The treatment of ureteric calculi by extra-corporeal shock waves was f
ound to have an 80 % success rate by Mannheim authors, regardless of t
he site of the calculus. The authors compared two 3rd generation appar
atuses : 1 - the Siemens Lithostar Plus, in which waves are produced b
y an electromagnetic cylinder and focussed by a parabolic electromagne
tic cylinder and focussed by a parabolic reflector: 2 - the Storz Medi
cal Modulith SL 10, in which waves produced by an electromagnetic coil
are focussed by acoustic lenses. Both apparatuses are based upon imag
e-intensification and ultrasonography concepts. No difference in effic
acy was found between the two apparatuses. A second shock wave session
was necessary in 16 % of cases and some other type of additional trea
tment in 7 % of cases.