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Leapman MS et al, 2018: Variation in National Opioid Prescribing Patterns Following Surgery for Kidney Stones.

Leapman MS, DeRycke E, Skanderson M, Becker WC, Makarov DV, Gross CP, Driscoll M, Motamedinia P, Bathulapalli H, Mattocks K, Brandt CA, Haskell S, Bastian LA.
Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, Connecticut.
Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Population Health, NYU Langone Medical Center, New York, New York.
VA New York, NY Harbor Healthcare System.

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Peter Alken
The most devastating pain in urology is colicky pain. But even in this acute situation opioids are rarely given in Europe: The 20... Read More
Wednesday, 09 January 2019 15:29
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Zewin TS et al, 2018: Efficacy and safety of low-intensity shock wave therapy in penile rehabilitation post nerve-sparing radical cystoprostatectomy: a randomized controlled trial.

Zewin TS, El-Assmy A, Harraz AM, Bazeed M, Shokeir AA, Sheir K, Mosbah A.
Urology Department, Urology & Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
All patients suffered from postoperative ED. In the Li-ESWT group patients received 12 sessions of penile within 9 weeks while the... Read More
Monday, 07 January 2019 15:25
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Fan J et al, 2018: The role of super-mini percutaneous nephrolithotomy (SMP) in the treatment of symptomatic lower pole renal stones (LPSs) after the failure of shockwave lithotripsy (SWL) or retrograde intrarenal surgery (RIRS).

Fan J, Zhang T, Zhu W, Gurioli A, Ketegwe IR, Zeng G.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Guangdong Provincial Key Laboratory of Urology, No. 1-3, Kangda Road, Guangzhou, Guangdong, 510230, China.
Department of Urology, Turin University of Studies, Turin, Italy.

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Peter Alken
This publication comes from a department with extensive experience in super-mini percutaneous nephrolithotomy (SMP). “All the proc... Read More
Friday, 04 January 2019 15:22
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Veld JV et al, 2018: A systematic review of advanced endoscopy-assisted lithotripsy for retained biliary tract stones: laser, electrohydraulic or extracorporeal shock wave.

Veld JV, van Huijgevoort NCM, Boermeester MA, Besselink MG, van Delden OM, Fockens P, van Hooft JE.
Department of Gastroenterology and Hepatology, Department of Surgery, Department of Interventional Radiology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands.

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Peter Alken
The trend described is similar to that for the treatment of pancreatic duct stones. It is surprising to see that electrohydraulic... Read More
Wednesday, 02 January 2019 15:19
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Fankhauser CD et al, 2018: Extracorporeal shock wave lithotripsy versus flexible ureterorenoscopy in the treatment of untreated renal calculi.

Fankhauser CD, Hermanns T, Lieger L, Diethelm O, Umbehr M, Luginbühl T, Sulser T, Müntener M, Poyet C.
Department of Urology, University Hospital, University of Zurich, Zurich, Switzerland.
Department of Urology, City Hospital Triemli of Zurich, Zurich, Switzerland.
Department of Urology, Spital Uster, Uster, Switzerland.

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Peter Alken
This is a good retrospective study which has the added value of a propensity score-matched analysis of a large case number and thu... Read More
Monday, 31 December 2018 15:15
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Gadzhiev N et al, 2018: Novel Approach for Endoscopic Management of Duodenal Injury during Perirenal Infected Haematoma Drainage after Shock-Wave Lithotripsy.

Gadzhiev N, Gorelov D, Smirnov A, Al-Shukri S, Petrov S.
Department of Urology, Department of Endoscopy, Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia.
Department of Urology, The Nikiforov Russian Center of Emergency and Radiation Medicine, Saint-Petersburg, Russia.

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Peter Alken
The duodenal lesion happened not as a consequence of ESWL but during the percutaneous puncture and drainage of the hematoma.... Read More
Thursday, 27 December 2018 15:11
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Choo MS et al, 2018: A Prediction Model using Machine Learning Algorithm for Assessing Stone-Free Status after Single-Session Shockwave Lithotripsy to Treat Ureteral Stones.

Choo MS, Uhmn S, Kim JK, Han JH, Kim DH, Kim J, Lee SH.
Department of Urology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong-si, Geonggi-do, Republic of Korea; Department of Computer Engineering, Hallym University (SU, DHK, JK), Chuncheon, Gangwon-do, Republic of Korea.

