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Urolithiasis
Erschienen in: Urolithiasis 5/2012

01.10.2012 | Invited Review

Aspects on how extracorporeal shockwave lithotripsy should be carried out in order to be maximally effective

verfasst von: Hans-Göran Tiselius, Christian G. Chaussy

Erschienen in: Urolithiasis | Ausgabe 5/2012

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Abstract

The present review summarizes the most important considerations and steps for an optimal result of extracorporeal shockwave lithotripsy. The relationship between shockwave path, geometry and anatomical conditions is of utmost importance. Selection of appropriate treatment variables in terms of shockwave number, power and frequency, is an important prerequisite for proper disintegration and prevention of complications. Several supportive measures such as inversion therapy, citrate therapy, high diuresis, α-receptor antagonists, chemolysis and recurrence preventive measures are important parts of the management of this group of patients in order to avoid problems with residual fragments and new stone formation. Proper understanding of these factors as well as of the physics of shockwaves is necessary for a successful application of this non-invasive technology treatment concept.
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Metadaten
Titel
Aspects on how extracorporeal shockwave lithotripsy should be carried out in order to be maximally effective
verfasst von
Hans-Göran Tiselius
Christian G. Chaussy
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Urolithiasis / Ausgabe 5/2012
Print ISSN: 2194-7228
Elektronische ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-012-0485-z

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