Noninvasive management of obstructing ureteral stones using electromagnetic extracorporeal shock wave lithotripsy

Abstract

Emergency SWL represents an effective tool in the treatment of ureteral stones with hydronephrosis and slight renal impairment. Although complete stone clearance after one treatment still remains a difficult target, the actual role of SWL in the management of acute obstruction is to obtain ureteral canalization and renal function recovery.

Extracorporeal shock wave lithotripsy as a first-line therapy for ureteral calculi with impaired renal function due to hydronephrosis

“…In their recent article on extracorporeal shock wave lithotripsy (ESWL) as a first-line single therapy for obstructive ureteral stones, Chiara and colleagues indicated that ESWL is an effective therapy for obstructive ureteral calculi, varying degrees of hydronephrosis, and impaired renal function [1]. The present article adds further support to the feasibility and safety of ESWL for calculus clearance and recovery of renal function [1].…”

“…The present article adds further support to the feasibility and safety of ESWL for calculus clearance and recovery of renal function [1]. It is evident that ESWL has become standardized and can guarantee acceptable perioperative morbidity, yielding reproducible results for treatment of ureteral calculi.…”