[Ambulatory treatment of urinary lithiasis with extracorporeal lithotripsy (Dornier MFL-5000): comparative study of its use with low and high kilovoltages].
The present study compared the results achieved with ESWL using the Dornier MFL 5000 lithotriptor in 133 patients who received analgesics alone during treatment versus 141 patients who received analgesics plus sedation with midazolam. Both patient groups received the maximum tolerated energy and shock waves necessary to fragment the calculi. The patients who received analgesics plus midazolam tolerated the maximum energy of the lithotriptor (30 Kv), which permitted reducing the total number of shock waves required for fragmentation by 49%. Furthermore, the number of retreatments dropped by 38% (1.15 versus 1.53 sessions per renal unit) and the time required for treatment was reduced by 40% (p < 0.01).
Santiago González de Garibay
A M
AM
Servicio de Urología, Hospital Virgen del Camino, Pamplona, Navarra, España.
Millán Serrano
J A
JA
Jiménez Calvo
J
J
Garrón Aoiz
L
L
Montesino Semper
M
M
Hualde Alfaro
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D004560:Electricity; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014545:Urinary Calculi / Q000628:therapy*
Tratamiento ambulatorio de la litiasis urinaria mediante litotricia extracorpórea (Dornier MFL-5000): estudio comparativo de su utilización a bajos y altos kilovoltajes.