Lithotripsy Training Manual

$50, member; $95, non-member

To order, contact ALS

Prepared by:

The ALS Allied Training Committee


Chapter 1 - Evolution of Shock Wave Lithotripsy

Since FDA approval in 1984 of Dornier 's HM-3, lithotripsy treatment for urolithiasis has evolved into several different generations of Lithotripters.

Chapter 2 - Physics of Energy Sources

Shock waves are compressive waves that can be transmitted through a medium and used to fragment calculi. Multiple energy sources have been developed and incorporated into different Lithotripter designs.

Chapter 3 - Shock Wave Lithotripsy

Working knowledge of the indications, contraindications and special considerations of Shock Wave Lithotripsy are necessary for the safe and effective use of this technology.

Chapter 4 - Stone Formation and Composition

Stones are composed of different substances. Their formation depends on multiple factors such as geography, social customs, heredity, diet, concomitant disease, and predisposing factors.

Chapter 5 - Urolithiasis: Surgical and Medical Interventions

When diagnosed, stones vary in size, shape, composition, number, and anatomical location. These factors may indicate the use of one treatment modality over another. Each treatment modality has its relative advantage and disadvantage in the management of urolithiasis.

Chapter 6 - Anatomy and Physiology of the Urinary System

There are both normal and abnormal anatomical considerations that may effect the successful treatment for stone removal. A background and understanding of these factors is desirable.

Chapter 7 - Imaging

Various forms of imaging are used during diagnosis, treatment, and post-procedural assessment. Each modality has unique characteristics that yields its own risk to benefit ratio.

Chapter 8 - Patient Education and Care

A successful Lithotripsy experience incorporates the patient's rights, alleviates anxiety, and ensures safety during pen operative care. These require documented policies and procedures.



A. Glossary of Terms

B. ALS Guidelines

1. For Treatment of Urinary Tract Stones with Extracorporeal Lithotripters

2. Allied Personnel Guidelines for Patient Care in Lithotripsy

3. For Planning a Quality Assurance Program for Your Lithotripsy Unit

C. Suggested Reading List

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