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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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Related Experiment Video

Updated: May 7, 2026

Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
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Treatment efficacy and outcomes using a third generation shockwave lithotripter.

Andreas Neisius1, Jens Wöllner, Christian Thomas

  • 1Department of Urology, University Medical Center Mainz, Mainz, Germany; Division of Urologic Surgery, Duke University Medical Center, Durham, NC, USA.

BJU International
|October 15, 2013
PubMed
Summary

The Lithoskop device demonstrates high clinical stone-free rates for urinary calculi, comparable to other systems and the HM-3 lithotripter. Extracorporeal shock wave lithotripsy (ESWL) with this device is effective for stones under 10 mm, with low retreatment and complication rates.

Keywords:
ESWLLithoskop®efficacy and outcomeselectromagnetic third generation lithotripter

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Area of Science:

  • Urology
  • Medical Devices
  • Nephrology

Background:

  • Urinary calculi treatment often involves extracorporeal shock wave lithotripsy (ESWL).
  • Evaluating new lithotripter technologies is crucial for improving patient outcomes.
  • The Lithoskop is a third-generation electromagnetic shock wave lithotripter.

Purpose of the Study:

  • To assess the clinical efficacy of the Lithoskop lithotripter.
  • To evaluate stone disintegration, retreatment, and complication rates.
  • To compare Lithoskop performance against other systems and the HM-3 reference standard.

Main Methods:

  • Analysis of data from 183 patients (including 13 children) undergoing ESWL for renal and ureteric calculi.
  • Outcomes assessed via imaging (plain film, ultrasonography, CT) at 1 day and 3 months post-treatment.
  • Evaluation of stone size, location, disintegration, retreatment, stone-free rates, auxiliary procedures, and complications.

Main Results:

  • Overall 3-month stone-free rate was 91% (88% renal, 93% ureteric) with a mean of 1.3 sessions.
  • Stone-free rates and sessions required were primarily dependent on stone size.
  • Auxiliary procedures were needed in 7.1% of patients; one major complication (perirenal hematoma) occurred (0.5%).

Conclusions:

  • The Lithoskop achieves high clinical stone-free rates, comparable to existing ESWL systems.
  • Low retreatment and complication rates support ESWL as a first-line therapy for urinary calculi <10 mm.
  • Stone location does not appear to significantly impact treatment success with the Lithoskop.