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International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy.

Publication ,  Journal Article
Zeng, G; Zhong, W; Chaussy, CG; Tiselius, HG; Xu, C; Turney, B; Turk, C; Tailly, GG; Preminger, GM; Akpinar, H; Petrik, A; Bernardo, N; Lv, J ...
Published in: Eur Urol Focus
May 2023

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.

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Published In

Eur Urol Focus

DOI

EISSN

2405-4569

Publication Date

May 2023

Volume

9

Issue

3

Start / End Page

513 / 523

Location

Netherlands

Related Subject Headings

  • Urolithiasis
  • Urinary Calculi
  • Quality of Life
  • Lithotripsy
  • Kidney
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Zeng, G., Zhong, W., Chaussy, C. G., Tiselius, H. G., Xu, C., Turney, B., … Sarica, K. (2023). International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy. Eur Urol Focus, 9(3), 513–523. https://doi.org/10.1016/j.euf.2022.11.013
Zeng, Guohua, Wen Zhong, Christian G. Chaussy, Hans Göran Tiselius, Changbao Xu, Ben Turney, Christian Turk, et al. “International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy.Eur Urol Focus 9, no. 3 (May 2023): 513–23. https://doi.org/10.1016/j.euf.2022.11.013.
Zeng G, Zhong W, Chaussy CG, Tiselius HG, Xu C, Turney B, et al. International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy. Eur Urol Focus. 2023 May;9(3):513–23.
Zeng, Guohua, et al. “International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy.Eur Urol Focus, vol. 9, no. 3, May 2023, pp. 513–23. Pubmed, doi:10.1016/j.euf.2022.11.013.
Zeng G, Zhong W, Chaussy CG, Tiselius HG, Xu C, Turney B, Turk C, Tailly GG, Preminger GM, Akpinar H, Petrik A, Bernardo N, Wiseman O, Farahat Y, Budia A, Jones DK, Beltran Suarez E, De Marco F, Mazzon G, Lv J, Natchagande G, Guven S, Ibrahim TAA, Xu H, Xie L, Ye Z, Sarica K. International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy. Eur Urol Focus. 2023 May;9(3):513–523.
Journal cover image

Published In

Eur Urol Focus

DOI

EISSN

2405-4569

Publication Date

May 2023

Volume

9

Issue

3

Start / End Page

513 / 523

Location

Netherlands

Related Subject Headings

  • Urolithiasis
  • Urinary Calculi
  • Quality of Life
  • Lithotripsy
  • Kidney
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences