Tiselius HG, Chaussy CG
Division of Urology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 141 86, Stockholm, Sweden

Abstract

The present review summarizes the most important considerations and steps for an optimal result of extracorporeal shockwave lithotripsy. The relationship between shockwave path, geometry and anatomical conditions is of utmost importance. Selection of appropriate treatment variables in terms of shockwave number, power and frequency, is an important prerequisite for proper disintegration and prevention of complications. Several supportive measures such as inversion therapy, citrate therapy, high diuresis, α-receptor antagonists, chemolysis and recurrence preventive measures are important parts of the management of this group of patients in order to avoid problems with residual fragments and new stone formation. Proper understanding of these factors as well as of the physics of shockwaves is necessary for a successful application of this non-invasive technology treatment concept.

Urol Res. 2012 Oct;40(5):433-46. doi: 10.1007/s00240-012-0485-z. Epub 2012 Jun 27
PMID: 22736393 [PubMed - as supplied by publisher]