Urolithiasis pp 911-915 | Cite as

Shock-Wave Lithotripsy: How Much is Enough?

  • G. W. Drach


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.


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