Skip to main content
SpringerLink
Log in

Shock Wave Lithotripsy for the Treatment of Ureteral Stones

  • Chapter
  • First Online:
Ureteral Stone Management

  • 880 Accesses

Abstract

Extracorporal shock wave lithotripsy (SWL) and ureteroscopy (URS) are the two primary treatment modalities to manage symptomatic ureteral stones which do not pass the ureter spontaneously. In western countries, recent technological developments in endoscopy have caused an increase of endoscopic treatments for both renal and ureteral stones resulting in a decrease of SWL procedures. Therefore, it has to be discussed if SWL still plays a role in the therapy of ureteral stones. This chapter deals with the indications, contraindications, results and complications of SWL for ureteral calculi. Important technical issues as mechanisms of stone fragmentation, preparation and positioning of the patient are addressed. The need for adjuvant procedures like anesthesia during SWL treatment, ureteral stenting or medical expulsive therapy to improve the passage of stone fragments after SWL is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck AC, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Türk C, Wolf Jr JS. 2007 guideline for the management of ureteral calculi. Eur Urol. 2007;52:1610–31.

    Article  PubMed  Google Scholar 

  2. Hruza M, Schulze M, Teber D, Goezen AS, Rassweiler J. Laparoscopic techniques for removal of renal and ureteral calculi. J Endourol. 2009;23:1713–8.

    Article  PubMed  Google Scholar 

  3. Rassweiler J, Lutz K, Gumpinger R, Eisenberger F. Efficacy of in situ extracorporeal shock wave lithotripsy for upper ureteral calculi. Eur Urol. 1986;12:377–86.

    CAS  PubMed  Google Scholar 

  4. Vieweg J, Weber HM, Miller K, Hautmann R. Female fertility following extracorporal shock wave lithotripsy of distal ureteral calculi. J Urol. 1992;148:1007.

    CAS  PubMed  Google Scholar 

  5. Martinez Portillo FJ, Heidenreich A, Schwarzer U, Michel MS, Alken P, Engelmann U. Microscopic and biochemical fertility characteristics of semen after shock wave lithotripsy of distal ureteral calculi. J Endourol. 2001;15:781–4; discussion 784–5.

    Article  CAS  PubMed  Google Scholar 

  6. Bedir S, Kilciler M, Cincik M, Ozgok Y. Relationship between extracorporal shock wave lithotripsy and semen parameters in patients with lower ureteral stones. Fertil Steril. 2004;82:1687–8.

    Article  PubMed  Google Scholar 

  7. Rassweiler J, Henkel TO, Joyce A, Köhrmann KU, Manning M, Alken P. Extracorporeal shock wave lithotripsy of ureteric stones with the Modulith SL 20. BJU. 1992;70:594–9.

    Article  CAS  PubMed  Google Scholar 

  8. Kose AC, Demirbas M. The modified prone position: a new approach for treating pre-vesical stones with extracorporal shock wave lithotripsy. BJU Int. 2004;93:369–73.

    Article  CAS  PubMed  Google Scholar 

  9. Hara N, Koike H, Bilim V, Takahashi K, Nishiyama T. Efficacy of extracorporal shock wave lithotripsy with patients in rotated spine or rotated prone for treating ureteral stones: a case-control study. J Endourol. 2006;20:170–4.

    Article  PubMed  Google Scholar 

  10. Haleblian G, Kijvikai K, de la Rosette J, Preminger G. Ureteral stenting and urinary stone management: a systematic review. J Urol. 2008;179:424–30.

    Article  PubMed  Google Scholar 

  11. Ghoneim IA, El-Ghoneimy MN, El-Naggar AE, Hammoud KM, El-Gammal MY, Morsi AA. Extracorporal shock wave lithotripsy in impacted upper ureteral stones: a prospective randomized comparison between stented and non-stented techniques. Urology. 2010;75:45–50.

    Article  PubMed  Google Scholar 

  12. Pengfei S, Min J, Jie Y, Xiong L, Wuran W, Yi D, Hao Z, Jia W. Use of ureteral stent in extracorporal shock wave lithotripsy for upper urinary calculi: a systematic review and meta-analysis. J Urol. 2011;186:1328–35.

    Article  Google Scholar 

  13. Hussein M. Does tamsulosin increase stone clearance after shock wave lithotripsy of renal stones? A prospective, randomized controlled study. Scand J Urol Nephrol. 2010;44:27–31.

    Article  CAS  PubMed  Google Scholar 

  14. Falahatkar S, Kgosropanah I, Vajary AD, Bateni ZH, Khosropanah D, Allahkhah A. Is there a role for tamsulosin after shock wave lithotripsy in the treatment of renal and ureteral calculi? J Endourol. 2011;25:495–8.

    Article  PubMed  Google Scholar 

  15. Schuler TD, Shahani R, Honey RJ, Pace KT. Medical expulsive therapy as an adjunct to improve shock wave lithotripsy outcomes: a systematic review and meta-analysis. J Endourol. 2009;23:387–93.

