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Related Experiment Videos

[The Wolf piezolith 2300: lights and shadows].

P Tombolini, M Ruoppolo, C Bellorofonte

    Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
    |December 1, 1989
    PubMed
    Summary

    The Piezolith 2300, a mobile extracorporeal piezoceramic lithotripter, offers a pain-free treatment for kidney and ureteral stones with a 90.2% disintegration success rate. This method avoids patient irradiation and requires minimal auxiliary support, establishing it as a primary choice for stone treatment.

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    Area of Science:

    • Urology
    • Medical Engineering
    • Nephrology

    Background:

    • The Wolf Piezolith 2300 is an extracorporeal lithotripter developed in West Germany.
    • This mobile unit eliminates the need for water tubes, patient irradiation, special room adaptations, electrode replacement, or auxiliary staff.
    • It utilizes piezoceramic technology for stone disintegration.

    Purpose of the Study:

    • To evaluate the efficacy and safety of the Piezolith 2300 for treating reno-ureteral stones.
    • To assess the success rates and complication profile of this novel lithotripter.

    Main Methods:

    • A total of 230 stones in 218 patients (18-79 years old) were treated between February 1988 and May 1989.
    • Ultrasound localization was used, failing in 7 cases of ureteral stones.

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  • The mean number of sessions was 3000 (range 800-6500) per piezoelectric session; 12% of patients required 4 or more sessions.
  • Main Results:

    • Successful stone disintegration was achieved in 90.2% of cases (210 out of 230 stones).
    • Only 1.8% of patients required ancillary procedures post-treatment, with no major complications observed.
    • Stone-free rates were 57.3% at 30 days and 75% at 3 months.

    Conclusions:

    • Extracorporeal Piezoceramic Lithotripsy (EPL) with the Piezolith 2300 is a safe and effective treatment for reno-ureteral stones.
    • The procedure is largely painless, requiring minimal auxiliary measures.
    • EPL is considered a first-choice treatment option for approximately 70% of reno-ureteral stones.