title: Extracorporeal shock wave lithotripsy for vesical lithiasis.
abstract: Between 1991 and 1997, 17 male patients with bladder stones underwent extracorporeal shock-wave lithotripsy (ESWL) therapy in our department. One patient required epidural anesthesia and 5 patients were treated under intravenous sedation. Complete fragmentation was achieved after a single session in 9 patients and 4 required 2 sessions. Four patients underwent initial ESWL followed by mechanical cystolithotripsy. No major complications were noted. Fourteen patients were stone-free within 1 week after the procedure. Four patients were treated by transurethral resection of the prostate (TUR-P) on the day after completion ESWL. In conclusion, ESWL therapy is a simple, effective and safe modality for the management of vesical lithiasis.
authors.affiliation: Department of Urology, Nagoya City Higashi General Hospital, and Nagoya City University Medical School, Nagoya, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kojima
authors.forename: M
authors.initials: M
authors.lastname: Yoshimura
authors.forename: Y
authors.initials: Y
authors.lastname: Hayashi
authors.forename: H
authors.initials: H
authors.lastname: Asaka
authors.forename: Y
authors.initials: Y
authors.lastname: Ando
authors.forename: K
authors.initials: K
authors.lastname: Kohri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001744:Urinary Bladder Calculi / Q000628:therapy*