Skip to main content
SpringerLink
Log in

Extracorporeal piezoelectric lithotripsy using the Wolf-lithotriptor versus low energy lithotripsy with the modified Dornier HM-3: a cooperative study

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

Summary

In January 1986, a cooperative study was started at the Katharinenhospital in Stuttgart, FRG (modified Dornier HM-3) and Kreiskrankenhaus in Kempten, FRG (Wolf Piezolith 2200) to evaluate the range of indications, efficacy and required anesthesia of both lithotriptors. Stone classification and general indications for interventional therapy were similar in both centers. The Dornier HM-3 operates with a modified generator and a new ellipsoid which provide low pressure lithotripsy. With the Piezolith 2200, 99% of ESWL-treatments were performed without any anesthesia, whereas with the modified Dornier HM-3 lithotriptor, minor analgesia using tramadol was necessary in 92%, epidural anesthesia in 8%. The overall success rate was similar in both centers (Piezolith 2200: 94.5% vs Dornier HM-3: 98%). Only 46% of the patients were treated successfully in one session with the Wolf lithotriptor compared to 88% with the Dornier HM-3. Ultrasound localization with the Piezolith 2200 failed in 58% of ureteral calculi, whereas fluoroscopic stone localization (Dornier HM-3) was insufficient in the majority of slightly or nonopaque calculi.

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. Aeikens B, Fritz K-W, Hoehne E (1986) Initial experience with local anesthesia in extracorporeal shock wave lithotripsy. Urol int 41:246–247

    Google Scholar 

  2. Bub P, Rohs M, Rassweiler J, Bräutigam K H, Eisenberger F (1987) The efficacy of epidural catheter anesthesia for extracorporael shockwave lithotripsy. Endourology Newsletter Vol. 2,2

  3. Chaussy C, Fuchs G (1985) Erfahrungen mit der extracorporalen Stoßwellenlithotripsie nach 5 Jahren klinischer Anwendung. Urologe A 24:305–309

    Google Scholar 

  4. Eisenberger F, Fuchs G, Miller K, Rassweiler J (1985) Extracorporeal shockwave lithotripsy and endourology — an ideal combination for the treatment of kidney stones. World J Urol 3:41–47

    Google Scholar 

  5. Eisenberger F, Miller K, Fuchs G, Gumpinger R, Rassweiler J (1987) Urologische Steintherapie. Thieme Stuttgart New York

    Google Scholar 

  6. Eisenmenger W (1962) Elektromagnetische Erzeugung von ebenen Druckstössen in Flüssigkeiten. Acustica 12, 185–202

    Google Scholar 

  7. Fair WR, Malhotra V (1986) Extracorporeal shock wave lithotripsy (ESWL) using local infiltration anesthesia. J Urol 135, 2: 181A (abstr. No. 310)

  8. Fischer N, Rübben H, Hofsäß S, Forssmann B, Schockenhof B, Giani G (1987) Schmerzfreie ESWL mit dem Dornier Lithotripter HM3. Urologe (A) 26:29–32

    Google Scholar 

  9. Gumpinger R, Miller K, Fuchs G, Eisenberger F (1985) Antegrade ureteroscopy for stone removal. Eur Urol 11:199–202

    Google Scholar 

  10. Heine G (1987) Alternative Stoßwellenerzeugungsverfahren. In: Ziegler M (ed) Die extrakorporale und laserinduzierte Stoßwellenlithotripsie bei Harn- und Gallensteinen. Springer Berlin — Heidelberg, 1–19

    Google Scholar 

  11. Jenkins AD ESWL — Alternative technologies 44th Anual Meeting of the Mid-atlantic section of the AUA, Bermuda, September, 28 – October, 2, 1986

  12. Jocham D, Liedl B, Schuster C, Chaussy C, Schmiedt E (1987) Dornier Lithotripter: is a waterbath-free shockwave coupling comparable to the bathtub system? J Urol 137, 2:144A (abstr. No. 161)

  13. Kopper B, Ziegler M, Konrad G, Riedlinger R, Wurster H, Goebbels R, Stoll HP (1986) Extracorporale piezoelektrische Stoßwellenlithotripsie — EpSWL. 8. Symposium für Experimentelle Urologie, Mainz, 4.–5. Juli

  14. Kuwahara M, Kurosu S, Kambe K, Kageyama S, Orikasa S, Takayama K (1986) Extracorporeal microexplosive lithotripsy: experience of 40 clinical cases. J Urol 135, 2, 159A (abstr. No. 223)

  15. Kuwahara M, Kambe K, Kurosu S, Orikasa S, Takayama K (1986) Extracorporeal stone disintegration using chemical explosive pellets as an energy source of underwater shock waves. J Urol 135:814–817

    Google Scholar 

  16. Marberger M, Türk CH, Steinkogler I (1987) Piezo-ESWL changing the therapeutic concept of renal calculi. J Urol 137, 2:144A (abstr. No. 162)

  17. Marshall F, Makofsi RA, Mark F, Weiskopf F B, Lew F, Gnier W, Sanders R, Massey JT (1987) Shockwave destruction of renal calculi: new technical modifications. J Urol 131, 2:133A (abstr. No. 118)

