An innovative mobile lithotripter for extracorporeal shock wave lithotripsy and therapy.
BACKGROUND
To assess the performance of a new mobile device for extracorporeal shock wave lithotripsy (ESWL) and therapy (ESWT).


METHODS
278 patients underwent 399 treatment for stone disease. 28 patients received 64 treatments for orthopaedic issues such as pseudarthrosis or enthesiopathies resistant to conservative treatment.


RESULTS
During ESWL, minor pain symptoms were well resolved with analgesics intravenously. 45% of patients were stone-free and 50% had irrelevant fragments at the time of discharge. 66% of patients underwent a single treatment. Auxiliary measures after ESWL were necessary in 5%. After ESWT, pain symptoms of all patients were reduced on average to 5.2 points on a numerical rating scale from 1 to 10. Patients with bony nonunions produced callus if the bone scan before ESWT showed activity. No complication related to either form of treatment was observed.


CONCLUSIONS
This innovative mobile lithotripter fulfils all expectations a user can have in an upt-to-date equipment: good disintegration, low side effects, easy handling, fast installation, dual imaging and suitability for ESWL and ESWT.
Department of Urology, Faculty of Medicine, University of Ulm, Germany.
Rainer
R
Küfer
Björn
B
Volkmer
Thomas
T
Nesslauer
Peter
P
Schneider
Richard E
RE
Hautmann
Jürgen E
JE
Gschwend
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation*; D008875:Middle Aged; D014545:Urinary Calculi / Q000628:therapy*