Value of tomographic densiometry in the treatment of rеnourеtеrаl lithiasis by extracorporeal lithotripsy: Summary of the thesis of the Doctor of Medical Sciences: 321.22 – Urology and andrology

Abstract

[...] CONCEPTUAL LANDMARKS OF THE RESEARCH Introduction. The results of treatment of renoureterial lithiasis by extracorporeal shock wave lithotripsy (ESWL) are determined by the knowledge of calculus density in Hounsfield units (HU) before ESWL, assessed by computed tomography (CT). Due to extremely high diagnostic sensitivity and specificity of CT in case of renouretal lithiasis, it is now also becoming a method of choice in selecting the treatment tactics of renouretal lithiasis. The modern literature in the field describes the concept of fragility and chemical composition of calculus with a major impact on assessing the effectiveness of treatment method. Thorough analysis of the publications in the field demonstrates the importance and impact of determining calculus density by CT, substantially increasing the "stone free" rate, minimizig the development of complications and avoiding unnecessary treatment procedures. [...]