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Finite Element Modelling of a Cellular Electric Microenvironment

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[The future of ESWL].

K U Köhrmann¹, D Neisius, J Rassweiler

¹Urologische Abteilung, Theresienkrankenhaus und St. Hedwig-Klinik GmbH, Bassermannstrasse 1, 68165, Mannheim, Deutschland. kai.uwe.koehrmann@theresienkrankenhaus.de

Der Urologe. Ausg. A

|April 5, 2008

Summary

This summary is machine-generated.

Extracorporeal shock wave lithotripsy (ESWL) has treated urinary stones for 25 years. Newer lithotripters haven't improved efficacy due to unidentified shock wave parameters, while endoscopic procedures show greater clinical success.

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Area of Science:

Urology
Biomedical Engineering

Context:

Extracorporeal shock wave lithotripsy (ESWL) has been a primary noninvasive treatment for urinary stones for approximately 25 years.
The advent of the Dornier HM3 lithotripter marked the beginning of ESWL's clinical application.

Purpose:

To review the historical development and clinical efficacy of ESWL and endoscopic procedures for urinary stone management.
To identify the limitations in current lithotripter technology and highlight advancements in alternative treatment modalities.

Summary:

Despite advancements, newer lithotripters have not significantly improved clinical efficacy due to a lack of understanding of critical shock wave parameters.
Research currently focuses on modifying lithotripter focal points, but endoscopic procedures like ureterorenoscopy and percutaneous nephrolithotomy have demonstrated superior clinical outcomes.
Both ESWL and endoscopic interventions are now considered viable options for most urinary stone cases.

Impact:

The choice between ESWL and endoscopic procedures is increasingly influenced by economic factors and surgeon expertise.
ESWL, with or without anesthesia, is expected to remain an integral component of future urinary stone treatment strategies.