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Extracorporeal shockwave

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https://www.readbyqxmd.com/read/27878116/minijfil%C3%A2-a-new-safe-and-effective-stent-for-well-tolerated-repeated-extracorporeal-shockwave-lithotripsy-or-ureteroscopy-for-medium-to-large-kidney-stones
#1
Benoit Vogt, Francois-Noel Desfemmes, Arnaud Desgrippes, Yves Ponsot
BACKGROUND: Percutaneous nephrolithotomy (PCNL) is recommended for treating staghorn stones or stones measuring > 20 mm. Extracorporeal shockwave lithotripsy (ESWL) or flexible ureteroscopy (URS) may be used as a complement. However, PCNL can cause trauma to the kidney parenchyma, and patients may find a noninvasive procedure, such as ESWL, to be more attractive. OBJECTIVES: The aim of this study was to evaluate the clinical efficiency of MiniJFil® stenting associated with ESWL or second-line URS for the treatment of medium-to-large kidney stones...
September 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27853528/recent-advances-in-understanding-and-managing-urolithiasis
#2
REVIEW
Walter L Strohmaier
During the last few years, there has been relevant progress in both understanding and managing urolithiasis. Our knowledge of stone formation has changed; although the importance of urine biochemistry was questioned by several investigators years ago, the decisive role of cellular processes (induced by oxidative stress) and the renal papilla has only recently been generally accepted as the most important step in stone formation. For calcium oxalate urolithiasis, the formation of papillary calcifications plays a key role and is of prognostic relevance...
2016: F1000Research
https://www.readbyqxmd.com/read/27847716/effects-of-extracorporeal-shockwave-therapy-in-chronic-stroke-patients-with-knee-osteoarthritis-a-pilot-study
#3
Sung Jun Cho, Ja Ryung Yang, Hee Seung Yang, Hea-Eun Yang
OBJECTIVE: To evaluate the effects of extracorporeal shockwave therapy (ESWT) on pain, function, and ultrasonographic features of chronic stroke patients with knee osteoarthritis (OA). METHODS: A total of 18 chronic stroke patients (33 knee joints) with unilateral or bilateral knee OA (Kellgren-Lawrence grade ≥1) were enrolled in this study. The patients were randomly allocated to an experimental group receiving ESWT (n=9) or a control group receiving sham ESWT (n=9)...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27843364/radial-extracorporeal-shockwave-therapy-for-the-treatment-of-finger-tenosynovitis-trigger-digit
#4
Nikos Malliaropoulos, Rosanna Jury, Debasish Pyne, Nat Padhiar, Jennifer Turner, Vasileios Korakakis, Maria Meke, Heinz Lohrer
INTRODUCTION: Stenosing tenosynovitis that is characterized by the inability to flex the digit smoothly, usually leads to prolonged rehabilitation or surgery. STUDY DESIGN: This case series is a retrospective cohort study. PURPOSE: The aim of this case series was to evaluate the effectiveness of radial extracorporeal shockwave therapy (rESWT) for the treatment of stenosing tenosynovitis of the digital flexor tendon (trigger digit). METHODS: A retrospective analysis of 44 patients (49 fingers) treated with an individually adapted rESWT protocol was conducted...
2016: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/27827284/extracorporeal-shockwave-therapy-in-the-treatment-of-chronic-diabetic-foot-ulcers-a-prospective-randomised-trial
#5
S M Jeppesen, K B Yderstraede, B S B Rasmussen, M Hanna, L Lund
OBJECTIVE: To investigate the efficacy of extracorporeal shockwave therapy (ESWT) on healing chronic diabetic foot ulcers (DFU). METHOD: Patients with chronic DFUs were randomised (1:1) to receive a series of six ESWT treatments over 3 weeks in combination with standard care or standard care alone. ESWT was performed on DFUs using 250 shocks/cm(2) and 500 shocks on arterial beds supplying the ulcer location. RESULTS: We recruited 23 patients, 11 in the intervention group and 12 in the control...
November 2, 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27824261/extracorporeal-shockwave-lithotripsy-versus-flexible-ureteroscopy-for-the-management-of-upper-tract-urinary-stones-in-children
#6
Lucas Freton, Benoit Peyronnet, Alexis Arnaud, Lauranne Tondut, Juliette Hascoët, Benjamin Pradere, Gregory Verhoest, Edouard Habonimana, Olivier Azzis, Benjamin Fremond, Karim Bensalah
OBJECTIVE: To compare the efficacy and morbidity of extracorporeal shockwave lithotripsy (ESWL) and flexible ureteroscopy (F-URS) for the management of upper urinary tract stones in children. METHODS: All ESWL and F-URS performed in children in a single-institution between 2000 and 2014 were reviewed retrospectively. Only procedures performed to treat upper tract urinary stones (upper ureter or kidney) were included in this study. Preoperative and perioperative outcomes were compared between the ESWL and F-URS groups...
November 8, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27824237/focused-extracorporeal-shock-wave-therapy-combined-with-supervised-eccentric-training-for-supraspinatus-calcific-tendinopathy
#7
Ettore Carlisi, Claudio Lisi, Anna Dall'angelo, Serena Monteleone, Vincenza Nola, Carmine Tinelli, Elena Dalla Toffola
BACKGROUND: Extracorporeal shock wave therapy is effective in reducing shoulder pain and improving function in calcific supraspinatus tendinopathy. Eccentric exercise has been introduced as an effective treatment choice for Achilles tendinopathy, but poor evidence exists about its role in the treatment of rotator cuff tendinopathy. AIM: To investigate if adding a supervised eccentric training of the shoulder abductor muscles could improve the outcome of extracorporeal shock wave therapy...
November 8, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27807291/radiofrequency-thermal-lesioning-and-extracorporeal-shockwave-therapy-a-comparison-of-two-methods-in-the-treatment-of-plantar-fasciitis
#8
Fırat Ozan, Şemmi Koyuncu, Kaan Gürbüz, Eyyüp Sabri Öncel, Taşkın Altay
: We compared the results of radiofrequency thermal lesioning (RTL) and extracorporeal shockwave therapy (ESWT) in patients with chronic plantar fasciitis. This prospective study included 56 patients diagnosed with plantar fasciitis who had complaints for ≥6 months: 40 (group 1) underwent ESWT and 16 (group 2) underwent RTL. The presence of calcaneal spurs was investigated with imaging studies. All patients were followed up clinically at baseline and 1, 3, and 6 months after treatment...
November 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27762628/a-prospective-randomized-study-comparing-the-effect-of-different-kidney-protection-treatment-protocols-on-acute-renal-injury-after-extracorporeal-shockwave-lithotripsy
#9
Chi-Fai Ng, Sylvia Luke, Chi-Hang Yee, Winnie Chu, Ka-Tak Wong, John Yuen
Objectives To perform a prospective study to evaluate the renal protective effects of ramping protocol and pause protocol for extracorporeal shockwave lithotripsy in human subjects. Patients and Methods 320 patients with solitary renal stone <15mm, were randomized to receive one of four protocols: (1) 80% power from beginning until the end of treatment; (2) the first 100 SWs at 40% power, and then 80% power until the end of treatment; (3) the first 100 shocks at 40% power, followed by a 3-minute pause and then further SWs at 80% power until the end of treatment; and (4) the first 100 shocks at 80% power, followed by a 3-minute pause and then further SWs at 80% power until the end of treatment...
October 20, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27723374/comparison-of-clinical-efficacy-among-endoscopy-assisted-radio-frequency-ablation-extracorporeal-shockwaves-and-eccentric-exercises-in-treatment-of-insertional-achilles-tendinosis
#10
Min Wei, Yujie Liu, Zhongli Li, Zhigang Wang
BACKGROUND: We sought to compare clinical efficacy among endoscopy-assisted radio-frequency ablation under local anesthesia, extracorporeal shockwaves (ESWs), and eccentric exercises in treating insertional Achilles tendinosis. METHODS: In this retrospective study, 78 patients diagnosed as having unilateral insertional Achilles tendinosis were enrolled. These participants underwent endoscopy-assisted radio-frequency ablation, ESWs, and eccentric calf muscle exercises between March 1, 2006, and February 28, 2011...