  18. Martin X, Dubernard JM, Gelet A, Mestas JL, Cathignos D (1986) Extracorporeal shockwave lithotripsy using ultrasonic stone localisation. J Urol 135, 2:159A (abstr. No. 224)

  19. Martin X, Mestas JL, Cathignol D, Margonari J, Dubernand J M (1986) Ultrasound stone localisation for extracorporeal shockwave lithotripsy. Brit J Urol 58:349–352

    Google Scholar 

  20. Mayo ME, Chapman WH, Anwell JS (1986) Progress report on the Lasertripter. J Urol 135, 2:160A (abstr. No. 225)

  21. Muschter R, Kutscher K-R, Böhle A, Schmeller NT, Renner P, Bünner G, Hofstetter AG, Hofsäß S, Forssmann B (1987) Die ESWL mit dem Dornier-Lithotripter HM-3 mit modifiziertem Stoßwellengenerator. Urologe (A) 26:33–35

    Google Scholar 

  22. Neisius D, Kopper B, Ziegler M.: Die Zertrümmerung von Nierensteinen mit dem Piezolith — klinische Erfolge. In: Ziegler M (ed) Die extracorporale und laserinduzierte Stoßwellenlithotripsie bei Harn- und Gallensteinen. Springer Berlin - Heidelberg pp 50–52

  23. Pastor J, Graff J, Senge Th, Herberhold D, Hankemeier V (1987) New developments in ESWL without invasive anesthesia. Dornier User Letter 2:7–10

    Google Scholar 

  24. Penfil R (1987) Second generation: Technology and clinical experiences of Medstone International. 3rd Symposium on extracorporeal shockwave lithotripsy: Emerging concepts. Indianapolis, February 28 – March 1

  25. Rassweiler J, Gumpinger R, Miller K, Höltzermann F, Eisenberger F (1986) Multimodal treatment (extracorporeal shockwave lithotripsy and endourology) of complicated renal stone disease. Eur Urol 12:294–304

    Google Scholar 

  26. Rassweiler J, Lutz K, Gumpinger R, Eisenberger F (1986) Efficacy of in situ extracorporeal shock wave lithotripsy for upper ureteral calculi. Eur Urol 12:377–386

    Google Scholar 

  27. Rassweiler J, Schmidt A, Eisenberger F, Gumpinger R, Mayer R (1987) ESWL — practical hints and future aspects. J Urol 137, 2:141A (abstr. No. 149)

  28. Rassweiler J, Schmidt A, Gumpinger R, Eisenmenger W, Eisenberger F (1987) Experimental basis of ESWL using different principles of shockwave generation. J Urol 137, 2:278A (abstr. No. 696)

  29. Riedlinger R, Ueberle F, Wurster H, Krauß W, Vallon P, Konrad G, Kopper B, Stoll HP, Goebbels R, Gebhard T, Ziegler M (1986) Die Zertrümmerung von Nierensteinen durch piezoelektrisch erzeugte Hochenergie — Schallpulse. Physikalische Grundlagen und experimentelle Untersuchungen. Urologe A 25:188–192

    Google Scholar 

  30. Shene W, Lawson R (1987) Second generation: Technology and clinical experiences of Northgate Research. 3rd Symposium on extracorporeal shockwave lithotripsy: Energy concepts. Indianapolis, February 28 March 1

  31. Thibault Ph, Dory J, Vallancien G (1986) Extracorporeal lithotripsy with a second generation lithotripter: preliminary results. J Urol 135, 2:266A (abstr. No. 650)

  32. Vallancien G, Brisset JM, Veillon B, Aviles J (1987) Clinical results with piezo-electric second generation LTO1 lithotripter. J Urol 137, 2:144A (abstr. No. 164)

  33. Wilbert DM, Reichenberger H, Noske E, Riedmiller H, Alken P, Hohenfellner R (1986) New generation multifunctional shockwave lithotripter. J Urol 135, 2:160A (abstr. No. 226)

  34. Wilbert DM, Riedmiller H, Alken P, Hohenfellner R (1987) Second generation local shockwave lithotripsy — clinical evaluation. J Urol 137, 2:144A (abstr. No. 163)

  35. Ziegler M, Kopper B, Riedlinger R, Wurster H, Ueberle F, Neisius D, Krauss W, Vallon P, Gebhard T (1986) Die Zertrümmerung von Nierensteinen mit einem piezoelektrischen Gerätesystem. Erste klinische Erfahrungen. Urologe A 25:193–197

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Katharinenhospital, Kriegsbergstraße 60, 7000, Stuttgart 1, Germany

    J. Rassweiler, H. Kohl, A. Schmidt & F. Eisenberger

  2. Department of Urology, Kreiskrankenhaus Kempten, Germany

    R. Gumpinger & R. Mayer

Authors
  1. J. Rassweiler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Gumpinger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Mayer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Kohl
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Schmidt
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. F. Eisenberger
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rassweiler, J., Gumpinger, R., Mayer, R. et al. Extracorporeal piezoelectric lithotripsy using the Wolf-lithotriptor versus low energy lithotripsy with the modified Dornier HM-3: a cooperative study. World J Urol 5, 218–224 (1987). https://doi.org/10.1007/BF00327224

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00327224

Keywords

Search

Navigation