Invasive Treatment of Reno-Ureteral Lithiasis. Extracorporeal Shock Wave Lithotripsy the Report of First 1000 Cases

Abstract

Being a noninvasive method, extracorporeal shock wave lithotripsy (SWL), became popular due to its simplicity, effectiveness, and low mortality rate in the treatment of reno-ureteral lithiasis. This method is based on the disintegration of calculi by shock waves produced outside the body, which penetrate the tissues without affecting them. The objective is to demonstrate the efficiency and safety of the procedure made on the first 1000 patients, but also some various associations, for the patients who undergo the extracorporeal lithotripsy procedure done with third-generation Modulith SLK, in the treatment of kidney and ureteral calculi. The retrospective study showed the existence of statistically significant associations between the patient’s gender and the calculus type, but also for the positioning of the calculus (renal or ureteral) and between the stent variable (Yes/No) and calculus position (renal/ureteral).