Abstract
The treatment of kidney stone disease has changed dramatically over the past 30 years. This change is due in large part to the arrival of extracorporeal shock wave lithotripsy (ESWL). ESWL along with the advances in ureteroscopic and percutaneous techniques has led to the virtual extinction of open surgical treatments for kidney stone disease. Much research has gone into understanding how ESWL can be made more efficient and safe. This chapter discusses the parameters that can be used to optimize ESWL outcomes as well as the concepts that are affecting the efficacy and efficiency of ESWL.
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References
Dretler SP. Stone fragility–a new therapeutic distinction. J Urol. 1988;139(5):1124–7.
Klee LW, Brito CG, Lingeman JE. The clinical implications of brushite calculi. J Urol. 1991;145(4):715–8.
Kim SC, Burns EK, Lingeman JE, Paterson RF, McAteer JA, Williams Jr JC. Cystine calculi: correlation of CT-visible structure, CT number, and stone morphology with fragmentation by shock wave lithotripsy. Urol Res. 2007;35(6):319–24.
Lingeman J, Matlaga BR, Evan AP. Surgical management of upper urinary tract calculi. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-walsh urology. Philadelphia, PA: Saunders; 2007. p. 1431–507.
Kaude JV, Williams CM, Millner MR, Scott KN, Finlayson B. Renal morphology and function immediately after extracorporeal shock-wave lithotripsy. AJR Am J Roentgenol. 1985;145(2):305–13.
McAteer JA, Evan AP. The acute and long-term adverse effects of shock wave lithotripsy. Semin Nephrol. 2008;28(2):200–13.
Neucks JS, Pishchalnikov YA, Zancanaro AJ, VonDerHaar JN, Williams Jr JC, McAteer JA. Improved acoustic coupling for shock wave lithotripsy. Urol Res. 2008;36(1):61–6.
Willis LR, Evan AP, Connors BA, et al. Shockwave lithotripsy: dose-related effects on renal structure, hemodynamics, and tubular function. J Endourol. 2005;19(1):90–101.
Connors BA, Evan AP, Blomgren PM, et al. Reducing shock number dramatically decreases lesion size in a juvenile kidney model. J Endourol. 2006;20(9):607–11.
Connors BA, Evan AP, Willis LR, Blomgren PM, Lingeman JE, Fineberg NS. The effect of discharge voltage on renal injury and impairment caused by lithotripsy in the pig. J Am Soc Nephrol. 2000;11(2):310–8.
Kerbl K, Rehman J, Landman J, Lee D, Sundaram C, Clayman RV. Current management of urolithiasis: progress or regress? J Endourol. 2002;16(5):281–8.
Evan AP, McAteer JA, Connors BA, et al. Independent assessment of a wide-focus, low-pressure electromagnetic lithotripter: absence of renal bioeffects in the pig. BJU Int. 2008;101(3):382–8.
Cleveland RO, McAteer JA. The physics of shock wave lithotripsy. In: Smith AD, Badlani GH, Bagley DH, Clayman RV, Docimo SG, Jordan GH, Kavoussi LR, Lee BR, Lingeman JE, Preminger GM, Segura JW, editors. Smith’s Textbook on endourology. Hamilton, ON: BC Decker, Inc; 2007. p. 317–32.
Cleveland RO, Anglade R, Babayan RK. Effect of stone motion on in vitro comminution efficiency of Storz Modulith SLX. J Endourol. 2004;18(7):629–33.
Köhrmann KU, Rassweiler JJ, Manning M, et al. The clinical introduction of a third generation lithotriptor: Modulith SL 20. J Urol. 1995;153(5):1379–83.
Ueda S, Matsuoka K, Yamashita T, Kunimi H, Noda S, Eto K. Perirenal hematomas caused by SWL with EDAP LT-01 lithotripter. J Endourol. 1993;7(1):11–5.
Pishchalnikov YA, Neucks JS, VonDerHaar RJ, Pishchalnikova IV, Williams Jr JC, McAteer JA. Air pockets trapped during routine coupling in dry head lithotripsy can significantly decrease the delivery of shock wave energy. J Urol. 2006;176(6 Pt 1):2706–10.
Jain A, Shah TK. Effect of air bubbles in the coupling medium on efficacy of extracorporeal shock wave lithotripsy. Eur Urol. 2007;51(6):1680–7. discussion 1686–7.
Bergsdorf T, Chaussy C, Türoff S. Energy coupling in extracorporeal shock wave lithotripsy-the impact of coupling quality on disintegration efficacy. J Endourol. 2008;22(Suppl):A161.
Bierkens AF, Hendrikx AJ, de Kort VJ, et al. Efficacy of second generation lithotriptors: a multicenter comparative study of 2,206 extracorporeal shock wave lithotripsy treatments with the Siemens Lithostar, Dornier HM4, Wolf Piezolith 2300, Direx Tripter X-1 and Breakstone lithotriptors. J Urol. 1992;148(3 Pt 2):1052–6. discussion 1056–7.
Lingeman JE. Extracorporeal shock wave lithotripsy. Development, instrumentation, and current status. Urol Clin North Am. 1997;24(1):185–211.
Rassweiler JJ, Knoll T, Köhrmann KU, et al. Shock wave technology and application: an update. Eur Urol. 2011;59(5):784–96.
Pace KT, Ghiculete D, Harju M, Honey RJ. University of Toronto Lithotripsy Associates. Shock wave lithotripsy at 60 or 120 shocks per minute: a randomized, double-blind trial. J Urol. 2005;174(2):595–9.
Madbouly K, El-Tiraifi AM, Seida M, El-Faqih SR, Atassi R, Talic RF. Slow versus fast shock wave lithotripsy rate for urolithiasis: a prospective randomized study. J Urol. 2005;173(1):127–30.
Yilmaz E, Batislam E, Basar M, Tuglu D, Mert C, Basar H. Optimal frequency in extracorporeal shock wave lithotripsy: prospective randomized study. Urology. 2005;66(6):1160–4.
Chacko J, Moore M, Sankey N, Chandhoke PS. Does a slower treatment rate impact the efficacy of extracorporeal shock wave lithotripsy for solitary kidney or ureteral stones? J Urol. 2006;175(4):1370–3. discussion 1373–4.
Eisenmenger W, Du XX, Tang C, et al. The first clinical results of “wide-focus and low-pressure” ESWL. Ultrasound Med Biol. 2002;28(6):769–74.
Semins MJ, Trock BJ, Matlaga BR. The effect of shock wave rate on the outcome of shock wave lithotripsy: a meta-analysis. J Urol. 2008;179(1):194–7. discussion 197.
Pishchalnikov YA, McAteer JA, Williams Jr JC. Effect of firing rate on the performance of shock wave lithotriptors. BJU Int. 2008;102(11):1681–6.
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Lingeman, J., Bhojani, N. (2013). ESWL Principles. In: Nakada, S., Pearle, M. (eds) Surgical Management of Urolithiasis. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6937-7_12
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DOI: https://doi.org/10.1007/978-1-4614-6937-7_12
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