{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:49:26Z","timestamp":1773283766020,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T00:00:00Z","timestamp":1381449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Deutsche Gesellschaft f\u00fcr Urologie (German Society of Urology)","award":["NeA1\/FE-11"],"award-info":[{"award-number":["NeA1\/FE-11"]}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2013,11]]},"abstract":"\n Objectives<\/jats:title>\n \n \n \n \n To evaluate the clinical efficiency of a third generation electromagnetic shock wave lithotripter, the\n L<\/jats:styled-content>\n ithoskop\n \u00ae<\/jats:sup>\n (\n S<\/jats:styled-content>\n iemens,\n E<\/jats:styled-content>\n rlangen,\n G<\/jats:styled-content>\n ermany), regarding outcomes, stone disintegration, retreatment and complication rates.\n <\/jats:p>\n <\/jats:list-item>\n \n \n To compare the results of the\n L<\/jats:styled-content>\n ithoskop with other currently available systems and the reference standard lithotripter, the\n HM<\/jats:styled-content>\n \u20103 (\n D<\/jats:styled-content>\n ornier\n M<\/jats:styled-content>\n ed\n T<\/jats:styled-content>\n ech\n E<\/jats:styled-content>\n urope\n GmbH<\/jats:styled-content>\n ,\n W<\/jats:styled-content>\n essling,\n G<\/jats:styled-content>\n ermany).\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n \n \n \n We analysed the data from 183 patients, including 13 children, undergoing extracorporeal shock wave lithotripsy (\n ESWL<\/jats:styled-content>\n ) for renal and ureteric calculi collected from a prospectively populated database.\n <\/jats:p>\n <\/jats:list-item>\n \n Outcomes were assessed by plain abdominal film of kidney, ureter and bladder and renal ultrasonography for radiopaque and computerized tomography for radiolucent stones 1 day after treatment and after 3 months.<\/jats:p>\n <\/jats:list-item>\n \n We analysed stone size and location before and after treatment, stone disintegration rate, retreatment rate, stone\u2010free and residual fragment rates after 3 months, along with auxiliary procedures and complications.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n The mean (range) patient age was 48.6 (1.3\u201381.4) years, including 13 children with a mean (range) age of 8.4 (1.3\u201316.7) years, and 77% of the patients were male.<\/jats:p>\n <\/jats:list-item>\n \n \n In all, 46% of the calculi were localized in the kidney and 54% in the ureter. Renal stones were localized in the upper, middle and lower calyx and in the renal pelvis in 9, 29, 30 and 32% of patients, respectively. Ureteric stones were localized in the upper, mid\u2010 and distal ureter in 29, 19 and 52% of patients, respectively. The median (range) stone size before\n ESWL<\/jats:styled-content>\n was 10 (4\u201325) mm in the kidney and 8 (4\u201328) mm in the ureteric calculi.\n <\/jats:p>\n <\/jats:list-item>\n \n The overall stone\u2010free rate after 3 months was 91% (88% for renal and 93% for ureteric calculi); the mean number of sessions to achieve these rates was 1.3.<\/jats:p>\n <\/jats:list-item>\n \n \n Stone\u2010free rates and the required number of sessions were determined only by stone size. In 7.1% of the patients (\n n<\/jats:italic>\n = 13) post\u2010interventional auxiliary procedures were necessary.\n <\/jats:p>\n <\/jats:list-item>\n \n We observed one perirenal haematoma as a major complication (0.5%), but this did not require any further therapy.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n \n \n \n Clinical stone\u2010free rates with the\n L<\/jats:styled-content>\n ithoskop are high and similar to those of other available systems, including the reference standard\n HM<\/jats:styled-content>\n \u20103 lithotripter.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Retreatment and complication rates are low, supporting the use of\n ESWL<\/jats:styled-content>\n as first\u2010line therapy for urinary calculi <10\u2009mm, independent of stone location.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12159","type":"journal-article","created":{"date-parts":[[2015,10,13]],"date-time":"2015-10-13T09:47:03Z","timestamp":1444729623000},"page":"972-981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Treatment efficacy and outcomes using a third generation shockwave lithotripter"],"prefix":"10.1111","volume":"112","author":[{"given":"Andreas","family":"Neisius","sequence":"first","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"},{"name":"Division of Urologic Surgery Duke University Medical Center Durham NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"W\u00f6llner","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederik C.","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walburgis","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Hampel","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn M.","family":"Preminger","sequence":"additional","affiliation":[{"name":"Division of Urologic Surgery Duke University Medical Center Durham NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim W.","family":"Th\u00fcroff","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"Gillitzer","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Mainz Mainz Germany"},{"name":"Department of Urology Klinikum Darmstadt GmbH Darmstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(80)92335-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04208.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)41010-X"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)46015-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07048.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.01.026"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.06.045"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.09.107"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07039.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0174"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07117.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0346"},{"key":"e_1_2_8_14_1","first-page":"A293","article-title":"SIEMENS Lithoskop (R) \u2013 first clinical results with a new electromagnetic lithotripsy system","volume":"20","author":"Bergsdorf T","year":"2006","journal-title":"J Endourol"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.10007.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.06.111"},{"key":"e_1_2_8_17_1","unstructured":"TiseliusHG AlkenP BuckCet\u2009al.Guidelines on Urolithiasis Update March 2008 2008. Available at:http:\/\/www.uroweb.org\/fileadmin\/tx_eauguidelines\/2008\/Full\/Urolithiasis.pdf. Accessed 12\/17\/2012"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00182170"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1991.tb15059.x"},{"key":"e_1_2_8_20_1","first-page":"100","article-title":"Efficiency quotient as a means of comparing lithotripters","volume":"4","author":"Denstedt JD","year":"1990","journal-title":"J Endourol"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0302-2838(03)00312-9"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0153"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2007.01970.x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.0225"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.02.033"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2009.216"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65748-5"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64033-5"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9056(05)80182-4"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.10.060"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.03.058"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-012-0133-0"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.3414"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08273.x"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.12159","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.12159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T08:15:29Z","timestamp":1761725729000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.12159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,11]]},"references-count":33,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1111\/bju.12159"],"URL":"https:\/\/doi.org\/10.1111\/bju.12159","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,11]]},"assertion":[{"value":"2013-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}