Skip to main content
SpringerLink
Log in

Comparison of electrohydraulic and electromagnetic extracorporeal shock wave lithotriptors for upper urinary tract stones in a single center

  • Original Article
  • Published:
World Journal of Urology Aims and scope Submit manuscript

Abstract

Purpose

To compare the efficacy and outcomes of shock wave lithotripsy (SWL) for upper urinary tract stones with an electrohydraulic (EH) and an electromagnetic (EM) lithotriptor in a single center.

Methods

The medical records of 272 patients with upper urinary tract stones ≤ 2 cm in size who underwent SWL with either the Medispec E3000 EH lithotriptor (179 cases) or the Medispec EM1000 EM lithotriptor (93 cases) were reviewed. The demographic data, stone parameters, stone-free rates, and retreatment rates were analyzed.

Results

The EH group had a higher stone-free rate (53.6 vs. 30.1%, p < 0.001) and a lower retreatment rate (32.4 vs. 61.2%, p < 0.001) for renal and upper third ureteral stones than the EM group. The stone-free rates for renal stones < 1 cm (55.5 vs. 32.2%, p = 0.045), ureteral stones < 1 cm (64.5 vs. 42.1%, p = 0.028), and renal stones ≥ 1 cm (43.1 vs. 0%, p = 0.03) were higher in the EH group. Two patients in the EH group had a renal hematoma needing hospitalization after SWL. There were no complications in the EM group.

Conclusions

The Medispec E3000 EH lithotriptor had higher stone-free rates and lower retreatment rates than the Medispec EM1000 EM lithotriptor for renal stones < 2 cm and ureteral stones < 1 cm. Complications were rare.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Chaussy C, Schmiedt E, Jocham D, Brendel W, Forssmann B, Walther V (2002) First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. 1981. J Urol 167(5):1957–1960

    Article  PubMed  Google Scholar 

  2. Jamshaid A, Ather MH, Hussain G, Khawaja KB (2008) Single center, single operator comparative study of the effectiveness of electrohydraulic and electromagnetic lithotripters in the management of 10- to 20-mm single upper urinary tract calculi. Urology 72(5):991–995. https://doi.org/10.1016/j.urology.2008.03.050

    Article  PubMed  Google Scholar 

  3. Matin SF, Yost A, Streem SB (2001) Extracorporeal shock-wave lithotripsy: a comparative study of electrohydraulic and electromagnetic units. J Urol 166(6):2053–2056

    Article  CAS  Google Scholar 

  4. Schmid HP, Graber SF, Danuser H, Studer UE (1997) Prospective randomized trial to compare a first- to a second generation lithotriptor in solitary kidney stones. Br J Urol Suppl 80:334

    Article  Google Scholar 

  5. Fialkov JM, Hedican SP, Fallon B (2000) Reassessing the efficacy of the Dornier MFL-5000 lithotriptor. J Urol 164(3 Pt 1):640–643

    Article  CAS  PubMed  Google Scholar 

  6. Fuselier HA, Prats L, Fontenot C, Gauthier A Jr (1999) Comparison of mobile lithotripters at one institution: healthtronics lithotron, Dornier MFL-5000, and Dornier Doli. J Endourol 13(8):539–542. https://doi.org/10.1089/end.1999.13.539

    Article  CAS  PubMed  Google Scholar 

  7. Teichman JM, Portis AJ, Cecconi PP, Bub WL, Endicott RC, Denes B, Pearle MS, Clayman RV (2000) In vitro comparison of shock wave lithotripsy machines. J Urol 164(4):1259–1264

    Article  CAS  PubMed  Google Scholar 

  8. Alanee S, Ugarte R, Monga M (2010) The effectiveness of shock wave lithotripters: a case matched comparison. J Urol 184(6):2364–2367. https://doi.org/10.1016/j.juro.2010.08.023

    Article  PubMed  Google Scholar 

  9. Tailly GG (1999) Consecutive experience with four Dornier lithotripters: HM4, MPL 9000, compact, and U/50. J Endourol 13(5):329–338. https://doi.org/10.1089/end.1999.13.329

    Article  CAS  PubMed  Google Scholar 

  10. Sheir KZ, Madbouly K, Elsobky E (2003) Prospective randomized comparative study of the effectiveness and safety of electrohydraulic and electromagnetic extracorporeal shock wave lithotriptors. J Urol 170(2 Pt 1):389–392. https://doi.org/10.1097/01.ju.0000075080.58359.46

    Article  PubMed  Google Scholar 

  11. Bhojani N, Mandeville JA, Hameed TA, Soergel TM, McAteer JA, Williams JC Jr, Krambeck AE, Lingeman JE (2015) Lithotripter outcomes in a community practice setting: comparison of an electromagnetic and an electrohydraulic lithotripter. J Urol 193(3):875–879. https://doi.org/10.1016/j.juro.2014.09.117

    Article  Google Scholar 

  12. Madbouly K, El-Tiraifi AM, Seida M, El-Faqih SR, Atassi R, Talic RF (2005) Slow versus fast shock wave lithotripsy rate for urolithiasis: a prospective randomized study. J Urol 173(1):127–130. https://doi.org/10.1097/01.ju.0000147820.36996.86

    Article  PubMed  Google Scholar 

  13. Pace KT, Ghiculete D, Harju M, Honey RJ, University of Toronto Lithotripsy A (2005) Shock wave lithotripsy at 60 or 120 shocks per minute: a randomized, double-blind trial. J Urol 174(2):595–599. https://doi.org/10.1097/01.ju.0000165156.90011.95

    Article  PubMed  Google Scholar 

  14. Evan AP, McAteer JA, Connors BA, Blomgren PM, Lingeman JE (2007) Renal injury during shock wave lithotripsy is significantly reduced by slowing the rate of shock wave delivery. BJU Int 100(3):624–627. https://doi.org/10.1111/j.1464-410x.2007.07007.x (discussion 627–628)

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd, Zhongshan Dist, Taipei, 104, Taiwan

    Chih-Chiao Lee, Wun-Rong Lin, Jong-Ming Hsu, Yung-Chiong Chow, Wei-Kung Tsai, Pai-Kai Chiang, Marcelo Chen & Allen W. Chiu

  2. School of Medicine, MacKay Medical College, New Taipei City, Taiwan

    Chih-Chiao Lee, Wun-Rong Lin, Jong-Ming Hsu, Yung-Chiong Chow, Wei-Kung Tsai, Pai-Kai Chiang & Marcelo Chen

  3. Department of Cosmetic Applications and Management, MacKay Junior College of Medicine, Nursing and Management, Taipei, Taiwan

    Marcelo Chen

  4. School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Allen W. Chiu

Authors
  1. Chih-Chiao Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wun-Rong Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jong-Ming Hsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yung-Chiong Chow
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Wei-Kung Tsai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Pai-Kai Chiang
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Marcelo Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Allen W. Chiu
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

CCL: project development, data collection, data analysis, and manuscript writing. WRL: data collection and data analysis. JMH: data collection. YCC: data collection. WKT: data collection. PKC: data collection. MC: project development, data analysis, and manuscript editing. AWC: manuscript editing.

Corresponding author

Correspondence to Marcelo Chen.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, CC., Lin, WR., Hsu, JM. et al. Comparison of electrohydraulic and electromagnetic extracorporeal shock wave lithotriptors for upper urinary tract stones in a single center. World J Urol 37, 931–935 (2019). https://doi.org/10.1007/s00345-018-2464-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00345-018-2464-7

Keywords

Search

Navigation