Clinical application of the therapeutic ultrasound in urologic disease: Part II of therapeutic ultrasound in urology.
Kidney neoplasms
Prostate
Ultrasonic therapy
Urolithiasis
Journal
Investigative and clinical urology
ISSN: 2466-054X
Titre abrégé: Investig Clin Urol
Pays: Korea (South)
ID NLM: 101674989
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
12
02
2022
revised:
14
03
2022
accepted:
17
03
2022
pubmed:
8
6
2022
medline:
9
7
2022
entrez:
7
6
2022
Statut:
ppublish
Résumé
This article aimed to review the clinical application and evidence of the therapeutic ultrasound in detail for urological diseases such as prostate cancer, kidney tumor, erectile dysfunction, and urolithiasis. We searched for articles about high-intensity focused ultrasound (HIFU), extracorporeal shock wave therapy, ultrasound lithotripsy, and extracorporeal shockwave lithotripsy (ESWL) in the MEDLINE and Embase. HIFU may be indicated as a primary treatment for low- or intermediate-risk prostate cancer, and salvage therapy for local recurrence as a promising way to address the limitations of current standard therapies. The application of HIFU in treating kidney tumors has scarcely been reported with unsatisfactory results. Evidence indicates that low-intensity shockwave therapy improves subjective and objective erectile function in patients with erectile dysfunction. Regarding the application of ultrasound in stone management, the novel combination of ultrasound lithotripsy and other energy sources in a single probe promises to be a game-changer in efficiently disintegrating large kidney stones in percutaneous nephrolithotomy. ESWL is losing its role in managing upper urinary tract calculi worldwide. The burst-wave lithotripsy and ultrasound propulsion could be the new hope to regain its position in the lithotripsy field. According to our investigations and reviews, cavitation bubbles of the therapeutic ultrasound are actively being used in the field of urology. Although clinical evidence has been accumulated in urological diseases such as prostate cancer, kidney tumor, erectile dysfunction, and lithotripsy, further development is needed to be a game-changer in treating these diseases.
Identifiants
pubmed: 35670002
pii: 63.e47
doi: 10.4111/icu.20220060
pmc: PMC9262482
doi:
Types de publication
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
394-406Subventions
Organisme : Korea Medical Device Development Fund
ID : KMDF_PR_20200901_0010
Organisme : Korea Medical Device Development Fund
ID : 1711134986
Organisme : Korea Medical Device Development Fund
ID : NTIS 202011B04
Organisme : National Research Foundation of Korea
ID : 1711145583
Organisme : National Research Foundation of Korea
ID : 2017R1A2B3007907
Informations de copyright
© The Korean Urological Association.
Déclaration de conflit d'intérêts
The authors have nothing to disclose.
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