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Peter Alken
This paper is worth reading because it is a new promise to predict the future. “Stone length as well as stone width and height me... Read More
Friday, 21 December 2018 15:07
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Proietti S et al, 2018: Italian endourological panorama: results from a national survey.

Proietti S, Somani BK, Pietropaolo A, Saitta G, Rodríguez-Socarrás ME, Rosso M, Bellinzoni P, Gaboardi F, Giusti G.
Urology Department, IRCCS San Raffaele Scientific Institute, Ville Turro Division, Milan, Italy.
Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom.

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Peter Alken
An interesting article because of the data and moreover because of the discussion which touches many aspects of the urological pro... Read More
Wednesday, 19 December 2018 14:59
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Wang YB et al, 2018: Efficacies of Various Surgical Regimens in the Treatment of Renal Calculi Patients: a Network Meta-Analysis in 25 Enrolled Controlled Clinical Trials.

Wang YB, Cui YX, Song JN, Yang Q, Wang G.
Department of Urology, Third Operating Room, First Operating Room, Second Operating Room, the First Hospital of Jilin University, Changchun, China.

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Peter Alken
Another Network Meta-Analysis. A simple rule to avoid wasting time is: do not read meta-analyses which do not state in the introdu... Read More
Monday, 17 December 2018 14:56
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Zhu GQ et al, 2018: Efficient Promotion of Autophagy and Angiogenesis Using Mesenchymal Stem Cell Therapy Enhanced by the Low-Energy Shock Waves in the Treatment of Erectile Dysfunction.

Zhu GQ, Jeon SH, Bae WJ, Choi SW, Jeong HC, Kim KS, Kim SJ, Cho HJ, Ha US, Hong SH, Lee JY, Kwon EB, Kim SW.
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Urology, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.
KEMIMEDI, Seoul, Republic of Korea.

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Hans-Göran Tiselius
Treatment of patients with erectile dysfunction as a complication to diabetes mellitus (DM) might be difficult because of the vasc... Read More
Friday, 14 December 2018 10:31
438 Hits
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Kodama K et al, 2018: Renal arteriovenous fistula induced by extracorporeal shock wave lithotripsy treated by retroperitoneoscopic nephrectomy.

Kodama K, Takase Y, Tokai R, Saito K.
Department of Urology, Toyama City Hospital, Toyama, Japan.
Department of Pathology, Toyama City Hospital, Toyama, Japan.

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Hans-Göran Tiselius
Case report of an arterio-venous fistula that was assumed to be the consequence of SWL directed towards the lower calyx. It is ama... Read More
Wednesday, 12 December 2018 10:26
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Zang ZJ et al, 2018: The impact of low-intensity extracorporeal shock wave therapy on testicular function in adult rats.

Zang ZJ, Liu Q, Hu J, Feng J, Zhu YQ, Ma G, Jiang MH.
Department of Infertility and Sexual Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Cell-gene Therapy Translational Medicine Research Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China.

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Peter Alken
Do patients have to be informed about possible testicular damage while being treated with Li-ESWT? I would say, no: “…the use of a... Read More
Tuesday, 11 December 2018 14:51
394 Hits
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Akelma H et al, 2018: Comparison of Ketamine with Midazolam versus Ketamine with Fentanyl for Pediatric Extracorporeal Shock Wave Lithotripsy Procedure: A Randomized Controlled Study.

Akelma H, Kiliç ET, Salik F, Kaydu A.
Department of Anesthesiology, Diyarbakır Gazi Yasargil Research and Education Hospital, Diyarbakır, Turkey.
Department of Anesthesiology, Ümraniye Training and Research Hospital, Istanbul, Turkey.
Department of Anesthesiology, Karaman State Hospital, Karaman, Turkey.
Department of Anesthesiology, Diyarbakır Selahaddini Eyyübi State Hopital, Diyarbakır, Turkey.

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Hans-Göran Tiselius
SWL is an excellent procedure for stone removal in children. The major problem is related to the need of anesthesia and general an... Read More
Monday, 10 December 2018 08:29
474 Hits
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Kiaei MM et al, 2018: Enteral diclofenac controls pain and reduces intravenous injection during extracorporeal shock wave lithotripsy.

