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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

Author

Listed:
  • Rafaela Malinaric

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy
    Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16132 Genova, Italy)

  • Guglielmo Mantica

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy
    Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16132 Genova, Italy)

  • Mariano Martini

    (Department of Health Sciences, University of Genoa, 16132 Genova, Italy)

  • Federica Balzarini

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy)

  • Federico Mariano

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy
    Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16132 Genova, Italy)

  • Giovanni Marchi

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy
    Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16132 Genova, Italy)

  • Piero Tognoni

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy)

  • Daniele Panarello

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy)

  • Paolo Bottino

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy)

  • Carlo Terrone

    (IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy
    Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 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.

Suggested Citation

  • Rafaela Malinaric & Guglielmo Mantica & Mariano Martini & Federica Balzarini & Federico Mariano & Giovanni Marchi & Piero Tognoni & Daniele Panarello & Paolo Bottino & Carlo Terrone, 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," IJERPH, MDPI, vol. 20(5), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4127-:d:1080252
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