2,310 results match your criteria: "Lithotripsy Extracorporeal Shockwave"

Article Synopsis
  • A comprehensive scale was developed to measure the burdens of three types of treatment: expected, unexpected complications, and ancillary procedure needs.
  • Expert panels assessed the burden of treatments in urology cases, calculating a burden score (BS) for different treatment options including partial nephrectomy, percutaneous ablation, radical cystectomy, and others.
  • Results indicated that less invasive treatments like percutaneous ablation and trimodal therapy had similar success rates as more invasive options, but with significantly lower burden scores, aiding in patient consultations on treatment choices.
View Article and Find Full Text PDF

Purpose: Urolithiasis in infants is uncommon. Percutaneous nephrolithotomy, extracorporeal shockwave lithotripsy, and retrograde intrarenal surgery (RIRS) are the management options. RIRS is the least studied of these options in infants.

View Article and Find Full Text PDF

Introduction: Horseshoe kidney is often associated with ureteropelvic junction obstruction and nephrolithiasis. Retrograde intrarenal surgery (RIRS) is becoming one of the main treatment options for large stones in such patients.

Aim: To study the results of RIRS in patients with horseshoe kidney.

View Article and Find Full Text PDF

Objectives: Evaluation of the validity of the Quadruple-D score in the prediction of success in pediatric stone disease.

Materials And Methods: Of the 292 children treated with SWL between 2007 and 2023, a total of 158 children who had adequate follow-up data and evaluated with non-contrast computed tomography before SWL, were included in the study. Parameters were calculated for each of the stone volume (SV), skin-to-stone distance (SSD), stone density (SD) and stone location (SL) variables.

View Article and Find Full Text PDF

Introduction: We sought to investigate the effects of pretreatment oral hydration on the outcomes of extracorporeal shockwave lithotripsy (ESWL).

Methods: Patients who undergoing ESWL for a single radio-opaque renal or proximal ureteric calculus ≤2 cm in size were randomized into two groups. The oral hydration group (OHG) administered 600 ml of water before ESWL, while the control group (CG) did not.

View Article and Find Full Text PDF

Splenic Rupture Following Extracorporeal Shockwave Lithotripsy: A Case Requiring Emergency Splenectomy.

Am J Case Rep

October 2024

Department of Propedeutics of Surgical Diseases, Section of General Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria.

BACKGROUND Extracorporeal shockwave lithotripsy (ESWL) is a common procedure, and splenic rupture is a rare complication of ESWL. Depending on the stage of injury and patient's condition, treatment options include non-operative management (NOM) and emergency splenectomy. Diagnosis is not difficult with symptoms such as deteriorating hemodynamic and hematologic indices, localized physical signs of peritoneal irritation in the left hypochondriac region, and confirmation provided by signs of free fluid (hemoperitoneum) seen on ultrasound or computed tomography (CT).

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the analgesic effects of a single preoperative dose of dexamethasone on the effective concentration of remifentanil during a specific medical procedure (P-ESWL) in 60 patients.
  • Results indicated that the group receiving dexamethasone needed a significantly lower dose of remifentanil compared to the placebo group (2.02 ng/mL vs 2.65 ng/mL), suggesting enhanced pain relief with dexamethasone.
  • Both groups showed similar hemodynamic parameters, but the placebo group experienced notable decreases in blood pressure and heart rate, and fewer adverse events were reported in the dexamethasone group.
View Article and Find Full Text PDF
Article Synopsis
  • Chronic pancreatitis is a progressive disease involving fibrosis and loss of function in the pancreas, and treatment includes lifestyle changes, diet, medications, and various therapies.
  • Endoscopic treatments are preferred as first-line options due to their minimally invasive nature, providing effective pain relief and management of complications like pancreatic stones.
  • Recent advancements in endoscopic techniques, such as shock wave lithotripsy and pancreatoscopy-guided methods, have enhanced the management of local complications and pancreatic pseudocysts associated with chronic pancreatitis.
View Article and Find Full Text PDF

Urolithiasis represents the most frequent complication of horseshoe kidneys. All known approaches for stone disease management have been reported in these patients, including Extracorporeal Shockwave Lithotripsy, ureteroscopy, Percutaneous Nephrolithotomy, open surgery and laparoscopy. The purpose of this systematic review is to compare Percutaneous Nephrolithotomy with other least-invasive procedures in patients with horseshoe kidneys.

View Article and Find Full Text PDF

Introduction This study aimed to assess plasma cystatin C (CysC) as a marker of acute kidney injury (AKI) in patients undergoing extracorporeal shock wave lithotripsy (ESWL). We compared serum levels of CysC, C-reactive protein (CRP), and creatinine before and after ESWL. The study results may have implications for early detection of AKI and prevention of progression to chronic kidney disease.

View Article and Find Full Text PDF

Risk factors of hematoma after SWL for renal calculi: analysis from RCTs and a literature review.

