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Related Experiment Video

Updated: Jul 11, 2026

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
07:17

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

Outcomes using a fourth-generation lithotripter: a new benchmark for comparison?

Michael S Nomikos1, Steven J Sowter, David A Tolley

  • 1Department of Urology, The Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, UK.

BJU International
|September 14, 2007
PubMed
Summary

The Sonolith Vision lithotripter effectively treats kidney stones with a 75% stone-free rate, comparable to the HM-3. This advanced technology offers a high success rate with reduced pain management needs.

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Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Area of Science:

  • Urology
  • Medical Devices
  • Nephrolithiasis Treatment

Background:

  • Renal calculi (kidney stones) pose a significant health challenge.
  • Extracorporeal shock wave lithotripsy (ESWL) is a primary treatment modality.
  • Evaluating new lithotripter technology is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess the efficacy of the Sonolith Vision lithotripter for treating renal calculi.
  • To compare Sonolith Vision's performance against the established HM-3 lithotripter.
  • To analyze treatment outcomes based on stone characteristics and location.

Main Methods:

  • A prospective analysis of 309 patients treated with the Sonolith Vision was conducted.
  • Inclusion criteria: single, previously untreated renal calculi in normal kidneys.

Related Experiment Videos

Last Updated: Jul 11, 2026

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
07:17

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

  • Outcomes assessed via imaging (plain films/ultrasonography) at 1 and 3 months post-treatment.
  • Main Results:

    • An initial fragmentation rate of 94% was observed.
    • The overall 3-month stone-free rate was 75%, with higher rates for smaller stones (<10 mm: 77%).
    • Only 7% of patients required additional procedures; no serious complications occurred.

    Conclusions:

    • The Sonolith Vision demonstrates high efficacy in treating renal calculi, comparable to the HM-3.
    • It achieves comparable stone-free rates with lower analgesia requirements and minimal re-treatment needs.
    • This study challenges the notion that newer lithotripters are less effective than older spark-gap models.