Extracorporeal shock wave lithotripsy of the right kidney Pelvis, External Approach

Extracorporeal shock wave lithotripsy (SWL) is a noninvasive procedure that uses shock waves to break stones in the kidney and ureter into pieces as small as grains of sand. Lithotripsy is advantageous as a method of kidney stone removal because it does not require surgery, and has a 70 to 90 percent success rate in good candidates Shock wave lithotripsy is a common treatment for kidney stones. Providers sometimes call this procedure extracorporeal shock wave lithotripsy (ESWL). Shock wave lithotripsy uses high-energy shock (pressure) waves to break up stones. Tiny pieces of kidney stones can then move through the urinary tract more easily Treatment Overview. Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract and pass from the body.. See a picture of ESWL.. You lie on a water-filled cushion, and the surgeon uses X-rays or ultrasound tests to precisely locate the stone

Lithotripsy - National Kidney Foundatio

  1. Extracorporeal Shock Wave Lithotripsy (ESWL) The introduction of extracorporeal shock wave lithotripsy (ESWL) in the early 1980s revolutionized the treatment of patients with kidney stone disease. Patients who once required major surgery to remove their stones could be treated with ESWL, and not even require an incision
  2. One example of a procedure performed via an external approach is extracorporeal shock wave lithotripsy of a calculus of the right kidney, which codes to 0TF3XZZ. During this procedure shock waves generated outside the body are used to fragment the renal calculus. Since the body is not entered, the appropriate fifth character value is X
  3. e the exact location of the stone, which was then treated with a total of 3,200 shocks, Films confirmed that the stone was pulverized into small.
  4. -extracorporeal shock wave lithotripsy of a calculus of the right kidney (0TF3XZZ)-Reposition of closed fracture Method: Direct or indirect Instrumentation: none External is a tricky one. coding guideline that pertains to this external is B5.3a and B5.3
  5. e the most appropriate conversion code(s) for your specific coding situation
  6. e if removing only the tumor is feasible. This is always the desired approach, and in Dr. Engel's hands will always be attempted. and arises from the lining of the kidney rather than the functioning kidney tissue itself. TCC of the renal pelvis.
  7. (6) Repair of direct inguinal hernia, right side, via percutaneous endoscopic approach (c) 0YQ54ZZ (7) Extracorporeal shock wave lithotripsy of the right kidney pelvis (external approach) (a) 0TF3XZZ. Please see the attached photos for reference, I lifted it from the 2020: ICD-10-PCS. I hope I was able to help, happy studying! Image transcription

Shock Wave Lithotripsy (Kidney Stone Treatment): Procedure

  1. Extracorporeal shock wave lithotripsy (ESWL) was introduced in the early 1980s as a completely noninvasive therapy to break up stones within the kidney and ureter. The Department of Urology at the University of Florida was one of six sites within the United States to investigate the efficacy of ESWL lead by Dr. Birdwell Finlayson,
  2. 0FF98ZZ, endoscopic retrograde cholangiopancreatography with lithotripsy of the common bile duct. Via natural or artificial opening with percutaneous endoscopic assistance. F. 0UT9FZZ, laparoscopic-assisted total vaginal hysterectomy. External. X. 0TF3XZZ, extracorporeal shock wave lithotripsy of a calculus of the right kidney
  3. istration of a series of shock waves to the targeted stone. The shock waves, which are generated by a machine called a lithotripter, are focused by x-ray onto the kidney stone. The shock waves travel into the body, through skin and tissue, reaching the stone where they break it into small fragments
  4. ing outcomes and operative approach
  5. The more common approach to extracorporeal shock wave lithotripsy involves a patient resting on a soft cushion while strong pressure waves are passed through the skin in the area where the kidney stones are located. It usually takes a few thousand rapidly delivered shock waves to effectively crush deposits. This approach to treatment is usually.
  6. Extracorporeal Shock Wave Lithotripsy. Shock waves from a machine (lithotriptor) are focused onto stones in the kidney or ureter. The shock waves pass through the body and hit the stone, causing it to fragment into small pieces. Because of possible discomfort from the procedure, patients will receive anesthesia during lithotripsy

Extracorporeal Shock Wave Lithotripsy (ESWL) for Kidney

The table includes options for right kidney pelvis (3) and left kidney pelvis (4). We know, by virtue of the name, extracorporeal shockwave lithotripsy, that we're looking at an external approach, Dominesey says Confirmed identity of patient Jill, who was satisfactorily sedated. I used the MFL 1,000 for extracorporeal shock wave lithotripsy, delivering 1,000 shocks to the stone in the lower pole of the right kidney, and 800 shocks to the stone in the upper pole of the same, with change in shape and density of the stone indicating fragmentation

