; Mosli, Hisham A.; Al-Zimaity, Mohammed F.; Bahnassy, Ahmed A; Ibrahim, Mohammed A.

doi:10.1016/0090-4295(94)90133-3

Cited by 54 publications

(27 citation statements)

References 36 publications

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“…Several authors [1, 8, 9, 10] have reported their experience with in situ ESWL of middle and lower ureteral stones. According to a report by Barr et al [9], the overall success rate achieved was 77% with one treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In a region known to have a high incidence of stones of large size, harder in consistency (mainly urate-Ca-oxalate stones) and of longer duration [8] and with many patients with recurrent disease and previous surgery, ESWL is the preferred method by urologists and patients being noninvasive and an outpatient procedure. In the same region, Mosli et al [11] used electromagnetic shockwave lithotripsy in over 4,000 patients; 290 needed an average of 20,000 shocks for successful fragmentation, i.e.…”

Section: Discussionmentioning

confidence: 99%

“…In this region of the world, ureteric stones seem larger in size, harder in consistency and of longer duration [8]. Many patients have recurrent calculi and prefer noninvasive outpatient management.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

In situ Extracorporeal Shockwave Lithotripsy of Middle and Lower Ureteral Stones: A Boosted, Stentless, Ventral Technique

Ghobish

1998

European Urology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

In situ Extracorporeal Shockwave Lithotripsy of Middle and Lower Ureteral Stones: A Boosted, Stentless, Ventral Technique

Ghobish

1998

European Urology

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“…Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive treatment with a high success rate [1, 2, 3]. For ureteroscopy (URS), even higher success rates have been reported.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Extracorporeal Shock Wave Lithotripsy and Ureteroscopy in the Treatment of Ureteral Calculi: A Prospective Study

et al. 1999

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“…Retrograde ureteroscopic stone manipulation is not recommended as the primary treatment for stones in the proximal ureter because of its associated complications and poor retrieval rate 10,11 Percutaneous antegrade ureteral calculus extraction or manipulation for the stones in the upper ureter has a reported success rate of 90%. 12,15 It is recommended only if the stone cannot be managed with either ESWL or standard retrograde ureteroscopic technique.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shock Wave Lithotripsy in the Treatment of Ureteric Stones: Experience from Tawam Hospital, United Arab Emirates

Ghafoor

Halim

2002

Ann Saudi Med

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Background:The optimal treatment of ureteric stones, especially the lower ureteric stone, remains controversial. The purpose of this study was to evaluate the role of extracorporeal shock wave lithotripsy (ESWL) in the management of ureteric stones. Materials and Methods: A total of 99 patients with ureteric stones at different levels were treated with ESWL from 1994 through 1998 at our hospital. All patients were treated using Siemen Lithostar-II Plus Lithotripter. Of the 99 patients, 20 were excluded from the study because they had no follow-up records of their stone-free status. The clearance rates for ureteric stones of the other 79 patients treated were stratified according to the site, size, and number of treatment sessions required per stone. The stone size was determined by the widest diameters. Based on stone size, the patients were divided into two groups: A (≤10 mm) and B (11-20 mm). Results: The overall clearance rate for ureteric stones treated with ESWL, irrespective of its site and size, was 78.5%. The overall clearance rate for size A (≤10 mm) stones was 82% and size B (11-20 mm) was 58% regardless of the site of the stone in the ureter. A total of 17 upper ureteric stones were treated with ESWL. The overall clearance rate for upper ureteric stones was 94%. Thirteen patients with mid-ureteric stones were treated with ESWL. The overall clearance rate for the mid-ureteric stones was 92.3%. Forty-nine patients had lower ureteric stones. The overall clearance rate for the lower ureteric stones was 69.3%. Conclusions: ESWL is safe, effective, noninvasive and a convenient way of treatment for all ureteric stones. The clearance rate for stones in the upper and mid-ureter is above 90%. ESWL being an outpatient procedure without any need for anesthesia or any pretreatment intervention, it should be considered as the first line of treatment for all stones in the upper and mid-ureter. The clearance rate for small stones (≤10mm) in the lower third of the ureter was 73.8% in our study and for these, ESWL may be considered as a primary therapy. For stones larger than 10 mm in the distal third of ureter, the clearance rate was low with a high retreatment rate, and ureteroscopy as primary treatment modality would be more preferable. Ann Saudi Med 2002,-22(1-2) The current management of upper urinary tract calculi is based on stone fragmentation into smaller pieces which are allowed to pass spontaneously, or removed with an endoscope. To achieve this, energy should be transferred to the stone either percutaneously (extracorporeal shock wave lithotripsy) or through an endoscope (intracoporeal lithotripsy). Chaussy et al. in 1980 was the first to report the clinical application of shock wave lithotripsy in the management of kidney stones, and since then the management of nephrolithiasis has undergone a complete revolution.1 Recent technological developments have resulted in more advanced lithotripters with shorter focal length and more narrow focal breadth, which help reduce the level of pain and ultimately obviate...

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In situ extracorporeal shock wave lithotripsy for primary ureteric calculi

Cited by 54 publications

References 36 publications

In situ Extracorporeal Shockwave Lithotripsy of Middle and Lower Ureteral Stones: A Boosted, Stentless, Ventral Technique

In situ Extracorporeal Shockwave Lithotripsy of Middle and Lower Ureteral Stones: A Boosted, Stentless, Ventral Technique

Comparison of Extracorporeal Shock Wave Lithotripsy and Ureteroscopy in the Treatment of Ureteral Calculi: A Prospective Study

Extracorporeal Shock Wave Lithotripsy in the Treatment of Ureteric Stones: Experience from Tawam Hospital, United Arab Emirates

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