Gul A. et al., 2020: Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium

Parmar K, Manoharan V, Kumar S, Ranjan KR, Chandna A, Chaudhary K.
Department of Urology, PGIMER, Chandigarh, India.

Lei Q, Wang D, Liu C, Ji Z, Yan S.
Department of Urology, Peking Union Medical College Hospital, Beijing, China.

Adeldaeim HM, Abouyoussif T, Gebaly OE, Assem A, Wahab MMA, Rashad H, Sakr M, Zahran AR.
Department of Urology, Alexandria University, Alexandria, Egypt.
Department of Urology, Alexandria University, Alexandria, Egypt.
Family and Community Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.

Guler Y, Erbin A.
Department of Urology, Private Safa Hospital, Istanbul, Turkey.
Department of Urology, Haseki Traning and Research Hospital, Istanbul, Turkey.

Ito K, Takahashi T, Kanno T, Okada T, Higashi Y, Yamada H.
Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan.

In diesem Webinar wird Dr. Jens Lundgren (DN) sein Wissen und seine praktischen Erfahrungen mit der Ultraschallbildgebung und Stosswellenbehandlung weitergeben. Dr. Lundgrens Kenntnisse der Stosswellentherapie und Ultraschallbildgebung, sowohl als Therapeut als auch als Ausbilder, haben seinen Ruf als Experte auf diesem Gebiet gestärkt. Ultraschall kann zu einer besseren Diagnose beitragen und damit die Ergebnisse der Stosswellenbehandlung verbessern. Die Erkenntnisse, die der Ultraschall liefert, helfen bei der Stosswellentherapie, das richtige Behandlungsgebiet gezielt anzusteuern.

Vor mehreren Jahren begann Paul Hobrough die Stosswellentherapie anzuwenden, nachdem ihm zwei seiner hochkarätigen Kunden, die beiden Lauflegenden Paula Radcliffe und Steve Cram, die enormen Vorteile der Behandlung aufgezeigt hatten. Paul ist auch als Dozent und für seine Beiträge im Magazin Runner's World bekannt. Zudem ist er Autor zweier Bücher für Läufer: »Schmerzfrei laufen: Richtig trainieren, Verletzungen erfolgreich behandeln« und »The Runner's Expert Guide to Stretching: Prevent Injury, Build Strength and Enhance Performance« (nur auf Englisch erhältlich).

Bei neurodegenerativen Erkrankungen kommen verschiedene Formen der Hirnstimulation zum Einsatz. In diesem Webinar spricht der Neurologe Dr. Lars Wojtecki über wissenschaftliche Hintergründe und klinische Daten der Transkraniellen Pulsstimulation (TPS) und teilt Praxiserfahrungen mit der Handhabung und den klinischen Auswirkungen. Für welche Patienten eignet sich TPS? Wie lassen sich TPS^© und TMS vergleichen?

Das Live-Webinar »Epicondylitis: Treatment Concepts Including ESWT and EMTT« wird von Prof. Dr. Matthias Beck vom AVT-College für Osteopathische Medizin in Zusammenarbeit mit STORZ MEDICAL veranstaltet. Professor Beck spricht in diesem Webinar über laterale Epicondylitis – seiner Ansicht nach eines der häufigsten und zugleich wirkungsvollsten Einsatzgebiete von radialer und fokussierter Stosswellentherapie.

Ozer C, Tekin MI. 
Department of Urology, Baskent University, Adana.

Wang Z, Chen G, Wang J, Wei W.
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.

Cam S, Baba D, Senoğlu Y, Yuksel A, Erdem H.
Department of Pediatric Gastroenterology, Istanbul Medeniyet University, Turkey.
Department of Urology, Duzce University, Turkey.
Department of Pathology, Ordu University, Turkey.

Abstract

Background and objective: Extracorporeal shock wave lithotripsy (ESWL) for common bile duct (CBD) stones has been used in the past, but experience is limited. We report our experience of ESWL in the management of difficult CBD stones.

Methods: Patients with difficult-to-retrieve CBD stones were enrolled and underwent ESWL. Fluoroscopy is used to target the stones after injection of contrast via nasobiliary drain. CBD clearance was the main outcome of the study.

