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Urolithiasis pp 911-915 | Cite as

Shock-Wave Lithotripsy: How Much is Enough?

  • G. W. Drach

Abstract

Over 300,000 patients worldwide have received shock-wave treatment for their renal or ureteral stones. There seems to be little question that this method of minimally-invasive treatment of calculi (1) is as effective as open surgery or percutaneous procedures when used on properly-selected patients (2). On the other hand, the major benefit attributed to shock-wave lithotripsy (ESWL) derives from its relative lack of morbidity and similar cost when compared to percutaneous renal stone surgery (3). Of course, some patients require treatment by combined modalities such as ESWL coupled with percutaneous lithotripsy (4). Few now undergo classical open surgery for renal stones.

Keywords

Shock Wave Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ureteral Stone Knoop Hardness 
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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References

  1. 1.
    GW Drach, Extracorporeal shock wave lithotripsy is a surgical operation, albeit noninvasive (Letter to the Editor), J. Urol. In press (1988).Google Scholar
  2. 2.
    GW Drach, Surgical overview of urolithiasis, J. Urol. In press (1988).Google Scholar
  3. 3.
    JE Lingeman, RM Saywell, Jr., JR Woods, and DM Newman, Cost analysis of extracorporeal shock wave lithotripsy relative to other surgical and nonsurgical treatment alternatives for urolithiasis, Medical Care 24:1151 (1986).PubMedCrossRefGoogle Scholar
  4. 4.
    J Rassweiler, R Gumpinger, K Miller, F Holzermann, and F Eisenberger, Multimodal treatment (extracorporeal shock wave lithotripsy and endourology) of complicated renal stone disease, European Urol. 12:294 (1986).Google Scholar
  5. 5.
    RC Newman and B. Finlayson, New developments in ESWL, Am. Urol. Assoc. Update Series, 7:50 (Vol. VII) (1988).Google Scholar
  6. 6.
    GW Drach, S Dretler, W Fair, B Finlayson, J Gillenwater, D Griffith, J Lingeman, and D Newman, Report of the United States cooperative study of extracorporeal shock wave lithotripsy, J. Urol. 135:1127 (1986).PubMedGoogle Scholar
  7. 7.
    C Chaussy, “Extracorporeal Shock Wave Lithotripsy.” Ernst Kieser GmbH, Augsburg, West Germany (1982).Google Scholar
  8. 8.
    JE Lingeman, D Newman, JH Mertz, PG Mosbaugh, RE Steele, RJ Kahnoski, TA Coury, and JR Woods, Extracorporeal shock wave lithotripsy: the Methodist Hospital of Indiana experience, J. Urol. 135(6):1134 (1986).PubMedGoogle Scholar
  9. 9.
    N Papanicolaou, SA Stafford, RC Pfister, AF Althausen, and SP Dretler, Significant renal hemorrhage following extracorporeal shock wave lithotripsy: imaging and clinical features, Radiol. 163:661 (1987).Google Scholar
  10. 10.
    JM Donovan, S Gunasekaran, and GW Drach, Changes in rabbit renal physiology following extracorporeal shock wave treatment, Submitted to J. Urol. (1988).Google Scholar
  11. 11.
    CM Williams, JR Kaude, RC Newman, JC Peterson, and WC Thomas, Extracorporeal shock-wave lithotripsy: long-term complications, Am. J. R. 150:311 (1988).CrossRefGoogle Scholar
  12. 12.
    G Haupt, A Haupt, JM Donovan, GW Drach, and C Chaussy, Short term changes of laboratory values after ESWLR, Submitted to J. Urol. (1988).Google Scholar
  13. 13.
    JE Lingeman, TA Coury, DM Newman, RJ Kahnoski, JH Mertz, PG Mosbaugh, RE Steele, and JR Woods, Nephrostolithotomy and extracorporeal shock wave lithotripsy, J. Urol. 138:485 (1987).PubMedGoogle Scholar
  14. 14.
    MA Al Karawi, AR Mohammed, EE El-Etaibi, MS Abomelha, and RF Seed, Extracorporeal shock-wave lithotripsy (ESWL)-induced erosions in upper gastrointestinal tract, Urology 30:224 (1987).PubMedCrossRefGoogle Scholar
  15. 15.
    AS Cass and GR Onstad, Colonic injury with ESWLR for an upper ureteral calculus, J. Urol. 139:376A (1988).Google Scholar
  16. 16.
    RP Lusk and RS Tyler, Hazardous sound levels produced by extracorporeal shock wave lithotripsy, J. Urol. 137(6):1113 (1987).PubMedGoogle Scholar
  17. 17.
    FL Van Swearingen, DL McCullough, R Dyer, and B Appel, Radiation exposure to patients during extracorporeal shock wave lithotripsy, J. Urol. 138(1):18 (1987).PubMedGoogle Scholar
  18. 18.
    TR Morgan, VP Laudone, WDW Heston, L Zeitz, and WR Fair, Free radical production by high energy shock waves-comparison with ionizing irradiation, J. Urol. 139:186 (1988).PubMedGoogle Scholar
  19. 19.
    PT Hunter, B Finlayson, RJ Hirko, WC Voreck, R Walker, S Walck, and M Nasr, Measurement of shock wave pressures used for lithotripsy, J. Urol. 136:733 (1986).PubMedGoogle Scholar
  20. 20.
    GW Drach and C Chaussy, Particle size and excretion after shock-wave lithotripsy: when is stone destruction adequate? Presented at the Annual Meeting Am. Urol. Assoc, New Orleans (1984).Google Scholar
  21. 21.
    RA Riehle, Jr., HB Carter, and ED Vaughan, Jr., Quantitative and crystallographic analysis of stone fragments voided after extracorporeal shock wave lithotripsy, J. Endourol. 1:37 (1987).CrossRefGoogle Scholar
  22. 22.
    SP Dretler, Stone fragility-a new therapeutic distinction, J. Urol. 139:1124 (1988).PubMedGoogle Scholar
  23. 23.
    AD Randolph and MA Larson, “Theory of Particulate Processes,” Academic Press, San Diego (1988).Google Scholar
  24. 24.
    B Hiske, Personal Communication.Google Scholar
  25. 25.
    S Murata, H Watanabe, T Takahashi, K Watanabi, and H Furue, Studies on the application of microexplosion to medicine and biology. II. Construction and strength of urinary calculi, Japanese J. Urol. 68:249 (1977).Google Scholar
  26. 26.
    R Thomas, B Sloane, and J Roberts, Effect of extracorporeal shock wave lithotripsy on renal function, J. Urol. 139:323A (1988).Google Scholar
  27. 27.
    K Ison, Physical and technical introduction to lithotripsy, in: “Lithotripsy II,” MJ Coptcoat, RA Miller, and JEA Wickham, eds., BDI Publishing, London (1987).Google Scholar
  28. 28.
    J Graff, A Schmidt, J Pastor, D Herberhold, J Rassweiler, and U Hankemeier, New generator for low pressure lithotripsy with the Dornier HM3: preliminary experience of 2 centers, J. Urol. 139:904 (1988).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • G. W. Drach
    • 1
  1. 1.Department of Surgery/UrologyUniversity of ArizonaTucsonUSA

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