[Role of extracorporeal shockwave lithotripsy without anesthesia in the treatment of ureteral calculi].
With anesthesia-free lithotripsy recently being available, the discussion upon the treatment of choice of ureteral calculi has been renewed: is a preliminary retrograde manipulation still preferable for proximal calculi? Is ureteroscopy the better treatment for stones in the lower ureter? The retrospective evaluation of our patients with ureteral calculi (January-August 1988) failed to reveal a significantly compromised efficiency with the modified HM-3 lithotripter (40 nF. generator, 17 cm. ellipsoid): 70% (including 11% with repeated sessions) of the patients with proximal stones and 90% (including 28% with repeated sessions) of the patients with distal calculi were successfully treated in situ without the need for anesthesia, auxiliary measures, or ureteroscopy. These results do not substantially differ from those obtained with the old HM-3 in 1987, and confirm, that the majority of patients with ureteral calculi can bypass the discomfort of retrograde manipulation or the risks of ureteroscopy.
Miller
K
K
Sauter
T
T
Bachor
R
R
Hautmann
R
R
D000758:Anesthesia; D006801:Humans; D008096:Lithotripsy; D012189:Retrospective Studies; D014514:Ureteral Calculi / Q000628:therapy*
El papel de la litotricia extracorpórea por ondas de choque sin anestesia en el tratamiento de los cálculos ureterales.