Abstract Extracorporeal shock wave lithotripsy is an attractive and well-tolerated option for treatment of renal and ureteral calculi. Complications are infrequent, with the most common being bleeding, infection, and distal ureteral obstruction by fragments. Serious complications, including life-threatening bleeding, injury to surrounding structures and death, are extremely rare Extracorporeal shock wave lithotripsy was then performed on the right kidney stone. Shock waves were delivered 120 per minute ungated. There were no arrhythmias. Shock waves were gradually increased from energy level setting of 1 to a maximum of 8. The stone appeared to fragment well. Periodic AP and oblique fluoroscopy was used

Lithotripsy Definition Lithotripsy is the use of high-energy shock waves to fragment and disintegrate kidney stones. The shock wave, created by using a high-voltage spark or an electromagnetic impulse, is focused on the stone. This shock wave shatters the stone and this allows the fragments to pass through the urinary system. Since the shock wave is. Extracorporeal shock-wave lithotripsy (ESWL) is an adjunctive safe and effective method of delivering shock waves. The technique can be used for stone fragmentation under ultrasound or fluoroscopic guidance, after contrast is instilled via a nasobiliary catheter to aid in stone visualization ( Tandan et al, 2009 ) Valid for Submission. 0TF4XZZ is a billable procedure code used to specify the performance of fragmentation in left kidney pelvis, external approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions. The procedure code 0TF4XZZ is in the medical and surgical section and is part of the urinary system body system, classified under the fragmentation operation Background: Extracorporeal shock wave lithotripsy (ESWL) is nowadays the first choice for the treatment of upper urinary tract stones smaller than 2 cm, considering its low complications and high success rate.Aim: To present an update of the current situation of ESWL treatment and to analyse our series of patients and the efficacy of combined lithiasis treatment in different locations and. Answer to Multiple choice question: 21.CONGENITIAL HYDROCEPHALUS a.G91.0 b.G91.9 c.Q03.8 d.Q03.9 22.EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY OF THE RIGHT KIDNEY

Extracorporeal Shock Wave Lithotripsy (ESWL) Johns

How to cite this article: Cao L, Wang Yq, Yu T, Sun Y, He J, Zhong Y, Li X, Sun X. The effectiveness and safety of extracorporeal shock wave lithotripsy for the management of kidney stones: A protocol of systematic review and meta-analysis. Medicine. 2020;99:38(e21910). The authors report no conflicts of interest I have a question regarding CPT code 50590 (extracorporeal shock wave lithotripsy). All of my coding materials show that 50590 can only be billed one time per side, whether the urologist treated more than one stone in the kidney or kidney and ureter 2. Impacted renal calculus with medullary sponge kidney N20.0 Q61.5 Extracorporeal shock wave lithotripsy of left kidney calculus 0TF4XZZ 3. Calculus in bladder N21.0 Lithotripsy of urinary bladder with ultrasonic fragmentation and removal of fragments via percutaneous endoscopic approach 0TCB4ZZ Exercise 21.4 (numbers 1-9) 1

Differentiating Procedure Approach in ICD-10-PCS: Fifth

Extracorporeal shock wave lithotripsy was then performed on the right kidney stone. Shock waves were delivered 120 per minute ungated. There were no arrhythmias. Shock waves were gradually increased from energy level setting of 1 to a maximum of 8. The stone appeared to fragment well. Periodic AP and oblique fluoroscopy was used Extracorporeal Shock Wave Lithotripsy (ESWL) Extracorporeal shock wave lithotripsy is the most common method for the treatment of stones which cannot pass through the urine. This involves administration of ultrasound (high-frequency sound waves), which results in breakdown of the stones into smaller pieces so they can easily pass along with urine Lithotripsy uses sound waves to break up large kidney stones into smaller pieces. These sound waves are also called high-energy shock waves. The most common form of lithotripsy is extracorporeal. Extracorporeal Shock Wave Lithotripsy in the Prone Position: Treatment of Stones in the Distal Ureter or Anomalous Kidney Author links open overlay panel Alan D. Jenkins Jay Y. Gillenwater Show mor Kidney Stones. Researchers in the Department of Urology are investigating all facets of kidney stones, including why they form, how they damage the kidneys and potential new treatment options to add to the existing options of extracorporeal shock wave lithotripsy (ESWL), ureteroscopy with laser fragmentation of stones, and percutaneous nephrolithotomy

CPT Chapter 12: Urinary System HIMT 1220 2019 - Quizle

Europe PMC is an archive of life sciences journal literature. Twenty-four consecutive patients with malformed kidneys (21 horseshoe kidneys, 2 crossed ectopic and 1 pelvic kidney) underwent extracorporeal shock wave lithotripsy (ESWL) for nephrolithiasis between 1984 and 1990 Results/Methods : A plain film showed a calcific shadow on the right iliac bone. On excretory uro... Extracorporeal shock wave lithotripsy for a ureteral stone in crossed fused renal ectopia - Kato - 2000 - International Journal of Urology - Wiley Online Librar Extracorporeal shock wave lithotripsy is a minimally invasive procedure that uses shock waves -- applied outside of the body (extracorporeal) -- to shatter the ureter stone into smaller pieces. Once the ureter stone is broken down, the pieces may be more capable of passing through the ureter, bladder and urethra spontaneously OBJECTIVE. To investigate the utility of a new 'modified‐prone' position for treating pre‐vesical stones with extracorporeal shock wave lithotripsy (ESWL), usually considered an acceptable and effective treatment for such stones, but for which many different body positions have been used in an attempt to increase its efficacy

ICD-10-PCS APPROACHES Flashcards Quizle

  1. ICD-10-PCS ESWL (extracorporeal shock wave lithotripsy) ESWL (extracorporeal shock wave lithotripsy) see Fragmentation
  2. The worst outcome was observed in patients with a crossed fused kidney, with a stone-free rate of only 25%. 12 Extracorporeal shock wave lithotripsy was unsuccessful in the patient described here.
  3. shock wave lithotripsy (SWL) for right upper ureteric stone. To the best of our knowledge, this is the first case of lithotripsy-induced retroperitoneal bleeding in a patient with AML, with no prior history of bleeding diasthesis or use of antiplatelet agents. CASE REPORT A 32-year-old man presented with a history of right flank pain that.
  4. Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive procedure for the treatment of nephrolithiasis. In this procedure, acoustic shock waves

On the other hand, kidney stones that are too large to pass on their own because they cause bleeding, kidney damage or ongoing urinary tract infections may require more-extensive treatment which include - extracorporeal shock wave lithotripsy (ESWL), Tunnel surgery (percutaneous nephrolithotomy) and Ureteroscopy A study from Hong Kong assessed the effects of a ramping protocol in patients undergoing extracorporeal shock wave lithotripsy of renal stones. They randomized patients into two groups: group 1 (first 1,000 shocks at energy level 5 followed by 1,000 shocks at energy level 6 and 1,000 final shocks at energy level 7) and a fixed voltage protocol. Gallucci M, Vincenzoni A, Schettini M, et al. Extracorporeal shock wave lithotripsy in ureteral and kidney malformations. Urol Int 2001; 66:61. El-Assmy A, El-Nahas AR, Mohsen T, et al. Extracorporeal shock wave lithotripsy of upper urinary tract calculi in patients with cystectomy and urinary diversion. Urology 2005; 66:510 A number of potential vascular and non-vascular complications can arise from surgical, extracorporeal shock wave lithotripsy, radiotherapy and radiological renal interventions, including percutaneous image-guided biopsy and drainage. Computed tomography scan is usually one of the first and most important diagnostic imaging examinations requested when a potential complication is suspected

Convert ICD-10-PCS 0TF6XZZ to ICD-9-C

Urolithiasis affects 5 to 15% of the population worldwide [1,2,3,4,5].It involves stones as small as a grain of sand or as large as a staghorn. Symptomatic or asymptomatic small renal stones that are 6-8 mm in diameter can either be treated by extracorporeal shock wave lithotripsy (ESWL) or retrograde flexible ureteroscopy [6,7,8,9].The optimal treatment approach depends on the preferences. Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive technique for the removal of kidney stones. Most ESWL is carried out when the stone is present near the renal pelvis . ESWL involves the use of a lithotriptor machine to deliver externally applied, focused, high-intensity pulses of ultrasonic energy to cause fragmentation of a stone. Bypass Right Kidney Pelvis to Left Kidney Pelvis, Open Approach ICD-10-PCS Procedure Code 0T134Z4 [convert to ICD-9-CM] Bypass Right Kidney Pelvis to Left Kidney Pelvis, Percutaneous Endoscopic Approach

