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Ureteral lithotripsy with the electromechanical impactor

J D Denstedt1, H A Razvi, M J Fox

  • 1Division of Urology, University of Western Ontario, London, Canada.

Journal of Endourology
|December 1, 1995
PubMed
Summary

The electromechanical impactor (EMI) offers a safer alternative for breaking ureteral stones compared to electrohydraulic lithotripsy (EHL). However, its large probe size limits its use in certain patients.

Area of Science:

  • Urology
  • Endourology
  • Medical Devices

Background:

  • Conventional electrohydraulic lithotripsy (EHL) for ureteral calculi carries a risk of ureteral injury.
  • The electromechanical impactor (EMI) is an EHL probe modification designed for safer stone fragmentation.

Purpose of the Study:

  • To evaluate the preliminary safety and efficacy of the electromechanical impactor (EMI) for treating ureteral calculi.
  • To assess the success rate and complications associated with EMI use in a patient cohort.

Main Methods:

  • A prospective study involving 23 patients with ureteral calculi treated with the EMI.
  • Assessment of device employability, need for adjunctive lithotripsy, and fragmentation success.
  • Endoscopic and postoperative imaging to evaluate for complications.

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Main Results:

  • The EMI could not be used in 9 of 23 patients due to access issues or device malfunction.
  • Successful fragmentation as the sole modality was achieved in 9 patients (39% success rate).
  • No complications were directly attributed to the EMI during endoscopic or postoperative evaluation.

Conclusions:

  • The electromechanical impactor (EMI) appears to be a safe device for intracorporeal lithotripsy of ureteral stones.
  • The 5F probe size of the EMI limits its applicability with smaller ureteroscopes, potentially restricting its widespread use.