Kiaei MM, Mohaghegh MR, Movaseghi G, Ghorbanlo M.
Hasheminejad Kidney Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Anesthesia and Critical Care, Hasheminejad Kidney Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

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Hans-Göran Tiselius
How pain should be avoided during SWL has remained a matter of debate ever since this non-invasive method for stone removal was in... Read More
Friday, 07 December 2018 08:21
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Ali M et al, 2018: Shock wave lithotripsy versus endoscopic cystolitholapaxy in the management of patients presenting with calcular acute urinary retention: a randomised controlled trial.

Ali M, Hashem A, Helmy TE, Zewin T, Sheir KZ, Shokeir AA.
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
Very good results with ESWL on bladder stones integrate and clear stones in 43 patients (86%), while 2 patients required 2 session... Read More
Thursday, 06 December 2018 14:48
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Beshliev DA et al, 2018: [The first domestic lithotripter URAT-: to the 30th anniversary of introduction].

Beshliev DA, Martov AG, Golubchikov IV, Dutov VV.
Research Institute of Public Health and Medical Management, Moscow Health Department, Moscow, Russia.
A.I. Burnazyan SSC FMBC, FMBA of Russia, Moscow, Russia.
The Network of medical centers "Open Clinic", Moscow, Russia.
M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia.

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  500 Hits
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Hans-Göran Tiselius
Currently no comment available.
Wednesday, 05 December 2018 08:05
500 Hits
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Bres-Niewada E et al, 2018: A stone pushed back to the collecting system - long therapeutic path in centers with limited access to flexible instruments.

Bres-Niewada E, Dybowski B, Zapała P, Poletajew S, Miązek-Zapała N, Michałek I, Radziszewski P.
Medical University of Warsaw, Department of Urology, Warsaw, Poland.

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Hans-Göran Tiselius
The authors of this report seem to be convinced that ureteral stones only can be removed with flexible ureteroscopy. This is a fir... Read More
Monday, 03 December 2018 07:48
522 Hits
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Dzięgała M et al, 2018: Evaluation and physiopathology of minor transient shock wave lithotripsy - induced renal injury based on urinary biomarkers levels.

Dzięgała M, Krajewski W, Kołodziej A, Dembowski J, Zdrojowy R.
Wrocław Medical University, Department of Urology and Oncological Urology, Wrocław, Poland.

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Hans-Göran Tiselius
This is a review article on different biomarkers to detect kidney injury. The report is the result of a literature search. There a... Read More
Friday, 30 November 2018 07:40
599 Hits
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Pandey S et al, 2018: Post-extracorporeal shockwave lithotripsy perirenal haematoma.

Pandey S, Garg G, Agarwal S, Aggarwal A.
Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

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Hans-Göran Tiselius
This is a case report of a patient who developed a subcapsular renal hematoma as a complication to SWL. The description is rather ... Read More
Wednesday, 28 November 2018 07:36
588 Hits
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Weigel WA et al, 2018: Process improvement for a complex dual medical procedure.

Weigel WA, Gluck M, Ross AS, Lin OS, Williams BL, Blackmore CC.
Department of Anesthesiology, Department of Radiology, Department of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA.
Center for Healthcare Improvement Science, Virginia Mason Medical Center, Seattle, Washington, USA.

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Peter Alken
The article does not focus on ESWL but describes an organizational and procedural rearrangement of the combined therapy of pancrea... Read More
Tuesday, 27 November 2018 14:37
756 Hits
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Yildirim K et al, 2018: Trends in the treatment of urinary stone disease in Turkey.

Yildirim K, Olcucu MT, Colak ME.
Urology, Training and Research Hospital, Elazig, Turkey.
Urology, Agri State Hospital, Agri, Turkey.
Software Engineering, Firat University, Elazig, Turkey.

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Hans-Göran Tiselius
This report is based on results from replies to a questionnaire delivered to more than 750 urologists in Turkey. Although the res... Read More
Monday, 26 November 2018 07:30
590 Hits
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Yamaçake KGR et al, 2018: Low-intensity shockwave therapy for erectile dysfunction in kidney transplant recipients. A prospective, randomized, double blinded, sham-controlled study with evaluation by penile Doppler ultrasonography.

Yamaçake KGR, Carneiro F, Cury J, Lourenço R, Françolin PC, Piovesan AC, Srougi M, Nahas WC, Antonopoulos IM.
Division of Radiology, Division of Urology, Renal Transplantation Unit, Division of Urology, University of São Paulo Medical School, São Paulo, Brazil.