Results: Eighty-three patients were included (mean age 50.5 ± 14.5 years); these patients were mainly females (43; 51.8%). Large stones >15 mm were noted in 64 (77.1%), CBD stricture in 22 (26.5%) and incarcerated stone in 8 (9.6%) patients. Patients needed 2.1 ± 1.2 sessions of lithotripsy and 4266 ± 1881 shock waves per session. In 75 (90.3%) patients, the fragments were extracted endoscopically after ESWL, while spontaneous passage was observed in 8 (9.6%). Total CBD clearance was achieved in 67 (80.6%) patients, partial clearance in 5 (6%) and no response in 11 (13.2%). Failure of the treatment was observed in large stone with size ≥2 cm (P = 0.021), incarcerated stone (P = 0.020) and pre-endoscopic retrograde cholangiopancreatography cholangitis (P = 0.047).

Conclusion: ESWL is a noninvasive, safe and effective therapeutic alternative to electrohydraulic lithotripsy and surgical exploration for difficult biliary stones.
J Transl Int Med. 2020 Sep 25;8(3):159-164. doi: 10.2478/jtim-2020-0025. eCollection 2020 Sep. PMID: 33062592. FREE ARTICLE

Danilovic A, Torricelli F, Marchini GS, Batagello C, Vicentini FC, Traxer O, Srougi M, Nahas WC, Mazzucchi E.
Department of Urology, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil.
Sorbonne Université, GRC n 20 Lithiase Renale, AP-HP, Hôpital Tenon, Paris, France.

Klomjit N, Lerman A, Lerman LO.
From the Division of Nephrology and Hypertension (N.K., L.O.L.), Mayo Clinic, Rochester, MN.
Department of Cardiovascular Disease (A.L.), Mayo Clinic, Rochester, MN.

Karsiyakali N, Erkan E, Yucetas U, Koseoglu H, Ates HA, Kadihasanoglu M, Toktas MG.
Department of Urology. University of Health Sciences. Istanbul Training and Research Hospital. Istanbul. Turkey.
Department of Urology. Gebze Fatih State Hospital. Kocaeli. Turkey.

Eine Narbe ist das Ergebnis des Wundheilungsprozesses. Bei Störung oder Verzögerung der Wundheilung kann eine Narbe pathologisch werden. Eine Narbenbildung muss daher unbedingt mit allen zur Verfügung stehenden Mitteln vermieden werden. Aufgrund der Fragilität von eben erst ausgeheilter Haut sind die Behandlungsmöglichkeiten begrenzt. Die ideale Behandlung sollte nicht-invasiv, entzündungshemmend und auf die Remodellierung ausgerichtet sein. Kann die Extrakorporale Stosswellentherapie diese Lücke schliessen?

Alejandro Aragón Rodríguez ist neurologischer Physiotherapeut für Kinder und Erwachsene. Er arbeitet in einem auf neurologische Erkrankungen und Entwicklungsverzögerungen spezialisierten Intensivtherapiezentrum in Barcelona und wendet dabei die »Essentis-Methode« an. In diesem Webinar berichtet er über seine Erfahrungen mit dem personalisierten Programm für Patienten mit Cerebralparese oder anderen neurologischen Störungen.

Chang TH, Lin WR, Tsai WK, Chiang PK, Chen M, Tseng JS, Chiu AW.
Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 10449, Taiwan.
2Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 10449, Taiwan.
3Mackay Medical College, No.46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City, 252, Taiwan.
Mackay Junior College of Medicine, Beitou District, Nursing, and Management, No.92, Shengjing Road, Taipei City, 11272, Taiwan.
Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 10449, Taiwan.
School of Medicine, National Yang-Ming University, No.145, Zhengzhou Rd., Datong Dist., Taipei City, 10341, Taiwan.

Seit Ende Februar 2021 ist der DUOLITH^® SD1 »ultra« mit dem C-ACTOR^® »SEPIA«-Handstück in den USA als Gerät der Klasse II für die Behandlung von chronischen diabetischen Fussulcera (DFU) zugelassen.

Ito K, Takahashi T, Kanno T, Okada T, Higashi Y, Yamada H.
Department of Urology, Ijinkai Takeda General Hospital, Ishida Fushimi-ku, Kyoto, Japan.
Department of Urology, Ijinkai Takeda General Hospital, Ishida Fushimi-ku, Kyoto, Japan.

Das Live-Webinar »Transcranial Pulse Stimulation (TPS^®) in Patients with Alzheimer`s Disease« mit Prof. Dr. Roland Beisteiner wird von SOTERIX Medical in Kooperation mit STORZ MEDICAL veranstaltet.

Die Transkranielle Pulsstimulation (TPS^®) ist eine revolutionäre neue Technik, die eine ultraschallbasierte Pulsstimulation mittels Stoßwellen ermöglicht.

Patel S, Gómez V.
Mayo Clinic, Jacksonville, Florida.

