background to alleviate stinging pain in the skin entry area and visceral discomfort in patients who are undergoing eswl. objectives this study was designed to investigate the effectiveness of the emla cream in combination with remifentanil patient-controlled analgesia (pca) in patients undergoing eswl treatment. patients and methods sixty patients were divided into two double-blind randomized ...

conclusions it seems that considering the clinical examination of patients before sa focusing on lumbar spinous process status, presence of lumbar deformity, calculation of bmi and radiological signs of lumbar vertebrae can be helpful in predicting sa difficulty. results hundred and one patients were enrolled. of these patients, 50 (49.5%) underwent sa by the first attempt of the first space, i...

Extra-corporeal shock wave lithotripsy (ESWL) has proved to be a revolutionary advance in the treatment of renal stone disease. It, itself, is non-invasive but may necessitate or be used as an adjunct to more invasive auxiliary procedures. The basic principles of lithotripsy, the clinical experience thus far and probable future applications are discussed.

Shock wave lithotripsy may unmask epitopes within the glomerular basement membrane, leading to the formation of anti-glomerular basement membrane (GBM) antibodies and clinical disease in susceptible individuals. Although rare, our case highlights the need for vigilant monitoring of renal function following extracorporeal shock wave lithotripsy. This may allow for early recognition, treatment an...

PURPOSE We performed a prospective, randomized clinical trial to evaluate the outcome of ureteral stents for solitary ureteral stones 2 cm or less in moderately or severely obstructed systems using shock wave lithotripsy. MATERIALS AND METHODS Between 2001 and 2004, 186 patients who met study criteria were randomized into 2 groups. Group 1 received a pre-shock wave lithotripsy 6Fr Double-J st...

Purpose: To evaluate the ultrastructural features of the urinary stones removed with endoscopic stone surgery, using micro computed tomography (micro-CT). Materials and Methods: Patients who had endoscopic surgery for renal or ureteral stones removal were included in this study. After surgery, the stones were classified into three groups and investigated with Skyscan 1174 micro-CT. Group I unde...

The paper reviews the principles of nonlinear absorption with reference to the present major clinical applications of plasma-mediated effects: intraocular microsurgery and laser lithotripsy. Emphasis is laid on the analysis of the working mechanisms, sources of collateral damage, and on strategies for both the optimization of efficacy and the minimization of side effects.

Urinary incontinence is a stent-related complication; however, total incontinence is not often seen in emergency departments. We report a patient who presented with a sudden, painless, and total urinary incontinence after extracorporeal shock wave lithotripsy. This is the first case of total incontinence due to migrated ureteral double J stent through the external urethral sphincter into the ur...

The accumulation of ureteric stone fragments causing ureteric blockage is known as 'Steinstrasse' or 'Stone Street' and is usually described as a complication of shock-wave lithotripsy (SWL). We herein present a rare case of massive Steinstrasse in a young male patient with no previous history of urolithiasis or lithotripsy.