SWL literature
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Neisius A, 2017: [What is the current status of shock wave lithotripsy?]

Neisius A
Abteilung für Urologie und Kinderurologie, Krankenhaus der Barmherzigen Brüder Trier, Akademisches Lehrkrankenhaus der Johannes Gutenberg-Universität Mainz, Nordallee 1, 54292, Trier, Deutschland.

Abstract

BACKGROUND: Shock wave lithotripsy (SWL) became the therapy of choice for the majority of patients with urolithiasis early after its introduction in the early 1980s. Since then, SWL remains the only noninvasive therapy modality for the treatment of urinary stones. Although lithotripters became more versatile and affordable-making them available worldwide-indications for SWL have shifted as well. In most western countries, endoscopic techniques took the lead in stone therapy due to high (early) stone-free and better reimbursement rates. Notwithstanding SWL remains the first-line therapy for most intrarenal and many ureteral stones.
PURPOSE: This contemporary review illuminates technical aspects and improvements of lithotripsy over recent years in context with the current guideline recommendations.
RESULTS: Technical advances in lithotripsy such as shock wave generation, focusing, coupling, stone localization and modifications in therapy regimens are reviewed and presented.
CONCLUSIONS: Urologists are recommended to carefully select the appropriate therapy modality for a patient with urolithiasis. A more comprehensive understanding of the physics of shock waves could lead to much better results, thus, endorsing SWL as first-line therapy for urolithiasis instead of contemporary endourology treatment options.

Urologe A. 2017 Aug 1. doi: 10.1007/s00120-017-0470-9. [Epub ahead of print] Review. German.

 

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Comments 1

Hans-Göran Tiselius on Thursday, 21 December 2017 08:41

This is a comprehensive review of the basic principles of SWL with a look into future aspects of this non invasive therapeutic approach.
The final statement in the Abstract needs attention: “A more comprehensive understanding of the physics of shock waves could lead to much better results, thus, endorsing SWL as first-line therapy for urolithiasis instead of contemporary endourology treatment options”.

This is a comprehensive review of the basic principles of SWL with a look into future aspects of this non invasive therapeutic approach. The final statement in the Abstract needs attention: “A more comprehensive understanding of the physics of shock waves could lead to much better results, thus, endorsing SWL as first-line therapy for urolithiasis instead of contemporary endourology treatment options”.
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