[Extracorporeal shockwave lithotripsy 5 years on]

Area of Science:

• Urology
• Biomedical Engineering

Background:

• The Research Urological Institute developed the URAT-II lithotriptor (1984-1987).
• Advancements have led to the development of the ARKO-LIT polyfunctional lithotriptor.

Purpose of the Study:

• To introduce the novel ARKO-LIT lithotriptor with advanced features.
• To highlight the importance of proper lithotripsy management for complication prevention.

Main Methods:

• Development of a polyfunctional lithotriptor with a double guidance system.
• Incorporation of various impulse generation forms and physical parameters.
• Integration of endoscopic, X-ray diagnostic, and therapeutic capabilities with a water cushion.

Main Results:

• The ARKO-LIT lithotriptor is designed for versatile stone destruction.
• Lipid peroxidation evaluation indicates moderate cell membrane changes under proper conditions.
• Changes resolve within 7 days post-treatment with adequate patient management and technique.

Conclusions:

• Proper management and understanding of impulse physics are crucial for preventing lithotripsy complications.
• Inadequate patient assessment or procedural technique can lead to severe complications.
• The ARKO-LIT aims to improve lithotripsy outcomes through advanced technology and user knowledge.