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KMID : 0381219880200010001
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Journal of RIMSK
1988 Volume.20 No. 1 p.1 ~ p.4
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Extracorporeal Shock-Wave Lithotripsy and Endourologic Management for Urinary Tract Stones
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Abstract
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Extracorporeal shock-wave lithotripsy(ESWL) has now been in clinical use for nearly 8 years, and the results which have been gathered so far indicate clearly that this new noninvasive method of reducing urinary stones to a size suitable for spontaneous passage in the urine has become the least traumatic, most effective, least time-consuming and most easily applied technique to treat renal and ureteral stones. Now about 80% of all the stones can be successfully treated by ESWL monotherapy and 18-19% by additional or other forms of therapy, such as ureteroscopy, percutaneous nephrolithotomy, while surgery is still performed in 1-2% of stone patients with a peripheral stone mass or complete obstruction at the UPJ.
However, the introduction of second generation lithotripters has changed the strategies in therapy of the complicated renal stone disease. As multiple treatments are no problematic and minimal morbidity, size limitation of stones to ESWL are eleminated and a multistage ESWL with a second generation lithotripter may be a first choice therapy of staghorn stones.
Herein the update suggestions for ESWL and endourologic management for urinary tract stones were reviewed.
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