Urolithiasis

, Volume 46, Issue 3, pp 223–229 | Cite as

Physical therapy in the management of stone fragments: progress, status, and needs

  • Suoshi Jing
  • Qiongyan Gai
  • Xin Zhao
  • Juan Wang
  • Yuwen Gong
  • Yangyang Pang
  • Chen Peng
  • Yuejun Tian
  • Yuhan Wang
  • Zhiping Wang
Review

Abstract

With an increased risk of symptomatic events, the complications related to residual fragments are complex and intractable. The management of stone fragments is a challenge to urologists. This review focused on the progress, status, and needs of the newly developed physical therapies to remove fragments and improve the stone-free rate. Physical therapies, including mechanical percussion, diuresis, and inversion therapy, ultrasonic propulsion technology, glue–clot technology, and magnetization technology, will facilitate progress in endoscopic stone fragment retrieval.

Keywords

Glue–clot technique Iron oxide microparticle(s) (Fe-MP) Ultrasonic propulsion Mechanical percussion, diuresis, and inversion (PDI) Residual fragment(s) (RF) Magnetization technology 

Abbreviations

BWL

Burst wave lithotripsy

CIRF

Clinically insignificant residual fragment(s)

fURS

Flexible URS

Fe-MP

Iron oxide microparticle(s)

PBS

Phosphate-buffered saline

PDI

Percussion, diuresis, and inversion

PNL

Percutaneous nephrolithotomy

RF

Residual fragment(s)

RIRS

Retrograde intra-renal surgery

SWL

Shock wave lithotripsy

SFR

Stone-free rate

SIRF

Significant residual fragment(s)

URS

Ueterorenoscope

UAS

Ureteral access sheath

UPJ

Ureteropelvic junction

Notes

Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors. No informed consent was necessary for the article, because all patient identifiers were expunged from the reviews.

Conflict of interest

The authors declare that there are no conflicts of interest for this article.

Funding

This study was supported by grants from the National Natural Science Foundation of China (Grant No. 81372733), Major Project of Gansu Provincial Science and Technology Department of China (Grant No. 1203FKDA032), and Gansu Provincial Science Fund for Young Scholars of China (Grant No. 1506RJYA247).

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological DiseasesLanzhou University, Gansu Nephro-Urological Clinical CenterLanzhouChina

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