Lithotripsy

Shock wave lithotripsy, unlike some of the other surgical approaches we have as urologists, is more of a “black box” - Brian R Matlaga MD

Lithotripsy
Lithotripsy

image by: National Kidney Foundation

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Ureteroscopy vs. shock wave lithotripsy: Advances spell positive future for both

In the treatment of stone disease, the choice between ureteroscopy and shock wave lithotripsy can be difficult and complex...

The decision making is often very challenging because so much of what we try to do now in urology is leverage our understanding of clinical evidence to guide and counsel our patients. With shock wave lithotripsy and ureteroscopy, it’s a complex discussion because the evidence can be conflicting or unresolved in certain scenarios, and there may not be explicit guidelines to advise us. So it’s a decision that you really have to involve the patient with in order to understand their expectations of the outcome and to discuss with them the relative advantages and…

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Resources

 Ureteroscopy vs. shock wave lithotripsy: Advances spell positive future for both

In the treatment of stone disease, the choice between ureteroscopy and shock wave lithotripsy can be difficult and complex.

Shockwave lithotripsy (ESWL)

The advantage of this treatment approach is that instruments may not need to be introduced into your body (unless your stone is large, in which case a stent is usually placed at the time of surgery).

National Institute of Diabetes and Digestive and Kidney Diseases

The risks of cystoscopy and ureteroscopy include •UTIs •abnormal bleeding •abdominal pain •a burning feeling or pain during urination •injury to the urethra, bladder, or ureters...

National Kidney Foundation

Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®.

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