International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy

Zeng, Guohua and Zhong, Wen and Chaussy, Christian G. and Tiselius, Hans Goeran and Xu, Changbao and Turney, Ben and Turk, Christian and Tailly, Geert G. and Preminger, Glenn M. and Akpinar, Haluk and Petrik, Ales and Bernardo, Norberto and Wiseman, Oliver and Farahat, Yasser and Budia, Alberto and Jones, David K. and Suarez, Edgar Beltran and De Marco, Ferdinando and Mazzon, Giorgio and Lv, Jianlin and Natchagande, Gilles and Guven, Selcuk and Ibrahim, Tarek Ahmed Amin and Xu, Hanfeng and Xie, Lei and Ye, Zhangqun and Sarica, Kemal (2023) International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy. EUROPEAN UROLOGY FOCUS, 9 (3). pp. 513-523. ISSN , 2405-4569

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Abstract

Different international associations have proposed their own guidelines on urolithiasis. However, the focus is primarily on an overview of the principles of urolithiasis manage-ment 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 evalua-tion; preoperative medication; prestenting; intraoperative analgesia or anesthesia; intraoperative position; stone localization and monitoring; machine and energy set-tings; 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.& COPY; 2022 Published by Elsevier B.V. on behalf of European Association of Urology.

Item Type: Article
Uncontrolled Keywords: QUALITY-OF-LIFE; PROXIMAL URETERAL STONES; WAVE LITHOTRIPSY; RISK-FACTORS; COMPUTED-TOMOGRAPHY; RADIATION-EXPOSURE; NONCARDIAC SURGERY; URINARY STONES; STERILE URINE; PERCUTANEOUS NEPHROLITHOTOMY; Level of evidence; Urolithiasis; Treatment; Guideline; Shockwave lithotripsy; Grade recommendation
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 30 Jan 2024 13:59
Last Modified: 30 Jan 2024 13:59
URI: https://pred.uni-regensburg.de/id/eprint/60914

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