Seitz C, Türk C, Neisius A.
Universitätsklinik für Urologie, Medizinische Universität Wien, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Urologische Praxis mit Steinzentrum Wien, Urologische Abteilung, Barmherzige Schwestern Krankenhaus Wien, Wien, Österreich.
Abteilung für Urologie und Kinderurologie, Krankenhaus der Barmherzigen Brüder, Trier, Deutschland.

Jagtap N, Tandan M, Reddy DN.
Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Jiang P, Xie L, Arada R, Patel RM, Landman J, Clayman RV.
Department of Urology, University of California, Irvine.

Das Live-Webinar »Ankle Sprain and Achillodynia: The Essential Role of ESWT and EMTT in the Conservative Management« wird von Prof. Dr. Matthias Beck vom AVT-College für Osteopathische Medizin in Zusammenarbeit mit STORZ MEDICAL veranstaltet.

Mit der Transkraniellen Pulsstimulation (TPS^®) zur Behandlung von Alzheimer-Patienten können sich ab sofort auch Patienten in der Schweiz behandeln lassen. Anfang Februar 2021 wurde das erste NEUROLITH^®-System erfolgreich in der Praxis Alexander Russ in Zürich installiert.

Die Extrakorporale Magnetotransduktions-Therapie (EMTT) ist ein nicht-invasives Therapieverfahren, das speziell für die Behandlung von Schmerzen und Entzündungen des Muskel-Skelett-Systems entwickelt wurde. Dazu gehören unter anderem Rückenschmerzen und Osteoarthritis sowie typische Sportverletzungen wie Sehnen- und Gelenkentzündungen.

In unserem nächsten Live-Webinar zur ESWT wird Prof. Dr. Karsten Knobloch, FACS, über »ESWT in Lymphology« sprechen. Die Lymphologie ist ein sich schnell entwickelndes medizinisches Fachgebiet, das sich mit der Physiologie und Erkrankungen des lymphatischen Systems beschäftigt.

Yuan C, Jian Z, Jin X, Ma YC, Li H, Wang KJ.
Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Azal Neto W, Reis LO, Pedro RN.
Department of Urology, State University of Campinas, Unicamp, Campinas, Brazil.
Department of UroScience, Pontifical Catholic University of Campinas, PUC-Campinas, Campinas, Brazil.

Di Franco CA, Burrello M, Guzzardi F, Intagliata E, Oxenius I, Galvagno L, Cordaro C.
Department of Urology, S. Elia Emergency Hospital, Caltanissetta.

Seker KG, Arikan Y, Cetin Seker Y, Ozlu DN, Evren I.
Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TUR.
Emergency Medicine, Muş State Hospital, Muş, TUR.
Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, TUR.

Popov SV, Orlov IN, Asfandiyarov FR, Skryabin ON, Suleymanov MM, Sytnik DA.
Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, GBUZ Public Hospital of Saint Luca, Saint Petersburg, Russia.
2Astrakhan State Medicine University, Astrakhan, Russia.

Lai S, Jiao B, Diao T, Seery S, Hu M, Wang M, Hou H, Wang J, Zhang G, Liu M.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.
Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China; Department of Urology, China-Japan Friendship Hospital, Beijing, 100029, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Peking University Fifth School of Clinical Medicine, China.
School of Humanities and Social Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.
Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China; Department of Urology, China-Japan Friendship Hospital, Beijing, 100029, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.

Auch 2021 verursacht COVID-19 weiterhin eine weltweite Ausnahmesituation und bestimmt unser berufliches und privates Leben. Dennoch sind andere Krankheiten, wie Steinleiden, durch die Corona-Pandemie nicht einfach verschwunden.

Der klinische Film zeigt den Prozess einer extrakorporalen Stosswellenlithotripsie (ESWL) mit dem MODULITH^® SLX-F2 »connect« und lässt sowohl Arzt als auch Patient zu Wort kommen.

Abstract

Background: The aims of this study were to determine the predictive value of decision support analysis for the shock wave lithotripsy (SWL) success rate and to analyze the data obtained from patients who underwent SWL to assess the factors influencing the outcome by using machine learning methods.

Methods: We retrospectively reviewed the medical records of 358 patients who underwent SWL for urinary stone (kidney and upper-ureter stone) between 2015 and 2018 and evaluated the possible prognostic features, including patient population characteristics, urinary stone characteristics on a non-contrast, computed tomographic image. We performed 80% training set and 20% test set for the predictions of success and mainly used decision tree-based machine learning algorithms, such as random forest (RF), extreme gradient boosting trees (XGBoost), and light gradient boosting method (LightGBM).

