Extracorporeal Shock Wave Lithotripsy: Past, Present, and Future

  • Christian G. Chaussy


Extracorporeal shock wave lithotripsy (ESWL) utilizing the Dornier HM3 lithotripter has rapidly altered the management of upper urinary tract calculi with approximately 500,000 patients having been treated worldwide since the first human trials in Munich in February 1980.1–4 The research leading to the development of the first ESWL device was performed by the Department of Urology, the Institute of Surgical Research, University of Munich, and Dornier GmbH, Friedrichshafen, West Germany, from 1974 to 1980.1,4 The first human prototype (HM1) was actually the fifth lithotripter produced by Dornier.4 Between 1980 and 1983, approximately 1,200 patients were treated on the HM1 and HM2 lithotripters,1 culminating in the development of the HM3 lithotripter. There are now more than 250 of these machines distributed in 28 countries.


Shock Wave Kidney Stone Extracorporeal Shock Wave Lithotripsy Urinary Tract Calculus Radiolucent Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Chaussy C, Eisenberger F, Wanner K, et al: The use of shock wave for the destruction of renal calculi without direct contact. Urol Res 4: 175, 1976.CrossRefGoogle Scholar
  2. 2.
    Chaussy C, Brendel W, Schmiedt E: Extracorporeally induced destruction of kidney stones by shock waves. The Lancet 2: 1265, 1980.CrossRefGoogle Scholar
  3. 3.
    Chaussy C, Schmiedt E, Jocham D, et al: Clinical experience with ESWL. In Extracorporeal Shock Wave Lithotripsy: Technical Concepts, Experimental Research, and Clinical Application, Second Edition. Basel, Switzerland: Karger, 1986.Google Scholar
  4. 4.
    Chaussy C, Schmiedt E, Jocham D, et al: First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol 127: 417, 1982.PubMedGoogle Scholar
  5. 5.
    Chaussy C and Schmiedt E: Shock wave treatment for stones in upper urinary tract. Urol Clin N Am 10: 743, 1983.Google Scholar
  6. 6.
    Chaussy C and Schmiedt E: Extracorporeal shock wave lithotripsy (ESWL): an alternative to open surgery? Urol Radiol 6: 80, 1984.PubMedCrossRefGoogle Scholar
  7. 7.
    Chaussy C, Schmiedt E, Jocham D, et al: Extracorporeal shock wave lithotripsy (ESWL) for treatment of urolithiasis. Urology 23: 59, 1984.PubMedCrossRefGoogle Scholar
  8. 8.
    Lingeman JE, Shirrell WL, Newman DM, et al: Management of upper ureteral calculi with extracorporeal shock wave lithotripsy. J Urol 138: 720, 1987.PubMedGoogle Scholar
  9. 9.
    Miller K, Fuchs G, Rassweiler J, et al: Treatment of ureteral stone disease: the role of ESWL and endourology. World J Urol 3: 445, 1985.Google Scholar
  10. 10.
    Fuchs G, Chaussy C, Riehle R: Treatment of ureteral stones. In Riehle RA and Newman RC (eds): Principles of Extracorporeal Shock Wave Lithotripsy. New York: Churchill-Livingstone, 1987.Google Scholar
  11. 11.
    Fuchs GJ, Chaussy G, Royce PL: Staghorn stones: emerging treatment strategies. Endourol Newslett, 2(3): 1 1987.Google Scholar
  12. 12.
    Eisenberger F, Fuchs G, Miller K: Extracorporeal shock wave lithotripsy and endourology: an ideal combination for the treatment of kidney stones. World J Urol 3: 41, 1985.CrossRefGoogle Scholar
  13. 13.
    Chaussy CG and Fuchs G: Extracorporeal shock wave lithotripsy (ESWL) for the treatment of upper urinary stones. In Gillenwater JY, Grayhack JT, Howards SS, et al. (eds): Textbook of Adult and Pediatric Urology. Chicago: Year Book Medical Publishers, 1987.Google Scholar
  14. 14.
    Kahnoski RJ, Lingeman JE, Coury TA, et al: Combined percutaneous and extracorporeal shock wave lithotripsy for staghorn calculi: an alternative to anatrophic nephrolithotomy. J Urol 135: 679, 1986.PubMedGoogle Scholar
  15. 15.
    Chaussy C and Schmiedt E: Extracorporeal shock wave lithotripsy (ESWL) in the treatment of kidney and ureter stones. In: Handbook of Urology, 17/II, 297, 1986.CrossRefGoogle Scholar
  16. 16.
    Greiner L and Sauerbruch F: Problematic bile duct stones: a new indication for ESWL. Dornier News III, February 1988.Google Scholar
  17. 17.
    Sauerbruch F, Delius M, Paumgartner G, et al: Fragmentation of gallstones by extracorporeal shock waves. NEJM 314: 818, 1986.PubMedCrossRefGoogle Scholar
  18. 18.
    Russo P, Stephenson R, Mies C, et al: High energy shock waves suppress tumor growth in vitro and in vivo. J Urol 135: 626, 1986.PubMedGoogle Scholar
  19. 19.
    Chaussy C, Randazzo RF, Fuchs G: The effects of extracorporeal shock waves on human renal carcinoma cells and normal human embryonic kidney cells. J Urol 135: 320A (abstract), 1986.Google Scholar
  20. 20.
    Chaussy C, Randazzo RF, Fuchs G: The effects of extracorporeal shock waves on Fanft bladder tumors in C3H/HE mice. J Urol 135: 289A (abstract), 1986.Google Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Christian G. Chaussy
    • 1
  1. 1.Stadt Krankenhaus HarlachingMunich 90West Germany

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