Kidney Masses Overview, Symptoms, Diagnosis & Treatment

  1. Abbreviations: ESWL, extracorporeal shock wave lithotripsy; CTU, computed tomography urography Introduction ESWL is safer, less invasive, less painful, less costly and faster in recovery than operation in the treatment of kidney and upper ureteral stones. It is a good fit for the outpatient treatment and preferre
  2. Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy. These are what the words mean: extracorporeal: from outside the bod
  3. Aboumarzouk OM, Kata SG, Keeley FX, Nabi G. Extracorporeal shock wave lithotripsy (ESWL) versus ureteroscopic management for ureteric calculi. Cochrane Database Syst Rev. 2011 Dec 7. 12:CD006029. . Fayad A, El-Sheikh MG, El-Fayoumy H, El-Sergany R, Abd El Bary A. Effect of extracorporeal shock wave lithotripsy on kidney growth in children
  4. Objective: To study the diagnosis and treatment of spontaneous ureteral rupture after extracorporeal shock wave lithotripsy (ESWL).. Methods: A case of spontaneous ureteral rupture after ESWL was analyzed retrospectively. A 30-year-old male presented to the emergency clinic with severe and progressive right flank pain for the last 24 hours. He did not complain of frequent urination, painful.
  5. neous nephrolithotomy (PNL) and extracorporeal shock- wave lithotripsy (ESWL) began development (8, 19). Early reports of PNL were clinical and although labora- It is clear that there are numerous ways to approach the removal of urinary calculi, ranging from open surgery to of the right renal pelvis. b) Nephrostogram following percutane

[Solved] 3-2-1 code it 2020: ICD-10-PCS Circle the most

Background. Gaining percutaneous access during percutaneous nephrolithotomy (PNL) can be complicated with the bowel injury. We report a novel approach of management of duodenal injury complicating percutaneous drainage of infected haematoma after Shock-Wave Lithotripsy (SWL). Case Presentation. A 57-year-old patient with the 15 mm right pelvic kidney stone underwent uneventful SWL The aim of this study was to assess the risk factors and safety of outpatient Extracorporeal Shock Wave Lithotripsy (ESWL) in the management of patients with renal or ureteral stones. Methods In this study, our cohort consisted of 844 outpatients who underwent outpatient ESWL treated between February 2012 and November 2014 at Taipei Veterans. Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®. Kidney Stone Treatment: Shock Wave Lithotripsy. The authors report a case of a 40-year-old woman who developed claudication of the right limb 3 months after extracorporeal shock wave lithotripsy (ESWL) owing to a pyelic calculus. Patient had no previous vascular disease. Arteriography revealed a 12-cm-long 80% stenosis of the right common, extern

Extracorporeal Shock Wave Lithotripsy (ESWL) » Department

This treatment is also referred to as extracorporeal shock wave lithotripsy (ESWL). A machine is used to send sound waves from outside of the body through the tissue to the stones. Shock wave therapy typically takes about 30 to 60 minutes when treating simple kidney stones (without complications) Extracorporeal Shock Wave Lithotripsy (ESWL) - This non-invasive kidney stone treatment uses external shockwaves to break a stone into smaller pieces that can then be passed through the urinary tract. During this procedure the urologist locates the stone using an X-Ray or ultrasound and then targets the stone with high-energy sound waves Abstract. Extracorporeal shock wave lithotripsy (SWL) remains the only noninvasive modality in lithotripsy and still contributes to more than half of all urinary stone treatments worldwide; however, success rates vary significantly because different equipment and protocols are used Lithotripsy uses shock waves or a laser to break down stones in the kidney, gallbladder, or ureters. There are two main types of lithotripsy — ESWL and FURSL — and the procedure usually lasts.

specially designed rigid and flexible kidney scopes combined with lasers and ultrasonic probes under endoscopic and X-ray guidance, to remove ureter and kidney stones with a minimum of pain and a short recovery time. Urologists also have extensive experience in using extracorporeal shock wave lithotripsy, focusing the shock waves to break up kidney Extracorporeal shock wave lithotripsy (ESWL) is the least invasive method of definitive stone treatment and is suitable for most patients with uncomplicated stone disease. In ESWL, shock waves are generated by a source external to the patient's body and are then propagated into the body and focused on a renal stone Renal or ureteral stones <2cm in maximal diameter may be treated by ureteroscopy (URS) or Extracorporeal Shock Wave Lithotripsy (ESWL). Patients with signs of obstruction and infection require a period of decompression with a ureteral stent or percutaneous nephrostomy tube prior to intervention to treat the stone My shock wave lithotripsy (SWL) was performed and a stent was put in while I was under on the last day of the month (the soonest it could be performed) as an outpatient surgery. Unfortunately, my bones were placed in such a way that the SWL could not get past my pelvic bone to access the larger stone in my kidney