Results: In machine learning analysis, the prediction accuracies for stone-free were 86.0, 87.5, and 87.9%, and those for one-session success were 78.0, 77.4, and 77.0% using RF, XGBoost, and LightGBM, respectively. In predictions for stone-free, LightGBM yielded the best accuracy and RF yielded the best one in those for one-session success among those methods. The sensitivity and specificity values for machine learning analytics are (0.74 to 0.78 and 0.92 to 0.93) for stone-free and (0.79 to 0.81 and 0.74 to 0.75) for one-session success, respectively. The area under curve (AUC) values for machine learning analytics are (0.84 to 0.85) for stone-free and (0.77 to 0.78) for one-session success and their 95% confidence intervals (CIs) are (0.730 to 0.933) and (0.673 to 0.866) in average of methods, respectively.

Conclusions: We applied a selected machine learning analysis to predict the result after treatment of SWL for urinary stone. About 88% accurate machine learning based predictive model was evaluated. The importance of machine learning algorithm can give matched insights to domain knowledge on effective and influential factors for SWL success outcomes.
BMC Urol. 2020 Jul 3;20(1):88. doi: 10.1186/s12894-020-00662-x. PMID: 32620102. FREE ARTICLE

Saraogi M, Geraghty RM, Hameed B, Rob S, Pietropaolo A, Sarica K, Gozen A, Liatsikos E, Somani BK.
Faculty of Life and Environmental Sciences, University of Southampton, United Kindom.
Department of Urology, University hospital Newcastle, United Kindom.
Department of Urology, Kasturba Medical College Manipal, Manipal Academy of Higher Education (MAHE), Karnataka, India.
Department of Urology, University Hospital Southampton NHS Trust, United Kindom.
Department of Urology, Biruni University Medical School, Istanbul, Turkey.
Department of Urology, Klinikum Heilbronn, Heilbronn, Germany.
Department of Urology, University of Patras, Patras, Greece.
Department of Urology, University Hospital Southampton NHS Trust, United Kindom.

Professor Matthias Beck, AVT-College für Osteopathische Medizin, präsentiert die Anwendung von ESWT & EMTT bei Schmerzen im unteren Rücken, mit freundlicher Unterstützung von STORZ MEDICAL.

The next ESWT/EMTT live webinar »Low Back Pain: The ESWT and EMTT in the Treatment of Muscle Trigger Points and Apophysial Joint Dysfunction« will be hosted by Prof. Dr Matthias Beck/AVT College of Osteopathic Medicine in cooperation with STORZ MEDICAL.

Unser nächstes EMTT Live-Webinar »Biological Effects of EMTT – Knowlegde Update« wird von Prof. Dr. Ludger Gerdesmeyer präsentiert.

Our next EMTT live webinar »Biological Effects of EMTT – Knowlegde Update« will be presented by Prof. Dr Ludger Gerdesmeyer.

Raheem OA, Natale C, Dick B, Reddy AG, Yousif A, Khera M, Baum N.
Tulane University School of Medicine, Department of Urology, New Orleans, LA, USA.
Tulane University School of Medicine, Department of Urology, New Orleans, LA, USA.
Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

Unser nächstes ESWT Live-Webinar »ESWT in Dupuytren`s Contracture, Ledderhose`s Disease & Co« wird von Prof. Dr. Karsten Knobloch, FACS gehalten.

Our next ESWT live webinar »ESWT in Dupuytren`s Contracture, Ledderhose`s Disease & Co« will be presented by Prof. Dr Karsten Knobloch, FACS.

Gadelkareem RA, Abdelsalam YM, Ibraheim MA, Reda A, Sayed MA, El-Azab AS.J.
Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of Urology, Armed Forces Medical Complex, Cairo, Egypt.

Peng L, Wen J, Zhong W, Zeng G.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Medical University, Guangzhou, China.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China. 

Soliman MG, Gameel T, El-Tatawy H, El-Abd AS.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Palmieri A, Arcaniolo D, Palumbo F, Verze P, Liguori G, Mondaini N, Falcone M, Scroppo FI, Salonia A, Cai T.
Department of Urology, University Federico II, Naples, Italy.
Department of Urology, University Vanvitelli, Naples, Italy.
San Giacomo Hospital, Monopoli, Bari, Italy.
Department of Urology, University of Trieste, Trieste, Italy.
Urology Unit, Nuovo San Giovanni di Dio Hospital, Florence, Italy.
Department of Urology, University of Turin, Turin, Italy.
Urology Unit, Ospedale di Circolo di Varese, Varese, Italy.
Department of Urology, University Vita e Salute, San Raffaele, Milan, Italy.
Department of Urology, Santa Chiara Regional Hospital, Trento, Italy.