    Article  PubMed  Google Scholar 

  16. Türk C, Knoll T, Petrik A, Sarica K, Straub M, Seitz C. European association of urology guidelines on urolithiasis. EAU Guidelines, edition presented at the EAU Annual Congress Milan 2013. ISBN 978-90-79754-71-7.

    Google Scholar 

  17. Tiselius H-G. How efficient is extracorporal shockwave lithotripsy with modern lithotripters for removal of ureteral stones? J Endourol. 2008;22:249–55.

    Article  PubMed  Google Scholar 

  18. Kanao K, Nakashima J, Nakagawa K, Asakura H, Miyajima A, Oya M, Ohigashi T, Murai M. Preoperative nomograms for predicting stone free rate after extracorporal shock wave lithotripsy. J Urol. 2006;176:1453–7.

    Article  PubMed  Google Scholar 

  19. Resit-Goren M, Dirim A, Ilteris-Tekin M, Ozkardes H. Time to stone clearance for ureteral stones treated with extracorporal shock wave lithotripsy. Urology. 2011;78:26–31.

    Article  PubMed  Google Scholar 

  20. Fuchs G, Miller K, Rassweiler J, Eisenberger F. Extracorporeal shock wave lithotripsy: one-year experience with the Dornier lithotripter. Eur Urol. 1985;11:145–9.

    CAS  PubMed  Google Scholar 

  21. Gerber R, Studer UE, Danuser H. Is new always better? A comparative study of three lithotripter generations. J Urol. 2005;173:2013–6.

    Article  PubMed  Google Scholar 

  22. Nomikos MS, Sowter SJ, Tolley DA. Outcomes using a fourth-generation lithotripter: a new benchmark for comparison? BJU Int. 2007;100:1356–60.

    Article  PubMed  Google Scholar 

  23. 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;179:194–7; discussion 197.

    Article  PubMed  Google Scholar 

  24. Weizer AZ, Zhong P, Preminger GM. New concepts in shock wave lithotripsy. Urol Clin North Am. 2002;34:375–82.

    Article  Google Scholar 

  25. Honey RJD`A, Schuler TD, Ghiculete D, Pace KT, Canadian Endourology Group. A randomized, double-blind trial to compare shock wave frequencies of 60 and 120 shocks per minute for upper ureteral stones. J Urol. 2009;182:1418–23.

    Article  PubMed  Google Scholar 

  26. Zhou Y, Cocks FH, Preminger GM, Zhong P. The effect of treatment strategy on stone comminution efficiency in shock wave lithotripsy. J Urol. 2004;172:349–54.

    Article  PubMed  Google Scholar 

  27. Connors BA, Evvan AP, Blomgren PM, Handa RK, Willis LR, Gao S. Effect of initial shock wave voltage on shock wave lithotripsy-induced lesion size during step-wise voltage ramping. BJU Int. 2008;103:104–7.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Demirci D, Sofikerim M, Yalcin E, Ekmekcioglu O, Gülmez I, Karacagil M. Comparison of conventional and step-wise shock wave lithotripsy in management of urinary calculi. J Endourol. 2007;21:1407–10.

    Article  PubMed  Google Scholar 

  29. Lambert EH, Walsh R, Moreno MW, Gupta M. Effect of escalating versus fixed voltage treatment on stone comminution and renal injury during extracorporal shock wave lithotripsy: a prospective randomized trial. J Urol. 2010;183:580–4.

    Article  PubMed  Google Scholar 

  30. Rassweiler JJ, Knoll T, Köhrmann KU, McAteer JA, Cleveland RO, Bailey MR, Chaussy C. Shock wave technology and application: an update. Eur Urol. 2011;59:784–96.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Eisenmenger W. The mechanisms of stone fragmentation in ESWL. Ultrasound Med Biol. 2001;27:683–93.

    Article  CAS  PubMed  Google Scholar 

  32. Perks AE, Schuler TD, Lee J, Ghiculete D, Chung DG, Honey RJD´A, Pace KT. Stone attenuation and skin-to-stone distance on computed tomography predicts for stone fragmentation by shock wave lithotripsy. Urology. 2008;72:765–9.

    Article  PubMed  Google Scholar 

  33. Basiri A, Zare S, Tabibi A, Sharifiaghdas F, Aminsharifi A, Mousavi-Bahar SH, Ahmadnia H. A multicenter, randomized, controlled trial of transurethral and shock wave lithotripsy – which is the best minimally invasive modality to treat distal ureteral calculi in children? J Urol. 2010;184:1106–10.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Am Gesundbrunnen 20-26, 74078, Heilbronn, Germany

    Marcel Hruza MD & Jens Rassweiler MD

Authors
  1. Marcel Hruza MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jens Rassweiler MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marcel Hruza MD .

Editor information

Editors and Affiliations

  1. Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

    Sutchin R. Patel

  2. Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

    Stephen Y. Nakada

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Hruza, M., Rassweiler, J. (2015). Shock Wave Lithotripsy for the Treatment of Ureteral Stones. In: Patel, S., Nakada, S. (eds) Ureteral Stone Management. Springer, Cham. https://doi.org/10.1007/978-3-319-08792-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-08792-4_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08791-7

  • Online ISBN: 978-3-319-08792-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation