Removal of Small, Asymptomatic Kidney Stones and Relapse

Article Urology & Nephrology

Best Practice in Interventional Management of Urolithiasis: An Update from the European Association of Urology Guidelines Panel for Urolithiasis 2022

Robert M. Geraghty et al.

Summary: The European Association of Urology has updated its guidelines on clinical best practice in urolithiasis for 2021, providing a summary of best clinical practice in surgical intervention for patients with upper tract urolithiasis.

EUROPEAN UROLOGY FOCUS (2023)

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Article Medicine, General & Internal

Dietary Risk Factors for Incident and Recurrent Symptomatic Kidney Stones

Api Chewcharat et al.

Summary: This study found that lower intake of calcium, potassium, caffeine, phytate, and fluids were associated with a higher risk of incident symptomatic kidney stone formation. Among incident stone formers, lower dietary calcium and potassium intake were predictive of symptomatic kidney stone recurrence. Increasing dietary intake of calcium and potassium may help prevent recurrent symptomatic kidney stones.

MAYO CLINIC PROCEEDINGS (2022)

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Article Medicine, General & Internal

Removal of Small, Asymptomatic Kidney Stones and Incidence of Relapse

Mathew D. Sorensen et al.

Summary: This study found that removing small, asymptomatic kidney stones during surgery for urinary or contralateral kidney stones can reduce the risk of relapse and result in a similar number of emergency department visits related to the surgery.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

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Article Urology & Nephrology

First Series Using Ultrasonic Propulsion and Burst Wave Lithotripsy to Treat Ureteral Stones

M. Kennedy Hall et al.

Summary: This study aimed to test the efficacy and safety of using transcutaneous focused ultrasound, through ultrasonic propulsion and burst wave lithotripsy, to reposition and break ureteral stones in awake subjects in order to relieve pain and facilitate passage.

JOURNAL OF UROLOGY (2022)

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Article Acoustics

Maximizing mechanical stress in small urinary stones during burst wave lithotripsy

Oleg A. Sapozhnikov et al.

Summary: Burst wave lithotripsy (BWL) uses tone bursts for treatment, and it was found that at low frequencies, the maximum principal stress is approximately equal to the pressure amplitude, while at higher frequencies, the maximum stress can increase significantly. It is recommended to increase the BWL frequency for small stones to improve the likelihood of fragmentation.

JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA (2021)

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Review Urology & Nephrology