International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy

Bibliographic Details
Title: International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy
Authors: Guohua Zeng, Wen Zhong, Christian G. Chaussy, Hans Göran Tiselius, Changbao Xu, Ben Turney, Christian Turk, Geert G. Tailly, Glenn M. Preminger, Haluk Akpinar, Ales Petrik, Norberto Bernardo, Oliver Wiseman, Yasser Farahat, Alberto Budia, David K. Jones, Edgar Beltran Suarez, Ferdinando De Marco, Giorgio Mazzon, Jianlin Lv, Gilles Natchagande, Selcuk Guven, Tarek Ahmed Amin Ibrahim, Hanfeng Xu, Lei Xie, Zhangqun Ye, Kemal Sarica
Contributors: Tıp Fakültesi
Source: European Urology Focus. 9:513-523
Publisher Information: Elsevier BV, 2023.
Publication Year: 2023
Subject Terms: Shockwave Lithotripsy, Level of Evidence, Guideline, Kidney, 3. Good health, Treatment, 03 medical and health sciences, 0302 clinical medicine, Urolithiasis, Lithotripsy, Quality of Life, Humans, Urinary Calculi, Grade Recommendation
Description: 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.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 2405-4569
DOI: 10.1016/j.euf.2022.11.013
Access URL: https://pubmed.ncbi.nlm.nih.gov/36435718
Rights: Elsevier TDM
Accession Number: edsair.doi.dedup.....4d6a13961ca52e9a0f3e1af36c58fe19
Database: OpenAIRE
Description
ISSN:24054569
DOI:10.1016/j.euf.2022.11.013