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Urolithiasis pp 375–382Cite as

Shock Wave Lithotripsy: Present Indications and Future Prospects

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Abstract

This chapter describes the fundamentals of shock wave lithotripsy (SWL), the instrumentation for SWL, shock wave generation, rate of delivery and focusing, coupling of the shock wave, and stone localization. The process of fragmentation through spallation, cavitation, and comminution is described. The contemporary indications and contraindications to SWL for renal and ureteral calculi, large and staghorn calculi, and calculi in calyceal diverticula are discussed. Lithotripsy advances in the form of changes to the lithotripter, modifications to treatment strategy, and adjuncts that improve SWL safety and efficacy are described. Future technological advances are explored.

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Authors and Affiliations

  1. Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, DUMC 3167, Durham, NC, 27710, USA

    Michael E. Lipkin M.D.

  2. Department of Urologic Surgery, Duke University Medical Center, RM 1573 White Zone, Duke South, DUMC 3167, Durham, NC, 27710, USA

    Glenn M. Preminger M.D.

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  1. Michael E. Lipkin M.D.
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  2. Glenn M. Preminger M.D.
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Correspondence to Michael E. Lipkin M.D. .

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Editors and Affiliations

  1. Department of Surgery Section of Urology, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800, Pakistan

    Jamsheer J. Talati

  2. Karolinska Institutet, Solnavägen 1, Solna, Stockholm, 171 77, Sweden

    Hans-Goran Tiselius

  3. , Syracuse University, Crouse Hospital, 1226 East Water Street, New York, 13210, New York, USA

    David M. Albala

  4. , Department of Urology, Tongji Hospital, 1095 Jiefang Avenue, Wuhan, 430030, China, People's Republic

    ZHANGQUN YE

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Lipkin, M.E., Preminger, G.M. (2012). Shock Wave Lithotripsy: Present Indications and Future Prospects. In: Talati, J., Tiselius, HG., Albala, D., YE, Z. (eds) Urolithiasis. Springer, London. https://doi.org/10.1007/978-1-4471-4387-1_46

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  • DOI: https://doi.org/10.1007/978-1-4471-4387-1_46

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