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Hans-Göran Tiselius
Treatment of ED is generally difficult and particularly so also in patients with transplanted kidneys. The authors of this report ... Read More
Friday, 23 November 2018 07:25
668 Hits
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Davis RB et al, 2018: Contemporary practice patterns in the treatment of pediatric stone disease.

Davis RB, Farber NJ, Kaplan A, Patel R, Steckler RE, Elsamra SE.
Department of Urology, Rutgers-Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Thursday, 22 November 2018 14:44
691 Hits
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Ivan SJ et al, 2018: Comparison of guideline recommendations for antimicrobial prophylaxis in urologic procedures: variability, lack of consensus, and contradictions.

Ivan SJ, Sindhwani P.
Department of Urology, University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA.

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  720 Hits
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Hans-Göran Tiselius
This chapter deals with antibiotic prophylactic treatment in urological procedures in general. I shall only comment on SWL and to ... Read More
Wednesday, 21 November 2018 07:20
720 Hits
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Li PC et al, 2018: [Low-intensity extracorporeal shockwave therapy for Peyronie's disease: A preliminary study of 32 cases].

Li PC, Chen X, Zhu XB, Shi T, Song F, Huang HW, Zhang XS.
Department of Andrology, Henan Provincial People's Hospital, Zhengzhou, Henan 450000, China.

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  697 Hits
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Peter Alken
Currently no comment available.
Tuesday, 20 November 2018 14:32
697 Hits
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Lee CC et al, 2018: Comparison of electrohydraulic and electromagnetic extracorporeal shock wave lithotriptors for upper urinary tract stones in a single center.

Lee CC, Lin WR, Hsu JM, Chow YC, Tsai WK, Chiang PK, Chen M, Chiu AW.
Department of Urology, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd, Zhongshan Dist, Taipei, 104, Taiwan.
School of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Department of Cosmetic Applications and Management, MacKay Junior College of Medicine, Nursing and Management, Taipei, Taiwan.
School of Medicine, National Yang-Ming University, Taipei, Taiwan.

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Hans-Göran Tiselius
This report shows that the lithotripter and most certainly also how the SWL was carried out are fundamental for outcome of the tre... Read More
Monday, 19 November 2018 07:12
742 Hits
1 Comment

AbdelRazek M et al, 2018: SWL outcome in artificial hydronephrotic vs. non-hydronephrotic kidney for preschool children with high-density renal stones.

AbdelRazek M, Hassan A, AbdelKader MS, Abolyosr A.
Department of Urology, Qena University Hospital, South Valley University, Qena, Egypt.

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  745 Hits
  1 Comment
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Hans-Göran Tiselius
One observation from the early days of SWL was that with a layer of fluid around the stone, disintegration was improved. In this ... Read More
Friday, 16 November 2018 07:08
745 Hits
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Frost F et al, 2018: Between a Rock and an Airspace: Pneumothorax After Extracorporeal Shock Wave Lithotripsy for Renal Stones in a Patient With Cystic Fibrosis.

Frost F, Griffiths P, Brockelsby C, Lynch C, Walshaw MJ, Nazareth D.
Adult CF Centre, Liverpool Heart and Chest Hospital, Liverpool, UK.
Urology Department, Royal Liverpool and Broadgreen University Hospital, Liverpool, UK.

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Peter Alken
Currently no comment available.
Thursday, 15 November 2018 11:59
711 Hits
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Chen X et al, 2018: [Focused low-intensity extracorporeal shock wave therapy for erectile dysfunction: Preliminary observation of 32 cases].

Chen X, Huang HW, Zhu XB, Chen GX, Li PC, Song F, Xiang CJ, Guo YP, Zhang SL, Zhang XS.
Department of Andrology and Energy Medicine / Henan Andrological Academician Workstation of Basic and Clinical Research, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China.

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  774 Hits
  1 Comment
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Hans-Göran Tiselius
Comment currently not available.
Wednesday, 14 November 2018 07:02
774 Hits
1 Comment

Shafi H et al, 2018: Antibiotic prophylaxis in the prevention of urinary tract infection in patients with sterile urine before extracorporeal shock wave lithotripsy.

