Document Detail


Comparison of a new-generation electroconductive spark lithotripter and the Dornier Compact Delta for ureteral calculi in a quaternary referral center.
MedLine Citation:
PMID:  17094747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The Technomed Sonolith Vision is the most recently developed electroconductive lithotripter. Using a case-control study, we compared the treatment outcomes of this machine with those of the Dornier Compact Delta for ureteral calculi. PATIENTS AND METHODS: Patients (N = 107) with calculi from the ureteropelvic to the ureterovesical junction undergoing primary lithotripsy using the Technomed Sonolith Vision were identified between September 2004 and February 2005. All patients had 2-week and 3-month follow-up. These patients were compared with 524 patients from our database treated between October 2000 and August 2004 with a Dornier Compact Delta. The two groups were similar at baseline. Outcome variables measured were stone-free rate at 3 months, retreatment rate, and requirement for intravenous analgesia during the procedure. RESULTS: There was a superior stone-free rate for the Technomed, reaching significance for calculi up to 7 mm. The Technomed had a significantly lower re-treatment rate for calculi <13 mm. There was no statistical difference in the requirement for intravenous analgesia. The Efficiency Quotient was superior for the Technomed (0.67 v 0.56). CONCLUSIONS: This latest-generation electroconductive lithotripter in its first 6 months of use has shown stone-free and re-treatment rates superior to those of the Dornier Compact Delta and approaching that of the Dornier HM-3. Lithotripsy remains our first-line treatment for all radiopaque ureteral calculi.
Authors:
Richard J Pemberton; David A Tolley
Related Documents :
12866607 - High circulating levels of cytokines (il-6 and tnfalpha), adhesion molecules (vcam-1 an...
17595387 - All patients benefit equally from a supervised exercise program for claudication.
18025617 - Management of peripheral arterial disease of the lower extremities.
3679637 - Cigarettes, respiratory rate, and the relaxation paradox.
20206717 - An interdependent model of central/peripheral chemoreception: evidence and implications...
19021027 - Antioxidant endogenous defense in a human model of physical stress.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  20     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-11-10     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  732-6     Citation Subset:  IM    
Affiliation:
Scottish Lithotriptor Center, Edinburgh, Scotland. rpemberton@westernurology.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Humans
Lithotripsy, Laser / instrumentation,  methods*
Treatment Outcome
Ureteral Calculi / diagnosis,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prospective longitudinal comparative study of early health-related quality-of-life outcomes in patie...
Next Document:  Endourologic management of pediatric urolithiasis: proposed clinical guidelines.