Before and after extracorporeal shock wave lithotripsy (ESWL) Following a surgical procedure involving the ureter to maintain patency during healing; Contraindications. Uncorrectable coagulopathy—the risk of not performing drainage is weighed against the risk of bleeding and kidney loss. Specific to antegrade ureteral stent Then, they aim high-energy shock waves at your kidney from the outside. These waves go through your skin and break up the stone into small pieces. Shock Wave Lithotripsy. Percutaneous.

ectopic kidney has many advantages. Our case showed that, in pelvic ectopic kidney with pelvic stones greater than 1.5cm in size, laparoscopic-assisted PNL via direct pelvis puncture is a safe and effective technique. Abbreviations: PNL, percutaneous nephrolithotomy; SWL, extracorporeal shock wave litho Your doctor aims high-energy sound waves to break up the kidney stone into little pieces. The shock waves come from outside the body, which is why the procedure sometimes is called extracorporeal SWL Extracorporeal shock wave lithotripsy (ESWL): Used to treat small stones, this is a noninvasive procedure that does not require any incision. A machine focuses high-energy shock waves through the skin to the location of the stone, which breaks into pieces small enough to pass naturally

A nephroureteral stent/nephroureterostomy enters the collecting system via a flank approach (like a PCN) with a locking loop in the renal pelvis, and extends down the ureter terminating in the bladder, allowing both internal and external drainage Before and after extracorporeal shock wave lithotripsy . 6 There are several opinions regarding the best kidney stones treatment available. Stones that are too large to pass or that cause bleeding, infections or kidney damage will need to be treated with aggressive treatments. The most commonly used procedure is extracorporeal shock wave lithotripsy . External high-energy shock waves target the stones. Extracorporeal shock wave therapy (ESWT) is a nonsurgical treatment that involves the delivery of shock waves to musculoskeletal areas of the body (commonly the epicondyle, shoulder or heel) with the goal of reducing pain and promoting healing of the affected soft tissue However, if intervention is taken, extracorporeal shock wave lithotripsy (ESWL) is the most common procedure. ESWL (98.51) uses shock waves to fragment the stone. The small pieces then pass in the urine. Code 98.51 includes removal of calculus by shock waves from any area in the urinary system (eg, kidney, bladder, renal pelvis, ureter) Extracorporeal Shock wave Lithotripsy (SWL) is considered as the first line for treatment [10]. Percutaneous extraction and diverticulum fulguration with canal dilatation provide a good immediate success rate, and low morbidity, it is now accepted as the standard treatment [11]

For certain kidney stones, depending on size and location, we may recommend a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL). Paediatric Urology Clinic The Paediatric Urology Clinic provides compassionate and comprehensive care to diagnose and treat all childhood urological problems Extracorporeal shock 73. Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive treatment of kidney stones (urinary calculosis) and biliary calculi (stones in the gallbladder or in the liver) using an acoustic pulse. (wikipedia.org)Treatment of mid- and lower ureteric calculi: extracorporeal shock-wave lithotripsy vs laser ureteroscopy.(medscape.com support the authors' contention that ESWL is an effective and 9. Jenkins AD, and Gillenwater JY: Extracorporeal shock reliable approach to patients with anomalous kidneys. wave lithotripsy in the prone position: treatment of stones in the distal ureter or anomalous kidney Abstract: Shock wave lithotripsy (SWL) remains an important treatment option for the management of upper urinary tract stones. The optimisation of certain technical principles can help to improve the results of SWL. We performed a systematic review based on preferred reporting items for systematic review and meta-analysis (PRISMA) standards for studies reporting on technical aspects of SWL Lithotripsy is used to remove stones slightly smaller than one half an inch (1.25 centimeters) that are located in the kidney or ureter. It uses sound or shock waves to break up stones into tiny fragments. Then, the stone fragments leave the body in the urine. It is also called extracorporeal shock-wave lithotripsy or ESWL

extracorporeal shock wave lithotripsy (ESWL) procedure using ultrasound outside the body to bombard and disintegrate a stone within; most commonly used to treat urinary stones above the bladder: kidney dialysis: methods of filtering impurities from the blood: hemodialysis: method of removing impurities by pumping the patient's blood through a. covers extracorporeal shock wave lithotripsy (ESWL) as follows: A. For the disintegration of upper urinary tract stones in the kidney and the ureter above the true pelvis. B. For renal calyx stones, renal pelvic stones, or ureteral stones only. C. For Staghorn stone, following percutaneous nephrostolithotomy for debulking D