October 10, 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27677937/novel-treatment-options-for-bouveret-s-syndrome-a-comprehensive-review-of-61-cases-of-successful-endoscopic-treatment
#11
Jean-Marc Dumonceau, Jacques Devière
In Bouveret's syndrome, a biliary stone obstructs the duodenum. Surgical treatment is plagued by high morbidity and mortality. Therefore, endoscopic treatment has become a first-line approach. Areas covered: A literature search of Medline and Google Scholar databases was performed using the terms endoscopic treatment, non-operative treatment, Bouveret's syndrome, and gallstone ileus. Sixty-one cases of successful endoscopic treatment were found over the period 1978-2016 and are summarized herein. Therapeutic modalities used in 52 patients with complete success included mechanical lithotripsy (40% of cases), electrohydraulic lithotripsy (21% of cases), extraction of the intact stone and laser lithotripsy (15% of cases each), extracorporeal shockwave lithotripsy and duodenal stenting (4% of cases each)...
October 5, 2016: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27664561/dosage-effects-of-extracorporeal-shockwave-therapy-in-early-hip-necrosis
#12
Ching-Jen Wang, Chung-Cheng Huang, Hon-Kan Yip, Ya-Ju Yang
BACKGROUND: This study investigated the effects of different dosages of extracorporeal shockwave therapy (ESWT) in early osteonecrosis of the femoral head (ONFH). MATERIALS AND METHODS: Thirty-three patients (42 hips) were randomly divided into three groups. Group A (10 patients with 16 hips) received 2000 impulses of ESWT at 24 Kv to the affected hip. Group B (11 patients with 14 hips) and Group C (12 patients with 12 hips) received 4000 and 6000 impulses of ESWT respectively...
September 21, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27633576/flexible-ureteroscopic-lithotripsy-for-the-treatment-of-upper-urinary-tract-calculi-in-infants
#13
Jun Li, Jing Xiao, Tiandong Han, Ye Tian, Wenying Wang, Yuan Du
We evaluated the clinical value of flexible ureteroscopic lithotripsy for the treatment of upper urinary tract calculi in infants. Fifty-five infants with upper urinary tract calculi were included in this study: 41 males and 14 females. Retrograde intrarenal surgery was performed by an 8 Fr/30 cm flexible ureterorenoscope (POLY®) combined with a holmium laser. CT scanning or radiography of the kidneys, ureters, and bladder region was performed one month after the operation to confirm the clearance of calculi...
September 15, 2016: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/27610642/advances-of-recurrent-risk-factors-and-management-of-choledocholithiasis
#14
Jian-Shan Cai, Sun Qiang, Yin Bao-Bing
Gallstone disease is a common and frequently occurring disease in human, and it is the main disease among the digestive system diseases. The incidence of gallstone disease in western countries is about 5%-22%, and common bile duct stones (CBDS) accounts for 8%-20%. CBDS easily lead to biliary obstruction, secondary cholangitis, pancreatitis, and obstructive jaundice, even endanger life. Therefore, it needs timely treatment once diagnosed. The recurrence of choledocholithiasis after bile duct stones clearance involves complicated factors and cannot be completely elaborated by a single factor...
September 9, 2016: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27551556/impact-of-ureteric-stent-on-outcome-of-extracorporeal-shockwave-lithotripsy-a-propensity-score-analysis
#15
Krystian Kaczmarek, Adam Gołąb, Marcin Słojewski
INTRODUCTION: Extracorporeal shockwave lithotripsy (SWL) is one of the most frequently performed procedures in patients with urolithiasis. For ureter-localized stones, SWL is often preceded by a double J stent insertion. However, fear of serious complications, including sepsis associated with stents, is often expressed. The following study assessed the impact of stent insertions on the results of SWL in patients with ureteric stones. MATERIAL AND METHODS: The study group consisted of 411 ureteric stone patients who were treated with SWL from January 2010 to December 2014...
