Contact Pneumatic Lithotripsy in the Treatment of Urolithiasis
##plugins.themes.bootstrap3.article.main##
Abstract
The objective: to evaluate the experience of using a portable, pneumatic, contact lithotripter LMA Stonebreaker (Switzerland) for lithotripsy.
Materials and methods. Lithotripsy was performed in 85 patients. Among them: ureteral stones (all localizations) - in 55 patients, bladder stones (of various sizes) - in 9 patients, kidney stones and LMS - in 21 patients.
Results. The effectiveness of lithotripsy and safety were assessed by the size of the stones, the number of strokes for initial and complete fragmentation, the time of lithotripsy, the amount of gas consumed, ease of operation, degree of trauma to the urinary tract. In all 85 patients (100%), stones, regardless of their mineral composition and location, were successfully fragmented and removed. The number of strokes for disintegration of a stone depends on its size. Fragments of stones were removed with forceps, aspiration. Damage to the walls of the urinary tract, gross hematuria is not observed.
Conclusion. Contact pneumatic lithotripsy of urinary tract stones using the LMA Stonebreaker (Switzerland) lithotripter is an effective, convenient and safe method of treating patients with urolithiasis.##plugins.themes.bootstrap3.article.details##
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright and grant the journal the first publication of original scientific articles under the Creative Commons Attribution 4.0 International License, which allows others to distribute work with acknowledgment of authorship and first publication in this journal.
References
Tiselius H., Alken P., Buck C, et al. EAU guidelines on urolithiasas. – 2008. – P. 1–126. PDF
Leveillee R.J., Lobik L. Intracorporeal lithotripsy: which which modality is the best? // Сurr. Opin.Urol. – 2003. – № 13. – P. 249–253. https://doi.org/10.1097/01.mou.0000068753.22370.47
Aridogan I.A., Zeren S., Bayazit Y., Soyupak В., Doran S. Complications of pneurratic ureterolithotripsy in the early postoperative period // J. Endourol. – 2005. – № 19. – P. 50–53. https://doi.org/10.1089/end.2005.19.50
Pietrow P.К., Auge В.К., Zhong P., Preminger G.M. Clinical efficacy of a combination pneumatic and ultrasonic lithotrite // J. Urol. – 2003. – № 169. – P. 1247–1249. https://doi.org/10.1097/01.ju.0000049643.18775.65
Jeon S.S, Hyun J.H., Lee K.S. A comparison of holmium: YAG laser with Lithoclast lithotripsy in ureteral calculi fragmentation // Int J. Urol. – 2005. – № 12. – P. 544–547. https://doi.org/10.1111/j.1442-2042.2005.01087.x
Rane A., Kyle С, Bhalani L, Carey R., Leveillee R. In vitro evaluation of the StoneBreaker™, a novel cordless pneumatic lithotripter, annual meeting of the british association of urological surgeons [BAUS] // BJU Int. – 2007. – Suppl. 1. – P. 2–10.
Rare A., Kommj S.S., Kandaswamy S.V., Rao P, et al. Initial clinical evaluation of a rew pneumatic intracorporeal lithotripter II BJU Int. – 2007. – № 100. – Р. 629–632. https://doi.org/10.1111/j.1464-410X.2007.07003.x
Narti R., Rear J.A., Prabha V., Kamat G., Alur S. Use of LMA Stonebreaker as an intracorporeal lithotrite in the management of ureteral calculi // J. Endourology. – 2008. – Vol. 22, № 4. – P. 641–643. https://doi.org/10.1089/end.2007.0330