Vinay J, Moreno D, Rajmil O, Ruiz-Castañe E, Sanchez-Curbelo J.
Andrology Department, Fundació Puigvert/Universidad Autònoma de Barcelona, Carrer de Cartagena, 340-350, 08025, Barcelona, Spain.
Urology Department, University of Chile Clinical Hospital, Santiago, Chile.
Andrology Unit, Shady Grove Fertility, Santiago, Chile.
Andrology Department, Fundació Puigvert/Universidad Autònoma de Barcelona, Carrer de Cartagena, 340-350, 08025, Barcelona, Spain.

Wang T, Xia Q, Chen X, Jin X.
Department of Urology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, People's Republic of China.

Jaben IL, Cote GA, Forster E, Moran RA, Broussard KA, Scott N, Cotton PB, Keane T, Elmunzer BJ.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina; Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.
Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina.
NextMed Management Services, Tucson, Arizona.
Department of Urology, Medical University of South Carolina, Charleston, South Carolina.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.

Manzoor H, Saikali SW.
Mayo Hospital Lahore
Clemenceau Medical Center

The next ESWT/EMTT live webinar »The Anterior Knee Pain: Treatment Options with ESWT and EMTT - Part II« will be hosted by Prof. Dr Matthias Beck/AVT College of Osteopathic Medicine in cooperation with STORZ MEDICAL.

Professor Matthias Beck, AVT-College für Osteopathische Medizin, präsentiert die Anwendung von ESWT & EMTT bei Knieschmerzen (Teil II) mit freundlicher Unterstützung von STORZ MEDICAL.

Grivas N, Thomas K, Drake T, Donaldson J, Neisius A, Petřík A, Ruhayel Y, Seitz C, Türk C, Skolarikos A.
Department of Urology, G.Hatzikosta General Hospital, Ioannina, Greece; Department of Urology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands.
Department of Urology, Guy's and St Thomas' NHS Foundation Trust, The Stone Unit, London, UK.
Department of Urology, Southmead Hospital, Bristol, UK.
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
Department of Urology, Hospital of the Brothers of Mercy Trier, Johannes Gutenberg University Mainz, Trier, Germany.
Department of Urology, Region Hospital, Ceske Budejovice, Czech Republic; Dept. of Urology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Department of Urology, Skåne University Hospital, Malmö, Sweden.
Department of Urology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria; Urologische Praxis Mit Steinzentrum, Vienna, Austria.
Second Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Im vorliegenden Beitrag stellt der Autor einen Fall vor, bei dem mittels fokussierter Stosswellentherapie in Kombination mit einer ultraschallgesteuerten Platelet-Rich-Plasma(PRP)-Injektion gute Ergebnisse bei der Therapie einer Pseudarthrose am Femur erzielt werden konnten.

van Huijgevoort NCM, Veld JV, Fockens P, Besselink MG, Boermeester MA, Arvanitakis M, van Hooft JE.
Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Department of Surgery, Amsterdam Gastroenterology and Metabolism, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Department of Gastroenterology and Hepatology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

Randad A, Ghanem MA, Bailey MR, Maxwell AD.
Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, 1606 San Juan Road, Seattle, Washington 98195, USA.

Kalatharan V, Jandoc R, Grewal G, Nash DM, Welk B, Sarma S, Pei Y, Garg AX.
Department of Epidemiology & Biostatistics, Western University, London, ON, Canada.
ICES, London, ON, Canada.
Division of Nephrology, University Health Network and University of Toronto, ON, Canada.
Division of Nephrology, Department of Medicine, Western University, London, ON, Canada.

Cassell A 3rd, Jalloh M, Ndoye M, Mbodji M, Gaye O, Thiam NM, Diallo A, Labou I, Niang L, Gueye S.
Department of Urology and Andrology, Hospital General De Grand Yoff, Dakar, Senegal.
2Department of Surgery, Liberia College of Physicians and Surgeons, Monrovia, Liberia.

Golan R, Cooper KL, Shah O.
Department of Urology, Columbia University Medical Center-NewYork-Presbyterian New York, NY.

