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Update on shock wave lithotripsy technology.

Brian K Auge¹, Glenn M Preminger

¹Comprehensive Kidney Stone Center, Division of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.

Current Opinion in Urology

|June 20, 2002

Summary

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Extracorporeal shock wave lithotripsy is a preferred treatment for kidney and ureteral stones, with ongoing technological advancements improving its efficacy and safety. This review updates on shock wave technology, clinical uses, and potential adverse events.

Area of Science:

Urology
Medical Technology

Background:

Extracorporeal shock wave lithotripsy (ESWL) has been a primary treatment for renal and ureteral calculi since 1980.
Extensive clinical data supports the safety and efficacy of ESWL for stone therapy.

Purpose of the Study:

To provide an update on the latest advancements in shock wave lithotripsy technology.
To review current clinical indications and treatment efficacy of ESWL.
To discuss potential adverse events associated with ESWL.

Main Methods:

Review of technological modifications in shock wave generation, focusing, and localization.
Analysis of clinical series documenting ESWL safety and efficacy.
Discussion of expanded indications and comparative effectiveness.

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Main Results:

Shock wave lithotripters have evolved since the initial Dornier HM3 model, maintaining the core principle of acoustic wave-based stone fragmentation.
The safety and efficacy of various lithotripter generations are well-established.
ESWL's clinical efficacy rivals or surpasses other minimally invasive surgical options, though complications can occur.

Conclusions:

This review summarizes recent shock wave technology, clinical applications, and treatment outcomes.
It highlights the expanded role of ESWL in managing urinary calculi.
Potential complications associated with shock wave therapy are also addressed.