Shockwave Lithotripsy: Anecdotes and Insights

James E. Lingeman, Samuel C. Kim, Ramsay L. Kuo, James A. McAteer, Andrew Evan

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Shockwave lithotripters have evolved considerably since the introduction of the Dornier HM3 machine 20 years ago. Although shockwave lithotripsy (SWL) remains the preferred treatment for the majority of symptomatic upper urinary-tract calculi, newer lithotripters are not as effective and may have a higher risk of side effects. Lack of progress in lithotripter evolution is attributable to inadequate understanding of how and why shockwaves produce effects on stone and tissue. Current knowledge suggests that stones fragment by the mechanisms of compression fracture, spallation, squeezing, and acoustic cavitation, while tissue damage from shockwaves is secondary to cavitation and non-cavitational forces such as sheer stress. It appears likely that most tissue damage from shockwaves is caused by cavitation. As the understanding of SWL matures, new lithotripter designs may emerge that truly represent an improvement on the original Dornier HM3 machine.

Original languageEnglish
Pages (from-to)687-693
Number of pages7
JournalJournal of Endourology
Volume17
Issue number9
StatePublished - Nov 2003

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Anecdotes
Lithotripsy
Compression Fractures
Urinary Calculi
Urinary Tract
Acoustics
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Lingeman, J. E., Kim, S. C., Kuo, R. L., McAteer, J. A., & Evan, A. (2003). Shockwave Lithotripsy: Anecdotes and Insights. Journal of Endourology, 17(9), 687-693.

Shockwave Lithotripsy : Anecdotes and Insights. / Lingeman, James E.; Kim, Samuel C.; Kuo, Ramsay L.; McAteer, James A.; Evan, Andrew.

In: Journal of Endourology, Vol. 17, No. 9, 11.2003, p. 687-693.

Research output: Contribution to journalArticle

Lingeman, JE, Kim, SC, Kuo, RL, McAteer, JA & Evan, A 2003, 'Shockwave Lithotripsy: Anecdotes and Insights', Journal of Endourology, vol. 17, no. 9, pp. 687-693.
Lingeman JE, Kim SC, Kuo RL, McAteer JA, Evan A. Shockwave Lithotripsy: Anecdotes and Insights. Journal of Endourology. 2003 Nov;17(9):687-693.
Lingeman, James E. ; Kim, Samuel C. ; Kuo, Ramsay L. ; McAteer, James A. ; Evan, Andrew. / Shockwave Lithotripsy : Anecdotes and Insights. In: Journal of Endourology. 2003 ; Vol. 17, No. 9. pp. 687-693.
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