Int Urol Nephrol

September 2024

Department of Surgery, SH Ho Urology Centre, The Chinese University of Hong Kong, Clinical Sciences Building, Prince of Wales, Hospital, New Territories, Hong Kong SAR.

Objective: To identify risk factors of perinephric hematoma following extracorporeal shockwave lithotripsy (SWL) for renal calculi through combined analysis of two randomized controlled trials.

Patients And Methods: This post-hoc analysis included adult patients with solitary renal calculi ranging from 5 to 15 mm, treated with SWL between 2016 and 2022. All patients received cross-sectional imaging (either non-contrast computer tomography scan or magnetic resonance imaging) two days post-SWL to assess the presence and severity of perinephric hematoma.

View Article and Find Full Text PDF

Safety evaluation of extracorporeal shockwave lithotripsy for pancreatic stones: Experience based on a large chronic pancreatitis cohort.

Dig Liver Dis

September 2024

Department of Gastroenterology, Changhai Clinical Research Unit, Changhai Hospital; National Key Laboratory of Immunity and Inflammation, Naval Medical University, Shanghai, 200433, China; Shanghai Institute of Pancreatic Diseases, Shanghai, 200433, China. Electronic address:

Background: The safety of extracorporeal shock wave lithotripsy for pancreatic stones (P-ESWL) and adverse events were not evaluated and classified within large sample population. This study aimed to evaluate the safety and classify the adverse events of P-ESWL based on a large sample cohort.

Methods: This is an observational study based on the large prospective chronic pancreatitis (CP) cohort.

View Article and Find Full Text PDF

Introduction: Music therapy may have some potential in the pain control of extracorporeal shock wave lithotripsy, and this meta-analysis aims to study the analgesic efficacy of music therapy for extracorporeal shock wave lithotripsy.

Methods: We have searched several databases including PubMed, EMbase, Web of Science, EBSCO and Cochrane Library databases, and selected the randomized controlled trials (RCTs) comparing the efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy. This meta-analysis was conducted using the random-effect or fixed-effect model based on the heterogeneity.

View Article and Find Full Text PDF

Background And Aims: Extracorporeal shock wave lithotripsy for pancreatic stones (P-ESWL) and endoscopic retrograde cholangiopancreatography (ERCP) are the preferred therapeutic approaches for painful chronic pancreatitis (CP) with pancreatic stones. This study aimed to report the short- and long-term outcomes following P-ESWL and ERCP in a large cohort with CP.

Methods: Patients with painful CP and pancreatic stones >5 mm in size, who underwent P-ESWL and subsequent ERCP between March 2011 and June 2018, were included in this retrospective-prospective mixed observational study.

View Article and Find Full Text PDF

Endoscopic interventions in pancreatic strictures and stones-A structured approach.

Indian J Gastroenterol

August 2024

Medical Gastroenterology, Asian Institute of Gastroenterology, Somajiguda, 6-3-661, Hyderabad, 500 082, India.

Chronic pancreatitis (CP) is an irreversible disease of varied etiology characterized by destruction of pancreatic tissue and loss of both exocrine and endocrine function. Pain is the dominant and most common presenting symptom. The common cause for pain in CP is ductal hypertension due to obstruction of the flow of pancreatic juice in the main pancreatic duct either due to stones or stricture or a combination of both.

View Article and Find Full Text PDF

This study aimed to determine the effectiveness of extracorporeal shockwave lithotripsy (SWL) performed in the early period (within the first 24 hours). Data of patients who underwent SWL with a diagnosis of unilateral radiopaque 5 to 10 mm upper ureteral stones were retrospectively examined. Patients were divided into 2 groups.

View Article and Find Full Text PDF

Treating Chronic Pancreatitis Pain With the Use of Extracorporeal Shock-Wave Lithotripsy and Endoscopy.

Gastroenterology

January 2025

Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York.

View Article and Find Full Text PDF

: Nephrolithiasis is a heterogeneous disease with a high prevalence and recurrence rate. Although there has been much progress regarding the surgical treatment of stones, a standardized follow-up, especially in recurrent stone formers (SFs), has yet to be decided. This fact leads to the overuse of computed tomography (CT) scans and many reoperations in patients, thus increasing their morbidity and the financial burden on the health systems.

View Article and Find Full Text PDF

Ureteral stents play a vital role in urologic surgeries, aiding in urinary flow maintenance, obstruction alleviation and facilitating healing. However, when stents are forgotten, they can lead to encrustation, resulting in significant patient morbidity and posing challenges for urologists Stent-related complications have been shown to increase with the duration of time the stent is left in place. This report details the clinical presentation, diagnostic process, and treatment of a 68-year-old male patient had a neglected stent placed 18 years ago after extracorporeal shockwave lithotripsy.

View Article and Find Full Text PDF