The treatment for a urinary tract stone may range from extracorporeal shock wave lithotripsy, retrograde ureteroscopy with laser fragmentation to percutaneous nephrolithotomy. Intravenous urography (IVU) has been used since 1923 to investigate the symptoms of acute loin pain Nephrolithiasis is one of the most common causes of obstruction of the ureteropelvic junction in patients with an ectopic pelvic kidney. Various treatment methods for such stones include extracorporeal shock wave lithotripsy (ESWL), flexible ureteroscopy, laparoscopic-assisted percutaneous nephrolithotomy (PNL), and laparoscopic pyelolithotomy

Page kidney phenomenon due to subcapsular haematoma is a known complication of extracorporeal shock wave lithotripsy and renal allograft biopsies.6, 13 The condition as a complication to a ureteronephroscopic procedure with successful management by percutaneous drainage has been presented only in one prior case report.10 In the present case. Shock wave lithotripsy Shock wave lithotripsy aims to fragment stones by using ultrasonic waves, with the resulting fragments then hopefully passing spontaneously. The procedure is completed as a day case with the aid of analgesia or sedation. However, patients should be informed about the possibility of requiring multiple sessions Extracorporeal shock wave lithotripsy (ESWL) is usually performed in large proximal calculi in patients unsuitable for invasive management. Percutaneous nephrolithotomy (PCNL) is usually reserved for large calculi near the pelviureteric junction, especially staghorn calculi, which are unlikely to be removable via retrograde access This study aimed to evaluate the therapeutic effects of Low intensity extracorporeal low energy shock wave therapy (LiESWT) on stress urinary incontinence (SUI). The investigation was a single-arm. extracorporeal shock wave lithotripsy (ESWL): Extracorporeal shock wave lithotripsy uses highly focused impulses projected from outside the body to pulverize kidney stones. H-I habit training: A behavioral technique that calls for scheduled toileting at regular intervals on a planned basis

With extracorporeal shock wave lithotripsy firmly established as the treatment of choice for the majority of kidney stones, the management of large stone burdens and staghorn stones remains a point of discussion(1,2,3,4). Although with increasing experience the original Iimitatlons(5,6) posed by the size and the number of kidney stones hav Often, shock wave lithotripsy can be used to break up a stone in the renal pelvis or uppermost part of the ureter that is ½ inch (1 centimeter) or less in diameter. In this procedure, shock waves directed at the body by a sound wave generator break up the stone. The pieces of stone are then passed in the urine A 65 year old man presented with a 12 month history of bilateral flank pain but no fever or lower urinary tract symptoms. Over the preceding 10 years he had had multiple interventions, including extracorporeal shock wave lithotripsy and ureteroscopic laser stone fragmentation, for cystine renal stones. He had type 2 diabetes and hypertension, and he was also obese

Extracorporeal Shockwave Lithotripsy (ESWL): ESWL is a non-invasive technique, widely used in the treatment of renal and ureteral lithiasis. It is carried out on an out-patient basis and consists of the fragmentation of the lithiasis (fragments of < 1 mm) by means of shockwaves, thereby allowing them to be eliminated spontaneously in the urine

Extracorporeal shock wave lithotripsy (ESWL) was introduced in 1980 by Chaussy et al. [1-3] It has since revolutionized the management of urolithiasis by providing an alternative to surgical treatment. The therapeutic use of ESWL became widespread in 1984. [3-7 Lithotripsy is a medical procedure involving the physical destruction of hardened masses like kidney stones bezoars or gallstones. Lithotripsy replaced lithotrites as the most common treatment beginning in the mid-1980s. In ESWL, external shockwaves are focused at the stone to pulverize it See notice of redundant publication at the end of this article. ABSTRACT. INTRODUCTION: The purpose of the study was to assess the safety and efficacy of extracorporeal shockwave lithotripsy (ESWL) versus a semirigid ureteroscope with a lithoclast for treatment of large proximal ureteral stones. METHODS: The participants were 147 patients with large (> 1 cm) upper ureteral stones For large stones, extracorporeal shock wave lithotripsy may be used. In this procedure, external sound waves are directed at the stone to try to break it up into smaller pieces that are easier to.