SWL literature
SWL Literature

[Abstract not available] Zheng Z. et al., 2021: Predict success of shock wave lithotripsy was still interesting and challenging.

Zheng Z, Xu J, Peng L, Zhong W.
Department of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.
Guangzhou Institute of Urology, Guangzhou, China.
Department of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.
Guangzhou Institute of Urology, Guangzhou, China.

Abstract

Abstract not available.
World J Urol. 2021 Jun 16. doi: 10.1007/s00345-021-03758-7. Online ahead of print. PMID: 34136946.

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Comments 1

Hans-Göran Tiselius on Friday, November 12 2021 08:30

The authors discuss several factors of importance for successful outcome of SWL. I agree that the stone volume is of fundamental importance and should be used consistently instead of other measures. That approach will be the best estimate of the total stone burden, particularly when the clinical problem comprises several stones.

It is interesting that the SSD is questioned. My personal routine was never to measure SSD. Because when the lithotripter allows a sufficient penetration depth, the shockwave power can be adjusted to the anatomical conditions.

The negative influence of a stent for fragment passage and disintegration of ureteral stones is well recognized, but when a large volume of fragments is expected, the stent prevents obstruction and later facilitates fragment elimination by repeated SWL.

Hans-Göran Tiselius

The authors discuss several factors of importance for successful outcome of SWL. I agree that the stone volume is of fundamental importance and should be used consistently instead of other measures. That approach will be the best estimate of the total stone burden, particularly when the clinical problem comprises several stones. It is interesting that the SSD is questioned. My personal routine was never to measure SSD. Because when the lithotripter allows a sufficient penetration depth, the shockwave power can be adjusted to the anatomical conditions. The negative influence of a stent for fragment passage and disintegration of ureteral stones is well recognized, but when a large volume of fragments is expected, the stent prevents obstruction and later facilitates fragment elimination by repeated SWL. Hans-Göran Tiselius
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Sunday, November 28 2021

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