Shafi H, Ilkhani M, Darabi Ahangar Z, Bayani M.
Infertility and Reproductive Health Research Center, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

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  805 Hits
  1 Comment
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Hans-Göran Tiselius
This report confirms what has been evident from more than 30 years of clinical experience with SWL. It is of fundamental importan... Read More
Monday, 12 November 2018 06:55
805 Hits
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Gürbuz ZG et al, 2018: Small renal pelvis stones: Shock wave lithotripsy or flexible ureteroscopy? A match-pair analysis.

Gürbuz ZG, Şener NC, Vuruşkan E, Deniz ME, Gürlen G, Ortoğlu F.
Department of Urology, University of Health Sciences, Adana City Teaching and Research Hospital, Adana, Turkey.

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Peter Alken
In the fURS group an 11.5/9.5 F ureteral access sheath was placed in all cases obviously without problems. No patient had a primar... Read More
Friday, 09 November 2018 11:55
844 Hits
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Mannil M et al, 2018: Three dimensional texture analysis with machine learning provides incremental predictive information for successful shock wave lithotripsy in patients with kidney stones.

Mannil M, von Spiczak J, Hermanns T, Poyet C, Alkadhi H, Fankhauser CD.
Institute of Diagnostic and Interventional Radiology and Department of Urology (TH, CP, CDF), University Hospital Zurich, University of Zurich, Switzerland.

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Recent comment in this post
Hans-Göran Tiselius
In view of the advantage of predicting the outcome of SWL, this report is of great interest. With an advanced 3D-texture analysis... Read More
Thursday, 08 November 2018 12:12
863 Hits
1 Comment

Fan J et al, 2018: The role of super-mini percutaneous nephrolithotomy (SMP) in the treatment of symptomatic lower pole renal stones (LPSs) after the failure of shockwave lithotripsy (SWL) or retrograde intrarenal surgery (RIRS).

Fan J, Zhang T, Zhu W, Gurioli A, Ketegwe IR, Zeng G.
Department of Urology, Turin University of Studies, Turin, Italy.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Guangdong Provincial Key Laboratory of Urology, No. 1-3, Kangda Road, Guangzhou, Guangdong, 510230, China.

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  910 Hits
  1 Comment
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Peter Alken
Good study about the percutaneous removal of lower pole stones after failed ESWL or RIRS. The only critic I have is that 9,1% of t... Read More
Tuesday, 06 November 2018 12:04
910 Hits
1 Comment

Tokgöz H et al, 2017: Lunar cycle may have an effect on Shock Wave Lithotripsy related pain outcome.

Tokgöz H, Yalçınkaya S, İslamoğlu E, Karamık K, Tokgöz Ö, Savaş M.
Antalya Training and Research Hospital, Departments of Urology, Departments of Radiology, Antalya, Turkey.

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Peter Alken
From Wikimedia :https://commons.wikimedia.org/wiki/File:Fases_lunars.png I am not familiar with the working habits at the Depart... Read More
Friday, 02 November 2018 11:58
952 Hits
1 Comment

Goel H et al, 2018: Role of clinical and radiological parameters in predicting the outcome of shockwave lithotripsy for ureteric stones.

Goel H, Gahlawat S, Bera MK, Pal DK, Aggarwal O.
Department of Urology, PGIMER and Dr. RML Hospital, New Delhi, India.
Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.
Department of Biochemistry, Maulana Azad Medical College, New Delhi.

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  953 Hits
  1 Comment
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Peter Alken
“This present study was designed to establish factors predicting the success of SWL” Unfortunately there is no new information off... Read More
Wednesday, 31 October 2018 11:46
953 Hits
1 Comment

Iqbal N et al, 2018: Comparison of ureteroscopic pneumatic lithotripsy and extracorporeal shock wave lithotripsy for the management of proximal ureteral stones: A single center experience.

Iqbal N, Malik Y, Nadeem U, Khalid M, Pirzada A, Majeed M, Malik HA, Akhter S.
Department of Urology, Shifa International Hospital Islamabad, Islamabad, Pakistan.
Shifa College of Medicine, Islamabad, Pakistan.

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  962 Hits
  1 Comment
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Peter Alken
This is a retrospective study on two groups of exactly 200 patients each. “As per departmental policy patients were given choice t... Read More
Monday, 29 October 2018 11:42
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1 Comment

Fankhauser CD et al, 2018: Prevalence of hypertension and diabetes after exposure to extracorporeal shock-wave lithotripsy in patients with renal calculi: a retrospective non-randomized data analysis.

