New strategies and protocols in SWL.Authors:
Alberto Budía Alba, Pilar Bahilo Mateu, Guzmán Ordaz Jurado, José Daniel López-Acón,
Marta Trassierra Villa y Francisco Boronat Tormo.
Arch. Esp. Urol. 2017; 70 (1): 113-123
Vol. 70, Number. 1, Jan/Feb 2017
OBJECTIVE: An update of the new
treatment strategies in extracorporeal lithotripsy as a
valid therapeutic alternative in the management of
METHODS: We performed a search and review of the
most recent literature which responded to the terms “best
practices”, “update”, “optimization”, “practice pattern”
in lithotripsy. Only articles written in English or Spanish
RESULTS: The use of a stepwise voltage ramping during
extracorporeal lithotripsy with or without pause before
the first rise of energy, a decreased delivery rates and
the use of a higher number of shock waves per session
are shown as alternatives to improve the effectiveness
with optimum safety profile.
CONCLUSIONS: Extracorporeal lithotripsy is still an
effective and minimally invasive treatment, and it has
an important role in the treatment of urolithiasis. New
treatment strategies are being developed to increase the
effectiveness with a similar safety profile.
ONLY IN SPANISH