The accumulation of ureteric stone fragments causing ureteric blockage is known as 'Steinstrasse' or 'Stone Street' and is usually described as a complication of shock-wave lithotripsy (SWL). We herein present a rare case of massive Steinstrasse in a young male patient with no previous history of urolithiasis or lithotripsy.

Modern extracorporeal shock wave lithotripsy can be performed with combined ECG and respiratory triggered shock wave release. Disconnecting the ECG triggering increases the risk of ventricular arrhythmias, including potentially malignant ones. The aim of this study was to assess the relationship of any sympatho-adrenal excitation as a possible explanation for the occurrence of cardiac arrhythmi...

Sauerbruch T, Stern M. (1989) Fragmentation of bile duct stones by extracorporeal shock waves: A new approach to biliary calculi after failure of routine endoscopic measures. Gastroenterology, Vol. 96:146-152 A prospective uncontrolled multicenter trial was performed on 113 patients with bile duct stones in whom routine endoscopic approaches for removal of the calculi had failed. These represen...

PURPOSE We aimed to compare the effects of a fast shock wave rate (120 shocks per minute) and a slow shock wave rate (60 shocks per minute) on the shock wave lithotripsy (SWL) success rate, patient's pain tolerance, and complications. MATERIALS AND METHODS A total of 165 patients with radiopaque renal pelvis or upper ureter stones were included in the study. Patients were classified by use of...

OBJECTIVE To assess the efficacy and safety of extracorporeal shock wave lithotripsy with Modularis Vario Siemens in the management of patients with renal and ureteral stones. METHODS Between 2007 and 2009, 225 outpatients were treated with Siemens Modularis Vario lithotripter at Sultan Qaboos University Hospital. Stone size, location, total number of shockwaves, stone-free rate, complication...

PURPOSE Although shock wave lithotripsy has long been considered the gold standard for treatment of kidney stones in children, ureteroscopy has become increasingly common. The factors determining procedure choice at individual centers are unclear. We sought to identify patient and hospital factors associated with the choice between shock wave lithotripsy and ureteroscopy. MATERIALS AND METHOD...

To provide greater understanding of some of the phenomena in Extracorporeal Shock Wave Lithotripsy (ESWL), we implemented a two-phase continuum model for cavitating flow and applied it to the simulation of bubble cloud dynamics in an electrohydraulic lithotripter. Through the combination of a WENO shock capturing scheme, curvilinear coordinates system and ensemble averaged mixture model, we com...