Efficiency of Extracorporeal Shock-wave Lithotripsy in the Treatment of Urolithiasis

Abstract

Urolithiasis, according to the results of the analysis of Ukrainian and foreign literature, is one of the most urgent problems of urologists. The prevalence of GCC is 20% and, unfortunately, has a tendency to increase. Throughout the life of this pathology diagnosed in 8.8% of the adult population. In Ukraine, Urolithiasis ranks second after non-specific inflammatory diseases of the kidneys. The close attention of researchers to Urolithiasis is due to the lack of a clear cause of its occurrence today, developmental mechanisms, despite the numerous scientific theories that explain only some of the pathogenesis pathways of such a complex process as urolithiasis. In the treatment of Urolithiasis, undeniable progress has been made through the introduction of minimally invasive techniques, such as extracorporeal shock-wave lithotripsy (ESWL). This method is less traumatic, well tolerated by patients, allows it to be used in patients of all ages. ESWL is the method of choice if the size of the stone is up to 15–20mm. Only when ESWL is contraindicated or prognostically ineffective, alternative methods are used.

Objective: to study the effectiveness of the treatment of patients with ICD using the method ESWL.

Materials and methods. In the clinic of the State Institution “Institute of Urology of the National Academy of Medical Sciences of Ukraine”, 160 patients with calculi in the kidney and ureter were examined.

Results. In all patients, the result of treatment was positive, complications practically did not arise. The criterion of EHL efficiency is the complete fragmentation of the stone to the smallest particles capable of spontaneous discharge.

Conclusions. Conducting extracorporeal shock wave lithotripsy, taking into account size, structural density, location of calculus, impact on renal hemodynamics, allows you to choose the best way to generate a shock wave.