Analysis finds variability in stone density influences ESWL effectiveness in urolithiasis, suggesting better patient selection.
Extracorporeal shock wave lithotripsy (ESWL) is recognised as the ideal non-invasive procedure for urolithiasis. However, the suitability of ESWL varies depending on the composition of the stone. The chemical structure of the stone may not be uniform throughout the stone and this heterogeneity provides the clue in the form of variation coefficient of stone density. To be aware of the success of the stone breakage by ESWL is an advantage upfront, so that it is possible to apply the technology to the most appropriate patient. This is an important aspect in the successful management of urolithiasis.
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Krishna Kumar Govindarajan (2025) studied this question.
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