Browne C, Redmond E, Kelly T, Rogers E, O'Malley P, Nusrat N, Jaffry S, Durkan G, Walsh K, Dowling C, D'Arcy FT.
Department of Urology, University College Hospital Galway, Newcastle Road, Galway, Ireland.
Department of Urology, University College Hospital Galway, Newcastle Road, Galway, Ireland.

Türer ÖB, Soyer T, Parlak E, Özcan HN, Bilen CY, Tanyel FC. Turk J.
Departments of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Gastroenterology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Abstract

Background: Over the last 30 years, the incidence of pediatric urolithiasis (PU) has been increasing and the surgical management has evolved toward a minimally invasive approach (MIA). We reported the experience of two Centers of Pediatric Surgery in the management of PU, focusing on MIA as first choice in treatment.

Methods: Data were retrospectively analyzed from October 2009 to October 2019 in children with urolithiasis who were admitted to two referral Italian Centers of Pediatric Surgery. Demographic and clinical data of the patients, features of the urolithiasis, type of surgery were considered.

Results: Seventy patients (7.3 ± 5.0 years) with normal renal function were treated for calculi in the pyelocaliceal system (45.7%), ureter (34.3%), bladder (4.3%), urethra (1.4%), and multiple locations (14.3%). Size of calculi was >10 mm in 55.7% of cases (kidney>bladder/urethra>multiple>ureter, p = 0.01). Symptoms were present in 75.7% of patients. Family history was positive in 16.9% of cases. MIA was performed in 59 patients (84.3%): 11.8% shockwave lithotripsy (kidney>ureter>multiple); 32.2% ureteral retrograde surgery (ureteral>other localizations); 30.5% retrograde intrarenal surgery (kidney>other localizations); and 25.4% other procedures including percutaneous nephrolithotomy, cystoscopic bladder stone removal or laser cystolithotripsy (kidney>bladder>multiple). Preoperative stenting was necessary in 52.8% of cases. Four MIA procedures (6.9%, kidney>ureter/multiple) were converted to open surgery. Open surgery was required as first approach in 15.7% of patients (kidney>ureter>multiple) who needed urgent surgery or had associated congenital renal anomalies. In 18/70 of children (25.7%), with prevalence of stones in kidney and multiple location (p < 0.01), a second procedure completed the treatment (88.8% MIA). Intraoperative difficulties were recorded in 8.5% of cases, without difference between location and size of calculi. Late complications (5.7%) were related to displacement and infection of the ureteral stent.

Conclusions: MIA resulted to be feasible in more than 75% of primary surgery and in more than 85% of cases requiring a second procedure. Preoperative stent was mandatory in more than 50% of children. The technological evolution allowed to overcome many of the technical difficulties related to the approach to the papilla and lower calyxes. Open surgery is reserved for selected cases and endoscopic surgery represents the best choice of treatment for PU.
Front Pediatr. 2020 Jul 24;8:377. doi: 10.3389/fped.2020.00377. eCollection 2020. PMID: 32793523. FREE ARTICLE

Ang AJS, Sharma AA, Sharma A.
Yong Loo Lin School of Medicine, Singapore, Singapore.
Johns Hopkins University, Baltimore, USA.
Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Chen JX, Wang CY.
Department of Urology, Jiangshan People's Hospital/Jiangshan Branch of Sir Run Run Shaw Hospital of Zhejiang University, Jiangshan 324100, China.

Larrazabal RJB, Chiu HHC, Sandoval MAS.
Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.
Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.
Division of Endocrinology, Diabetes and Metabolism, Department of Physiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.

The next ESWT live webinar »The Anterior Knee Pain: Treatment Options with ESWT and EMTT - Part I« will be hosted by Prof. Dr Matthias Beck/AVT College of Osteopathic Medicine in cooperation with STORZ MEDICAL.

Professor Matthias Beck, AVT-College für Osteopathische Medizin, präsentiert die Anwendung von ESWT & EMTT bei Knieschmerzen (Teil I) mit freundlicher Unterstützung von STORZ MEDICAL.

Yoshioka T, Omae K, Kawada T, Inoue Y, Sugimoto M, Oeda T, Uehara S, Araki M, Fukuhara S.
1Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima 960-1295, Japan.
2Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto 606-8501, Japan.
3Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University, Fukushima 960-1295, Japan.
4Department of Urology, Onomichi Municipal Hospital, Hiroshima 722-8503, Japan.
5Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima 730-8519, Japan.
6Department of Urology, Kawasaki Medical School General Medical Center, Okayama 700-8505, Japan.
7Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

Prosyannikov MY, Zolotuhin OV, Madykin YY, Konstantinova OV, Voytko DA, Anokhin NV, Sivkov AV.
Department of urolithiasis of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation, Moscow, Russia.
Voronezh regional hospital 1, chief urologist of the Voronezh region, Voronezh, Russia.
VGMU of. N. N. Burdenko, Voronezh, Russia.

