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Extracorporeal shock wave lithotripsy.

D Jocham, C Chaussy, E Schmiedt

    Urologia Internationalis
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Urinary stone disease, or urolithiasis, can lead to recurrent stones. Extracorporeal shock wave lithotripsy (ESWL) offers a noninvasive treatment, transforming urolithiasis therapy.

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    Area of Science:

    • Urology
    • Nephrology
    • Biomedical Engineering

    Background:

    • Urolithiasis is a condition linked to metabolic disturbances, often resulting in recurrent urinary stones.
    • Traditional surgical removal of recurrent stones presents significant challenges and risks.
    • The need for less invasive treatment options for urolithiasis has been recognized.

    Purpose of the Study:

    • To introduce and describe the development and clinical impact of extracorporeal shock wave lithotripsy (ESWL).
    • To highlight the shift in therapeutic strategies for urolithiasis with the advent of new technologies.

    Main Methods:

    • Development of extracorporeal shock wave lithotripsy (ESWL) between 1974-1980.
    • Clinical testing of ESWL from 1980-1982 at the Department of Urology, Ludwig Maximilian University, Munich.

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  • Dissemination and global adoption of ESWL technology starting from October 1983.

    • Main Results:

    • ESWL was clinically proven and rapidly adopted worldwide.
    • By April 1986, 20 ESWL centers were established in West Germany and 133 globally.
    • The introduction of ESWL and semi-invasive techniques marked a significant transformation in urolithiasis treatment.

    Conclusions:

    • Extracorporeal shock wave lithotripsy (ESWL) has become a clinically proven, noninvasive method for treating urolithiasis.
    • ESWL, alongside percutaneous lithotripsy and ureterorenoscopy, has revolutionized the therapeutic approach to urinary stone disease.
    • The widespread adoption of ESWL signifies a major advancement in managing urolithiasis and preventing recurrent stone formation.