Summary
Extracorporeal shock wave lithotripsy (ESWL) has been in clinical use for more than 5 years. Several devices commonly designated “second generation” lithotriptors are now under experimental or clinical trials. A multifunctional lithotriptor unit developed in cooperation with the Siemens Company in Germany is described, which utilizes an electromagnetic mode of shock wave generation along with local coupling to the patient. The results of 795 treatments are presented. The prototype has been in operation since March 1986. Adjuvant endourological measures, all of which have been performed on the same table, include insertion of double-J stents and ureteral catheters prior to ESWL in 27% of all treatments. Shock wave lithotripsy alone has been performed successfully under local anesthesia or a combination of parenteral analgesia and sedation. Results of treatment have been uniformly satisfying.
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Wilbert, D.M., Reichenberger, H., Hutschenreiter, G. et al. Second generation shock wave lithotripsy: experience with the lithostar. World J Urol 5, 225–228 (1987). https://doi.org/10.1007/BF00327225
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DOI: https://doi.org/10.1007/BF00327225