Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Ge, Voges; Dm, Wilbert; Stöckle, M.; Hohenfellner, R

doi:10.1159/000472956

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Whether extracorporeal shock wave lithotripsy (ESWL) or DRS is the best treatment for ureteric stone disease has yet to be decided (Dretler and Weinstein, 1988;Voges et al, 1988;Miller et al, 1989). Good results, however, have been reported from treatment with anaesthesia-free ESWL devices.…”

Section: Discussionmentioning

confidence: 99%

“…Good results, however, have been reported from treatment with anaesthesia-free ESWL devices. A major argument against DRS has been the need for general or regional anaesthesia (Voges et al, 1988;Miller et al, 1989). Performance of "anaesthesia-free ESWL", however, requires intra-venous analgesia in the majority of patients (Voges et al, 1988).…”

Section: Discussionmentioning

confidence: 99%

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Ureteroscopy under Local Anaesthesia with and without Intravenous Analgesia

Vögeli

Mellin

Hopf

et al. 1993

British Journal of Urology

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In a prospective study of 302 ureteroscopic procedures, 161 were commenced and 133 completed without the use of general or regional anaesthesia. In 15 patients ureteroscopy (URS) was performed with lignocaine jelly in the urethra only, and in 118 with additional intravenous analgesia. Alfentanil, a synthetic morphine derivative, was used for intravenous analgesia. Ureteroscopy was performed prior to extracorporeal shock wave lithotripsy in 46 patients, for stone basketing in 40, for stone fragmentation in 29, for diagnostic purposes in 14 and for cold knife ureterotomy in 4. Ureteric lesions were observed in 9 patients (6.8%) treated under intravenous sedoanalgesia. This percentage is within the range reported in other series of patients treated under general anaesthesia. The findings suggest that URS, when performed without general or regional anaesthesia, does not increase the risk of complications or compromise the results of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ureteroscopy under Local Anaesthesia with and without Intravenous Analgesia

Vögeli

Mellin

Hopf

et al. 1993

British Journal of Urology

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Distal ureteral calculi: Ureteroscopy vs. ESWL. A prospective analysis

Deliveliotis

Stavropoulos

Koutsokalis

et al. 1996

International Urology and Nephrology

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Two groups of 50 consecutive patients each, with distal ureteric calculi, were treated by ureteroscopy or in situ ESWL (Dornier HM-4 lithotriptor) in order to establish the effectiveness of ESWL at the distal portion of the ureter. In comparison to ureteroscopy, ESWL for distal ureteral calculi was performed on an outpatient basis, required less time, patients had more rapid convalescence and the procedure was simpler and safer. The overall success rate was 100% for ureteroscopy and 92% for ESWL. Our observations showed that in situ ESWL with the Dornier HM-4 lithotriptor is the method of choice for the treatment of distal ureteral calculi.

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Current status of extracorporeal shock wave lithotripsy

Chaussy

Wilbert

1997

Der Urologe A

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Extracorporeal shock wave lithotripsy (ESWL) is standard therapy for urolithiasis. With comparable technical principles, various lithotripters have been developed and are in routine use. Renal pelvic stones, calyceal stones, ureteral stones, and other special forms can be treated with varying results. Currently, the so-called clinically insignificant residual fragments and the recurrence of calculi are under discussion. Whereas the side effects of ESWL are well known, studies comparing ESWL with other endourological procedures are still lacking.

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Local Shock-Wave Lithotripsy of Distal Ureteral Calculi

Cited by 7 publications

References 10 publications

Ureteroscopy under Local Anaesthesia with and without Intravenous Analgesia

Ureteroscopy under Local Anaesthesia with and without Intravenous Analgesia

Distal ureteral calculi: Ureteroscopy vs. ESWL. A prospective analysis

Current status of extracorporeal shock wave lithotripsy

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