In Situ Extracorporeal Shock Wave Lithotripsy of Ureteral Calculi with the MPL-9000X Lithotriptor

Rauchenwald, Michael; Colombo, T.; Petritsch, P.; Vilits, P; Hubmer, G.

doi:10.1016/s0022-5347(17)36830-1

Cited by 32 publications

(9 citation statements)

References 11 publications

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“…Overall, 85% of the ureteric units were free of stones within 3 months [6]. On the other hand, few authors [7,8] have reported better success rates for iliac and pelvic stones compared with lumbar stones.…”

Section: Discussionmentioning

confidence: 94%

Prediction of success of extracorporeal shock wave lithotripsy in the treatment of ureteric stones

et al. 2007

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Section: Discussionmentioning

confidence: 94%

Prediction of success of extracorporeal shock wave lithotripsy in the treatment of ureteric stones

et al. 2007

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“…Major complica tions as observed with endourological treatment do not occur by ESW L. M inor complications as fever, colic and urinary tract infection do occur at different frequencies. Obstruction which needs percutaneous drainage occurs in 1.1-6.1% o f the patients [29,30]. The success rate of ESW L and endourological treatment is equally good.…”

Section: Discussionmentioning

confidence: 98%

“…ESW L could be preferred because o f its lesser invasive ness. But when reviewing the literature, it becomes evi dent that a considerable percentage o f patients need auxil iary endourological measures to completely disintegrate or extract the stone fragments [29][30][31]. Therefore, it is essential to define specific preoperative parameters which will enable us to apply the appropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

In situ Extracorporeal Shockwave Lithotripsy of Distal Ureteral Stones: Parameters for Therapeutic Success

Mattelaer

Schröder²,

Fischer³

et al. 1994

Urol Int

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Between January and December 1989, 123 patients with distal ureteral stones were treated with in situ extracorporeal Shockwave lithotripsy (ESWL) using a modified HM3 Dornier lithotriptor. One hundred and three patients (83.7%) were stone-free, 20 patients (16.3%) had small residual stones ( < 1 mm²) that passed spontaneously. In situ ESWL treatment alone was successful in 88 of the 103 stone-free patients (85.4%). Fifty-six (54.4%) needed 1 ESWL session, 26 (25.2%) needed 2 ESWL sessions. Nineteen of the 123 patients (15.4%) needed auxiliary endourological measures. The results of ESWL treatment were correlated to pretherapeutically identified parameters such as stone size, radiopacity, outer contour, shape, inner structure, biochemical analysis of the stones and grade of dilatation of the upper urinary tract. The results prove that size ( > 75 mm²), radiopacity and grade of dilatation have a direct correlation to the difficulty to disintegrate ureteral stones.

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“…Over the past few years, a second generation of lithotriptors has been developed [4][5][6][7]. The Dornier MPL 9000 is one of them; it is suitable for the treatment of urinary as well as biliary calculi [8][9][10]. We present clinical results of pa tients with urinary tract calculi treated with ESWL using the Dornier MPL 9000 lithotriptor.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Lithotripsy Using the Dornier MPL 9000 Lithotriptor

Ohshima

Ono²,

Sahashi³

et al. 1994

Urol Int

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336 patients with urinary calculi were treated between June 1988 and October 1991 with extracorporeal shock wave lithotripsy using the Dornier MPL 9000 lithotriptor. Of 352 renal units (a kidney and its ureter), 286 had renal stones, 62 had ureteral stones and 10 had both. There were radiolucent stones in 6 units. The complete disintegration rate was 94%. The mean number of shock waves was 2,973, the range being from 300 to 16,131. In 310 of 447 (64%) sessions, treatment was done without any anesthesia. The rate of complete removal was 67.3% 3 months after the last treatment. Only 11 patients required supplementary treatment consisting of percutaneous nephrolithotripsy and transurethral lithotripsy. There were no severe complications except subcapsular hematomas observed in 2 patients. The Dornier MPL 9000 is a useful lithotriptor for the treatment of urinary calculi, except stag-horn calculi.

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In Situ Extracorporeal Shock Wave Lithotripsy of Ureteral Calculi with the MPL-9000X Lithotriptor

Cited by 32 publications

References 11 publications

Prediction of success of extracorporeal shock wave lithotripsy in the treatment of ureteric stones

Prediction of success of extracorporeal shock wave lithotripsy in the treatment of ureteric stones

In situ Extracorporeal Shockwave Lithotripsy of Distal Ureteral Stones: Parameters for Therapeutic Success

Extracorporeal Shock Wave Lithotripsy Using the Dornier MPL 9000 Lithotriptor

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