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Malinaric R. et al., 2023: The Lifetime History of the First Italian Public Extra-Corporeal Shock Wave Lithotripsy (ESWL) Lithotripter as a Mirror of the Evolution of Endourology over the Last Decade

Malinaric R, Mantica G, Martini M, Balzarini F, Mariano F, Marchi G, Tognoni P, Panarello D, Bottino P, Terrone C.
IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.
Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16132 Genova, Italy.
Department of Health Sciences, University of Genoa, 16132 Genova, Italy.

Abstract

Extracorporeal shockwave lithotripsy (ESWL) is the only non-invasive treatment for kidney stones. It does not require an operating room, anesthesia, or hospital stay. Its role evolved over the years and nowadays ESWL is slowly disappearing from many stone centers and urologic departments. We present the history and the role of ESWL treatment since its birth in 1959 and its development through the following years. We also present details of its application and impact on the first Italian stone center in 1985. ESWL has had different roles over the centuries: in the early years it was a great alternative to open surgery and percutaneous nephrolithotripsy (PCNL), then it had its decline with the introduction of the miniscopes. Currently, although ESWL is not considered a treatment of excellence, newer models are emerging. With the application of new technologies and artificial intelligence, this technique can become a good option alongside endourologic treatments.
Int J Environ Res Public Health. 2023 Feb 25;20(5):4127. doi: 10.3390/ijerph20054127. PMID: 36901138 Review. FREE ARTICLE

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Comments 1

Peter Alken on Monday, 03 July 2023 10:30

A sad story. It is hard to understand why the enthusiasm that accompanied the installation of the first lithotripters in Germany in the early 80s faded. Working at that time with the 4th HM3 lithotripter installed worldwide in Germany, I could not imagine anything better for the patients.

See also Yin X, et al.
Development and validation of a predictive model for stone-free failure after extracorporeal shockwave lithotripsy in patients with ureteral stone in a large prospective cohort.
World J Urol. 2023 Mar 13. doi: 10.1007/s00345-023-04358-3. PMID: 36912972

Peter Alken

A sad story. It is hard to understand why the enthusiasm that accompanied the installation of the first lithotripters in Germany in the early 80s faded. Working at that time with the 4th HM3 lithotripter installed worldwide in Germany, I could not imagine anything better for the patients. See also Yin X, et al. Development and validation of a predictive model for stone-free failure after extracorporeal shockwave lithotripsy in patients with ureteral stone in a large prospective cohort. World J Urol. 2023 Mar 13. doi: 10.1007/s00345-023-04358-3. PMID: 36912972 Peter Alken
Friday, 14 June 2024