AI Article Synopsis
- Electrohydraulic lithotripsy (EHL) has evolved since its introduction in 1960 and is now effective for treating ureteric calculi, thanks to recent improvements that enhanced its safety and usability.
- In a study involving 94 ureteric stones in 89 patients, EHL was combined with mini-ureteroscopy, successfully fragmenting 91.5% of the stones with an average procedure time of 29 minutes.
- The method demonstrated a low complication rate, including minor issues like hematuria and urinary tract infections, confirming EHL as a safe and effective treatment for ureteric stones.
Article Abstract
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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| http://dx.doi.org/10.1111/j.1445-2197.1997.tb02036.x | DOI Listing |
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