Extracorporeal Shock Wave Lithotripsy

Rolf Schmutz, Medical-technical assistant ESWl, Urologie St. Anna, Lucerne. He is a leading expert in extracorporeal stone wave lithotripsy and over the last 30 years has treated over 23000 patients. He has previously held the position of medical-technical assistant at the University of Berne. Frédéric Birkhäuser is a urology specialist at Urologie St. Anna, in Lucerne, Switzerland. Since 2014 he has been an examiner at the oral examinations of the European Board of Urology (EBU), in Brussells, and since 2013 he has been the external expert of the Swiss National Science Foundation (SNSF) for the review of grant applications. Pascal Zehnder is a urology specialist at Urologie St. Anna, in Lucerne, Switzerland. He is an examiner of oral and practical examinations at the Swiss Board of Urology, as well as a reviewer for numberous scientific journals, including the Journal of Urology, British Journal of Urology International, and the British Journal of Cancer.

1. Indications and contraindications for a ESWL.- 2. General information.- 3. Demanding patient factors.- 4. Preparation of the lithotripter.- 5. Patient positioning and fixation.- 6. Normal kidney position.- 7. Ectopic kidney positions.- 8. Stone positions in the urinary tract.- 9. Stone position close to bones.- 10. Adjuvant procedures before and after ESWL.- 11. Treatment of multiple stones.- 12. Settings of lithotripter.- 13. Bile duct stones and pancreatic duct stones.- 14. Pitfalls.- 15. Tips for a successful ESWL.