Contemporary Clinical Practice of Shock Wave Lithotripsy: A Reevaluation of Contraindications

Streem, Stevan B.

doi:10.1016/s0022-5347(01)64923-1

Cited by 72 publications

(27 citation statements)

References 60 publications

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“…Most of the early investigators empirically excluded women of childbearing age from the treatment for fear of potential adverse effects on the ovary [19]. In an in-vivo study, rat ovaries were subjected to extracorporeal shock waves, but no difference was found between the experimental and control groups in the rate of subsequent pregnancies, fetal numbers and weights, spontaneous abortions, and malformations [20].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of extracorporeal shock wave lithotripsy for ureteric stones in children

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Efficacy of extracorporeal shock wave lithotripsy for ureteric stones in children

et al. 2006

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“…77,78,79 ESWL is contraindicated in pregnancy because of fetal damage and death observed in animal studies, particularly with exposure later in pregnancy. [80][81][82][83] However, there are case reports of successful delivery of healthy babies despite inadvertent exposure to ESWL during pregnancy, and therefore, some have advocated further research in this area. [84][85][86] Percutaneous nephrolithotomy (PCNL) PCNL involves creating an access tract into the renal collecting system through which a nephroscope can be introduced (Figure 3).…”

Section: Definitive Methods Of Stone Removal Ureteroscopic Stone Remomentioning

confidence: 99%

Renal stones in pregnancy

2014

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Diagnosis and treatment of renal stones during pregnancy is a complex problem. Risks to the fetus from ionising radiation and interventional procedures need to be balanced with optimising clinical care for the mother. Management of such patients requires a clear understanding of available options, with a multidisciplinary team approach. In this review, we discuss the role of different diagnostic tests including ultrasound, magnetic resonance urography, and computerized tomography. We also provide an update on recent developments in the treatment of renal stones during pregnancy. Expectant management remains first-line treatment. Where definitive treatment of the stone is required, new evidence suggests that ureteroscopic stone removal may be equally safe, and possibly better than traditional temporising procedures.

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“…This fact results in an increased risk of ureteral injury by instruments during endoscopic procedure (2). Extracorporeal shockwave lithotripsy (SWL) is widely used for treatment of ureteral stones as well as ureteroscopic techniques with a high rate of success (3,4). However, poor results have been obtained with the treatment of impacted ureteral stones by SWL (5,6).…”

Section: Introductionmentioning

confidence: 99%

Ureteroscopic pneumatic lithotripsy of impacted ureteral calculi

2006

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Introduction: This work evaluates the results of ureteroscopic treatment of impacted ureteral stones with a pneumatic lithotripter. Materials and Methods: From March 1997 to May 2002, 42 patients with impacted ureteral stones were treated by retrograde ureteroscopic pneumatic lithotripsy. Twenty-eight patients were female and 14 were male. The stone size ranged from 5 to 20 mm. The ureteral sites of the stones were distal in 21, middle in 12 and proximal in 9.Results: Considering stones with distal location in the ureter, 1 patient had ureteral perforation and developed a stricture in the follow-up (4.7%). As for stones in the middle ureter, 2 perforations and 1 stricture were observed (8.3%) and regarding stones located in the proximal ureter, 5 perforations and 4 strictures occurred (44%). In the mid ureter, 1 ureteral avulsion was verified. In 34 patients without ureteral perforation, only 1 developed a stricture (2.9%). Of 8 patients who had perforation, 6 developed strictures. The overall incidence of stricture following treatment of impacted ureteral calculi was 14.2%. Conclusions: Ureteroscopy for impacted ureteral calculi is associated with a higher incidence of ureteral perforation and stricture. Ureteroscopy of proximal ureteral calculi is associated with a high risk of perforation, when compared to mid or distal ureteral calculi. Ureteral perforation at the site of the stone seems to be the primary risk factor for stricture formation in these cases.

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Contemporary Clinical Practice of Shock Wave Lithotripsy: A Reevaluation of Contraindications

Cited by 72 publications

References 60 publications

Efficacy of extracorporeal shock wave lithotripsy for ureteric stones in children

Efficacy of extracorporeal shock wave lithotripsy for ureteric stones in children

Renal stones in pregnancy

Ureteroscopic pneumatic lithotripsy of impacted ureteral calculi

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