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Practical Tips in Urology pp 341–362Cite as

How Does Shock Wave Break Stones

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Abstract

The introduction of new lithotripters increased problems of shock wave application. Recent studies concerning mechanisms of stone disintegration, shock wave focusing, coupling and application have appeared, that may address some of these problems.

The theory of dynamic squeezing offers new insight in stone fragmentation. With the water cushion, quality of coupling has become a critical factor depending on amount, viscosity and temperature of coupling gel. Fluoroscopy time can be reduced by automated localization or the use of optical and acoustic tracking systems. Efficacy of ESWL can be increased by lowering the pulse rate to 60–80 SW/min and by ramping the SW-energy.

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Author information

Authors and Affiliations

  1. Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Heilbronn, 74078, Germany

    Jens J. Rassweiler, Philip Rieker & Marcel Fiedler

  2. Department of Urology, Medical School, University of Ulm, Ulm, Germany

    Jan Klein

Authors
  1. Jens J. Rassweiler
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  2. Philip Rieker
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  3. Marcel Fiedler
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  4. Jan Klein
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Corresponding author

Correspondence to Jens J. Rassweiler .

Editor information

Editors and Affiliations

  1. Department of Urology, East Surrey Hospital, Redhill, United Kingdom

    Abhay Rané

  2. Department of Urology, Ege University School of Medicine, İzmir, Turkey

    Burak Turna

  3. Case Western University, University Hospitals Urology Institute, Cleveland, Ohio, USA

    Riccardo Autorino

  4. Urology, SLK Kliniken, Heilbronn, Baden-Württemberg, Germany

    Jens J. Rassweiler

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Rassweiler, J.J., Rieker, P., Fiedler, M., Klein, J. (2017). How Does Shock Wave Break Stones. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_36

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  • DOI: https://doi.org/10.1007/978-1-4471-4348-2_36

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  • Online ISBN: 978-1-4471-4348-2

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