Abstract

After 6 years of experimental research at the Departments of Urology and Surgical Research of the Ludwig—Maximilian University in Munich, extracorporeal shock-wave lithotripsy (ESWL) was introduced for clinical use in 1980. Uniquely successful and increasingly requested by stone patients, the method soon became widespread. Currently more than 2000 lithotriptors are in operation worldwide and over 5 000 000 treatments have been carried out successfully. Clinical experience in all centers has proven the safety, reliability, and reproducibility of the method. Currently approximately 70% of nonselected stone patients are eligible to receive ESWL treatment and, when combined with endourological procedures, more than 95% of patients can benefit from this method and thus avoid open surgery.

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