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Updated: Jul 17, 2026

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Published on: April 8, 2014
[Extracorporeal shock-wave lithotripsy. An established treatment]
M C Reina Ruiz1, J Sánchez de la Vega, R Martínez Ruiz
1Servicio de Urología, Hospital Universitario de Valme, Sevilla.
Extracorporeal shock wave lithotripsy (ESWL) is a leading urinary stone treatment globally, often replacing traditional surgeries. Further research and consensus are needed to optimize its application and define roles for all therapeutic options.
Area of Science:
- Urology
- Nephrology
- Medical Technology
Context:
- Extracorporeal shock wave lithotripsy (ESWL) is a primary treatment for urinary stones worldwide.
- ESWL has largely superseded alternative interventions like open surgery, percutaneous nephrolithotomy, and ureteroscopy.
- Despite ESWL's prevalence, alternative therapies retain specific indications.
Purpose:
- To review the technical aspects of ESWL.
- To outline the most accepted, literature-based indications for ESWL.
- To discuss the adverse bioeffects associated with ESWL and consider future advancements.
Summary:
- This review examines the technical facets of extracorporeal shock wave lithotripsy (ESWL), a dominant therapy for urinary stones.
- It details established indications, potential adverse effects, and future directions for ESWL technology.
- The study highlights the need for a global consensus to refine the application of ESWL and other stone treatment modalities.
Impact:
- Aims to inform clinical practice regarding ESWL use.
- Contributes to the ongoing discussion on optimizing urinary stone management strategies.
- Provides insights into the evolution and future potential of ESWL in urological care.
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