Kırlı EA, Türegün FA, Selçuk B, Gültekin MH, Tansu N, Erözenci A, Önal B.
Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

Grabsky AM, Minasyan GM, Khachatryan YA, Martirosyan SA, Toqmajyan MG, Tadevosyan GG, Shadyan GG, Qocharyan AA, Shindyan IM.
Urological Clinic of Izmirlian Medical Center, Yerevan, Armenia.

Ende November 2020 erscheint der elfte Band in der erfolgreichen Fachbuch-Reihe »Stosswellentherapie in der Praxis« (Level 10 Verlag). »Enthesopathies – Knowledge Update« ist eine Neuauflage des Nachschlagewerks des Autors Dr. Ulrich Dreisilker mit dem Titel »Enthesiopathien«, das heute als Klassiker auf dem Gebiet der orthopädischen Stosswellentherapie gilt.

»Enthesopathies – Knowledge Update« by Ulrich Dreisilker, the 11th volume in the successful reference book series »Shock Wave Therapy in Practice«, will be published in November 2020 (Level10 publishing house). This is a new edition of the author’s reference work entitled »Enthesiopathien/Enthesopathies«, now considered a classic in the field of orthopaedic shock wave therapy.

Bereiten Sie sich darauf vor, von Professor Knoblochs 60-minütiger Pre-XMAS-Überraschung über Stosswellen- und Magnetotransduktionstherapie überrascht zu werden.

Prepare to be amazed by Professor Knobloch`s 60 minutes pre-XMAS surprise on Shock Wave and Magnetotransduction Therapy.

Das nächste ESWT Live-Webinar »Rotator Cuff Lesions: The Diagnosis and Conservative Treatment« wird von Prof. Dr. Matthias Beck/ AVT-College für Osteopathische Medizin abgehalten – mit freudlicher Unterstützung von STORZ MEDICAL.

The next ESWT live webinar »Rotator Cuff Lesions: The Diagnosis and Conservative Treatment« will be hosted by Prof. Dr Matthias Beck in cooperation with STORZ MEDICAL.

Belmir H, Azghari A, Sedki N.J.
Department of Vascular Surgery, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Department of Vascular Surgery, Mohammed V University, Rabat, Morocco.
Department of Vascular Surgery, Cheikh Zaid Hospital, Rabat, Morocco.

Zhao FZ, Li J, Tang L, Li CM, Zhang Y, Wang WY, Chen N, Tian Y.J .
Department of Urology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, 100050, PR China.

Hier ein kurzes Update von der Baustelle in Jena. Der Rohbau unseres neuen STORZ MEDICAL Firmengebäudes ist fertiggestellt, der Innenausbau ist im Gange. Wir können es kaum erwarten, mehr zu sehen.

Here a short update from the construction site in Jena, Germany. The shell of our new STORZ MEDICAL company building has been completed and the interior finishing work is in progress. We can`t wait to see more.

Sonmez G, Demir F, Keske M, Karadag MA, Demirtaş A.J.
Department of Urology, Erciyes University, Kayseri, Turkey.
Department of Urology, Kayseri City Hospital, Kayseri, Turkey.

Yang B, Veneziano D, Somani BK.
Royal Hampshire Hospital, Winchester, UK.
Department of Urology and Kidney Transplant, GOM, Reggio Calabria, Italy.
University Hospital Southampton NHS Trust, UK.

Cui HW, Tan TK, Christiansen FE, Osther PJS, Turney BW.
Oxford Stone Group, University of Oxford, Oxford, UK.
Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK.
Department of Urology, Urological Research Center, Lillebaelt Hospital, University of Southern Denmark, Vejle, Denmark.
Oxford Stone Group, University of Oxford, Oxford, UK.

Die Stosswellentherapie ist eine anerkannte Therapieform in Urologie, Orthopädie und Kardiologie. Ein relativ neuer Anwendungsbereich ist die Wundheilung. Auf dem 17. Jahreskongress der Deutschen Gesellschaft für Wundheilung und Wundbehandlung in Bochum präsentierten Experten im Rahmen eines Symposiums von STORZ MEDICAL aktuelle Daten und informierten über den vielversprechenden Therapieansatz.