2016: Central European Journal of Urology
https://www.readbyqxmd.com/read/27547462/extracorporeal-shockwave-lithotripsy-monotherapy-for-treating-patients-with-bladder-stones
#16
Khaled A Telha, Khaled Alkohlany, Ibrahim Alnono
OBJECTIVES: To describe our experience with extracorporeal shockwave lithotripsy (ESWL) for the treatment of bladder stones of <20 mm. PATIENTS AND METHODS: This study was prospectively performed in two hospitals (Althawrah Modern General Hospital, and Ibn Sina Specialized Hospital) between November 2012 and November 2015. In all, 44 patients presented with urethral or bladder stones. The location and size of the stones was assessed by abdominal ultrasonography and plain abdominal radiography of the kidneys, ureters and bladder...
September 2016: Arab Journal of Urology
https://www.readbyqxmd.com/read/27542282/next-generation-sequencing-identifies-articular-cartilage-and-subchondral-bone-mirnas-after-eswt-on-early-osteoarthritis-knee
#17
Jai-Hong Cheng, Ching-Jen Wang, Shi-Hao Su, Chien-Yiu Huang, Shan-Ling Hsu
Extracorporeal shockwave therapy (ESWT) has shown chondroprotective effects on the initiation of the osteoarthritis (OA) changes of the rat knee. This study evaluated 69 significant expressed profiles of microRNA (miRNA) in the articular cartilage and subchondral bone after ESWT. There were 118 target genes identified for miRNAs of interest in articular cartilage and 214 target genes in subchondral bone by next generation sequencing (NGS). In principal component analysis (PCA), the relationships of miRNA expression in bone and cartilage were improved after ESWT...
August 17, 2016: Oncotarget
https://www.readbyqxmd.com/read/27515217/prostaglandin-e2-and-connexin-43-crosstalk-in-the-osteogenesis-induced-by-extracorporeal-shockwave
#18
Youbin Chen, Jiankun Xu, Haojie Liao, Zebin Ma, Yuantao Zhang, Hongjiang Chen, Zhonglian Huang, Jun Hu
As a type of mechanical stimulation, extracorporeal shockwave (ESW) has been widely used in the clinic to treat bone fracture delayed union and non-unions. A large number of studies have shown beneficial effects of ESW in promoting fracture healing by inducing bone regeneration; however, the underlying mechanisms remain unclear. ESW has been shown to induce the production of prostaglandin E2 (PGE2), which is essential for gap junction intercellular communication in response to mechanical stress. Among the 19 known gap junction subunits, connexin43 (Cx43) is the most prevalent for mediating the response of mechanical stress...
September 2016: Medical Hypotheses
https://www.readbyqxmd.com/read/27493808/innovative-trends-and-perspectives-for-erectile-dysfunction-treatment-a-systematic-review
#19
REVIEW
Ezzat A Ismail, Ahmed I El-Sakka
OBJECTIVE: To review contemporary knowledge concerning the innovative trends and perspectives in the treatment of erectile dysfunction (ED). METHODS: Medline was reviewed for English-language journal articles between January 2000 and March 2016, using the terms 'erectile dysfunction treatments', 'new trends' and 'perspectives'. In all, 114 original articles and 16 review articles were found to be relevant. Of the 76 cited papers that met the inclusion criteria, 51 papers had level of evidence of 1a-2b, whilst 25 had level of evidence of 3-4...
June 2016: Arab Journal of Urology
https://www.readbyqxmd.com/read/27489737/does-lithotripsy-increase-stone-recurrence-a-comparative-study-between-extracorporeal-shockwave-lithotripsy-and-non-fragmenting-percutaneous-nephrolithotomy
#20
Ahmed El-Assmy, Ahmed M Harraz, Yasser Eldemerdash, Mohammed Elkhamesy, Ahmed R El-Nahas, Ahmed M Elshal, Khaled Z Sheir
OBJECTIVES: To investigate the effect of stone fragmentation on late stone recurrence by comparing the outcome of extracorporeal shockwave lithotripsy (ESWL) and non-fragmenting percutaneous nephrolithotomy (PCNL), and to investigate factors contributing to recurrent calculi. PATIENTS AND METHODS: We evaluated stone recurrence in 647 patients who initially achieved a stone-free status after ESWL and compared the outcomes to 137 stone-free patients treated with PCNL without stone fragmentation...
June 2016: Arab Journal of Urology
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