International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy.

Autor: Zeng G; Department of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangdong Key Laboratory of Urology, Guangzhou, China. Electronic address: gzgyzgh@vip.sina.com., Zhong W; Department of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangdong Key Laboratory of Urology, Guangzhou, China., Chaussy CG; University of Munich, Munich, Germany; University of Regensburg, Regensburg, Germany., Tiselius HG; Division of Urology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden., Xu C; The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China., Turney B; Department of Urology, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK., Turk C; Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria., Tailly GG; Department of Urology, UZ Gent, Ghent, Belgium., Preminger GM; Division of Urologic Surgery, Duke University Medical Center, Durham, NC, USA., Akpinar H; Department of Urology, Florence Nightingale Hospitals Group, Istanbul, Turkey., Petrik A; Department of Urology, First Faculty of Medicine, Charles University, Prague, Czech Republic., Bernardo N; Department of Urology, Hospital de Clinicas Jose de San Martin, Buenos Aires, Argentina., Wiseman O; Department of Urology, Cambridge University Hospitals, Cambridge, UK., Farahat Y; Department of Urology, Faculty of Medicine, Tanta University, Tanta, Egypt., Budia A; Department of Urology, La Fe Polytechnic University Hospital, Valencia, Spain., Jones DK; Department of Pharmacology, University of Michigan School of Medicine, Ann Arbor, MI, USA., Beltran Suarez E; Department of Urology, Specialty Hospital La Raza, National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico., De Marco F; Urology Division, Istituto Neurotraumatologico Italiano-Grottaferrata, Rome, Italy., Mazzon G; Department of Urology, San Bassiano Hospital, Vicenza, Italy., Lv J; Department of Urology, Jiangning Hospital, Nanjing Medical University, Nanjing, China., Natchagande G; Centre National Hospitalier et Universitaire, Cotonou, Benin., Guven S; Urology Department, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey., Ibrahim TAA; Department of Urology, Hamad Medical Corporation, Doha, Qatar., Xu H; Department of Urology, First Affiliated Hospital of University of South China, Henyang, China., Xie L; Department of Urology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China., Ye Z; Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China., Sarica K; Department of Urology, Biruni University Medical School, Istanbul, Turkey. Electronic address: saricakemal@gmail.com.
Jazyk: angličtina
Zdroj: European urology focus [Eur Urol Focus] 2023 May; Vol. 9 (3), pp. 513-523. Date of Electronic Publication: 2022 Nov 23.
DOI: 10.1016/j.euf.2022.11.013
Abstrakt: Different international associations have proposed their own guidelines on urolithiasis. However, the focus is primarily on an overview of the principles of urolithiasis management rather than step-by-step technical details for the procedure. The International Alliance of Urolithiasis (IAU) is releasing a series of guidelines on the management of urolithiasis. The current guideline on shockwave lithotripsy (SWL) is the third in the IAU guidelines series and provides a clinical framework for urologists and technicians performing SWL. A total of 49 recommendations are summarized and graded, covering the following aspects: indications and contraindications; preoperative patient evaluation; preoperative medication; prestenting; intraoperative analgesia or anesthesia; intraoperative position; stone localization and monitoring; machine and energy settings; intraoperative lithotripsy strategies; auxiliary therapy following SWL; evaluation of stone clearance; complications; and quality of life. The recommendations, tips, and tricks regarding SWL procedures summarized here provide important and necessary guidance for urologists along with technicians performing SWL. PATIENT SUMMARY: For kidney and urinary stones of less than 20 mm in size, shockwave lithotripsy (SWL) is an approach in which the stone is treated with shockwaves applied to the skin, without the need for surgery. Our recommendations on technical aspects of the procedure provide guidance for urologists and technicians performing SWL.
(Copyright © 2022. Published by Elsevier B.V.)
Databáze: MEDLINE
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