Shock wave therapy is an acknowledged form of treatment in urology, orthopaedics and cardiology. Wound healing is a relatively new field of application. At a STORZ MEDICAL symposium held in the course of the 17th Annual Congress of the German Wound Healing Society in Bochum, experts presented current data and informed about this promising treatment option.

Liao B, Mou XX, Liu JB, Wu T, Cui S.Zhonghua Nan Ke Xue.
Department of Urology, The Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China.

On 26 October 2020, the annual SWISS EXPORT AWARD Night took place at the Stade de Suisse in Bern, and we were justified in our high hopes, having been selected from a variety of renowned Swiss businesses.

Bei der Behandlung orthopädischer und sportmedizinischer Erkrankungen ist neben der adäquaten schulmedizinischen Behandlung eine schnelle, präzise und einfache Lokalisierung der pathologischen Veränderungen in den zu untersuchenden Geweben wie Bindegewebe, Faszie, Sehne und Muskel im Praxisalltag von großer Bedeutung. In diesen Gewebearten zeichnen sich die aufzufindenden Punkte und Regionen u.a. durch vermehrte Dichte, vermehrtes Volumen und erhöhte Druck-Empfindlichkeit aus. Bestehende Ortungsmöglichkeiten wie manuelle Palpation oder Elastographie sind einerseits zeitaufwendig und schmerzhaft, andererseits wenig verbreitet und apparativ aufwendig.

Unser nächstes ESWT Live-Webinar »ESWT in Sports Medicine: My Treatment Concept in Knee Injuries« wird von Dr. Sebastian Sinz gehalten. Als betreuender Mannschaftsarzt der deutschen Snowboarder, Skispringer, nordischen Kombinierer und Telemarkathleten verfügt er über jahrelange Erfahrung und Expertise in der ganzheitlichen Sportmedizin. Die Stosswellentherapie stellt für ihn dabei ein wichtiges Hilfsmittel seines Therapieansatzes dar.

Our next ESWT live webinar »ESWT in Sports Medicine: My Treatment Concept in Knee Injuries« will be presented by Dr Sebastian Sinz. As the supervising team physician for German snowboarders, ski jumpers, nordic combiners and telemark athletes, he has many years of experience and expertise in holistic sports medicine. Shock wave therapy is an important tool in his therapeutic approach.

Am 26. Oktober 2020 war es soweit. Die alljährliche SWISS EXPORT AWARD Night im Stade de Suisse in Bern stand an und wir machten uns berechtigte Hoffnungen. Wir konnten uns bereits im Vorfeld beim Auswahlprozess gegen eine Vielzahl renommierter Schweizer Unternehmen durchsetzen.

Kızılay F, Özdemir T, Turna B, Karaca N, Şimşir A, Alper I, Nazlı O.
Departments of Urology, Ege University Faculty of Medicine, İzmir, Turkey.
Departments of Anaesthesiology, Ege University Faculty of Medicine, İzmir, Turkey.

Abstract

Technological advances in minimally invasive treatment of stone disease and its integration with concomitant clinical practice are amongst the most important achievements in urology. Despite the wealth of information accumulated over the years and the richness of existing literature, the knowledge about the definition, treatment and outcomes of residual stone fragments after percutaneous nephrolithotomy (PNL) is still insufficient. Due to the high stone load a lot of patients with staghorn stones have residual fragments (RFs) after treatment with PNL, which depends on the size of tract, definition of stone free rate (SFR), timing of evaluation and the imaging used. No consensus exists on the imaging modality or their timing in the evaluation of possible RFs. The treatment of residual stones is apparently different depending on the facilities of the department and the preference of the surgeon, which includes active surveillance, shock wave lithotripsy (SWL), retrograde intrarenal surgery (RIRS) or a second look PNL.
Asian J Urol. 2020 Apr;7(2):116-121. doi: 10.1016/j.ajur.2019.12.013. Epub 2019 Dec 31. PMID: 32257804. FREE ARTICLE

Aditya I, Kwong JCC, Krakowsky Y, Grober ED.
Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Urology, Department of Surgery, Women's College Hospital & Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Yoshioka T, Omae K, Kawada T, Inoue Y, Sugimoto M, Oeda T, Yamasaki T, Fujio K, Otsuki H, Uehara S, Araki M, Fukuhara.
Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.
Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto, Japan.
Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.
Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto, Japan.
Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University, Fukushima, Japan.
Department of Urology, Onomichi Municipal Hospital, Hiroshima, Japan.
Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Department of Urology, Abiko Toho Hospital, Chiba, Japan.
Department of Urology, Kawasaki Medical School General Medical Center, Okayama, Japan.
Department of Urology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.