Comparison of stone elimination capacity and drilling speed of endoscopic clearance lithotripsy devices.

Drilling speed Lithotripsy PCNL Stone clearance Stone fragmentation Stone treatment Technology

Journal

World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 23 12 2019
accepted: 25 03 2020
pubmed: 12 4 2020
medline: 23 7 2021
entrez: 12 4 2020
Statut: ppublish

Résumé

To investigate the fragmentation capacity, clearance time, and drilling speed of combined ultrasonic with impact dual-energy and single energy ultrasonic lithotripter devices. Stone fragmentation and clearance tests were performed under direct view in an underwater layered hemisphere by four different operators using artificial stones (n = 10/operator). Time for complete clearance was measured. Drilling tests were performed using an underwater setup, consisting of a mounting rack for fixing the lithotripter handpiece with the probe in vertical position and in contact with the stone phantom placed on one side of a balance for defined and constant contact application pressure equivalent to 450 g load. Time until complete perforation or in case of no perforation, the penetration depth after 60 s into the stone sample was recorded. Four devices, one single energy device (SED), one dual-energy dual probe (DEDP), two dual-energy single probe (DESP-1, DESP-2), with different parameters were tested. Stone fragmentation and clearance speed were significantly faster for dual-energy device DESP-1 compared to all other devices (p < 0.001). Using DESP-1, the clearance time needed was 26.0 ± 5.0 s followed by DESP-2, SED and DEDP requiring 38.4 ± 5.8 s, 40.1 ± 6.3 s and 46.3 ± 11.6 s, respectively. Regarding the drilling speed, DESP-1 was faster compared to all other devices used (p < 0.05). While the drilling speed of DESP-1 was 0.69 ± 0.19 mm/s, compared to 0.49 ± 0.18 mm/s of DESP-2, 0.47 ± 0.09 mm/s of DEDP, and 0.19 ± 0.03 mm/s of SED. The dual-energy/single-probe device combining ultrasonic vibrations with electromechanical impact was significantly faster in fragmentation and clearing stone phantoms as well as in drilling speed compared to all other devices.

Identifiants

pubmed: 32277277
doi: 10.1007/s00345-020-03184-1
pii: 10.1007/s00345-020-03184-1
doi:

Types de publication

Comparative Study Evaluation Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

563-569

Investigateurs

Markus J Bader (MJ)
Frank Strittmatter (F)
Udo Nagele (U)

Références

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Auteurs

Markus J Bader (MJ)

UroClinic München, Residenzstraße 18, Munich, Germany. markus.bader@urologie-giesing.de.
Department of Urology, University Hospital of Munich, Munich, Germany. markus.bader@urologie-giesing.de.

Maximilian Eisel (M)

Department of Urology, University Hospital of Munich, Munich, Germany. max.eisel@med.uni-muenchen.de.
Laser-Forschungslabor, LIFE-Zentrum, University Hospital of Munich, Munich, Germany. max.eisel@med.uni-muenchen.de.

Frank Strittmatter (F)

Department of Urology, University Hospital of Munich, Munich, Germany.

Udo Nagele (U)

Department of Urology and Andrology, General Hospital Hall in Tirol, Hall in Tirol, Austria.

Christian G Stief (CG)

Department of Urology, University Hospital of Munich, Munich, Germany.

Thomas Pongratz (T)

Department of Urology, University Hospital of Munich, Munich, Germany.
Laser-Forschungslabor, LIFE-Zentrum, University Hospital of Munich, Munich, Germany.

Ronald Sroka (R)

Department of Urology, University Hospital of Munich, Munich, Germany.
Laser-Forschungslabor, LIFE-Zentrum, University Hospital of Munich, Munich, Germany.

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Classifications MeSH