Extracorporeal Shock Wave Lithotripsy: Past, Present, and Future
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.
KeywordsShock Wave Kidney Stone Extracorporeal Shock Wave Lithotripsy Urinary Tract Calculus Radiolucent Stone
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