Extracorporeal Shockwaves Lithotripsy (SWL): A Practical Guide for Urologists | ||
| Egyptian Journal of Urology | ||
| Volume 24, Issue 1, January 2024, Pages 23-27 PDF (5.27 M) | ||
| Document Type: Review Articles | ||
| DOI: 10.21608/eju.2024.242276.1007 | ||
| Author | ||
| Ahmed R. EL-Nahas* | ||
| Urology department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt. | ||
| Abstract | ||
| Introduction and Purpose: Extracorporeal shockwaves lithotripsy (SWL) is the treatment of choice for small non-complicated upper urinary tract calculi because of its non-invasive nature. This review is intended to provide practical guidance for urologists to optimize the use of SWL in clinical practice in order to achieve the maximum stone-free rate and minimize the incidence and severity of complications.. Methods: A PubMed search using the keywords SWL, extracorporeal shockwaves, and ESWL was conducted for articles published in the past 20 years. In addition, recent international guidelines of urolithiasis were reviewed. Results: All relevant research articles, reviews and metanalyses were read to construct a clinically oriented guidance for indications, contraindications, pre-SWL preparation, patients’ management during and after SWL session, and methods to improve efficiency. Conclusions: The keys to achieve best stone-free rates with minimal complications after SWL are proper patients’ selection, adherence to guidelines recommendations to improve stone disintegration, and adequate follow-up till | ||
| Keywords | ||
| SWL; Extracorporeal shockwaves lithotripsy; renal; ureteral; calculi | ||
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