Fankhauser CD, Mohebbi N, Grogg J, Holenstein A, Zhong Q, Hermanns T, Sulser T, Steurer J, Cedric P.
Division of Nephrology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Department of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Department of Pathology of Molecular Pathology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Cancer Data Science Group, Children's Medical Research Institute, University of Sydney, Sydney, NSW, Australia.
Horten Centre for Patient Oriented Research and Knowledge Transfer, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

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  1019 Hits
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Peter Alken
Hypertension as a late complication of ESWL is an important and controversial issue. With the present paper the battel continues. ... Read More
Friday, 26 October 2018 11:37
1019 Hits
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Langenauer J et al, 2018: Advanced non-contrasted computed tomography post-processing by CT-Calculometry (CT-CM) outperforms established predictors for the outcome of shock wave lithotripsy.

Langenauer J, Betschart P, Hechelhammer L, Güsewell S, Schmid HP, Engeler DS, Abt D, Zumstein V.
Department of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Department of Radiology and Nuclear Medicine, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Biostatistics, Clinical Trials Unit, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Peter Alken
This is work in progress and the authors’ enthusiasm is damped a little bit by the fact that “no re-intervention needed” includes ... Read More
Wednesday, 24 October 2018 11:04
987 Hits
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Barreto L et al, 2018: Medical and surgical interventions for the treatment of urinary stones in children.

Barreto L, Jung JH, Abdelrahim A, Ahmed M, Dawkins GPC, Kazmierski M.
Department of Urology, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.

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  1281 Hits
  1 Comment
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Peter Alken
Terrifying view on what has been published on the subject. There are not only too many journals but also too many low quality pape... Read More
Monday, 22 October 2018 10:58
1281 Hits
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Ito H et al, 2018: Systematic review of Calyceal Diverticulum.

Ito H, Aboumarzouk O, Abushamma F, Keeley F.
Southmead Hospital, 159003, Bristol Urological Institute, Bristol, Bristol, United Kingdom of Great Britain and Northern Ireland.
Queen Elizabeth University Hospital, 473300, Urology Department, Urological Research and Training Unit, Glasgow, United Kingdom of Great Britain and Northern Ireland.
University of Glasgow, School of Medicine, Glasgow, Glasgow, United Kingdom of Great Britain and Northern Ireland.
Bristol Urological Institute, Urology, Southmead Hospital, Westbury-on-Trym, Bristol, Bristol, United Kingdom of Great Britain and Northern Ireland.

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  1047 Hits
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Peter Alken
Meta-Analyses are usually done to shed light on a disease and to better understand how to handle it. Unfortunately frequently the... Read More
Friday, 19 October 2018 10:51
1047 Hits
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Emiliani E et al, 2018: Over 30-yr Experience on the Management of Graft Stones After Renal Transplantation.

Emiliani E, Subiela JD, Regis F, Angerri O, Palou J.
Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.

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Hans-Göran Tiselius
Treatment of patients with stones in renal grafts is a delicate matter that deserves particular care to avoid every kind of trauma... Read More
Wednesday, 17 October 2018 08:50
1029 Hits
1 Comment

Ferraro PM et al, 2018: Shock-wave lithotripsy or ureterorenoscopy for renal stones?

Ferraro PM, Pinto F, Gambaro G.
Nefrologia, Urologia, Fondazione Policlinico Universitario A. Gemelli-Università Cattolica del Sacro Cuore, Roma, Italy.

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Hans-Göran Tiselius
This is an editorial comment to the article by Frankhauser et al [1]. The comparative efficacy and safety of URS and SWL for treat... Read More
Friday, 12 October 2018 08:45
1114 Hits
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Connors BA et al, 2018: Preliminary Report on Stone Breakage and Lesion Size Produced by a New Extracorporeal Electrohydraulic (Sparker Array) Discharge Device.

Connors BA, Schaefer RB, Gallagher JJ, Johnson CD, Li G, Handa RK, Evan AP.
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN.
Phoenix Science and Technology, Goffstown, NH.
School of Physics, Northeast Normal University, Changchun, China.

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Hans-Göran Tiselius
This is an interesting report on in-vitro (artificial stones) and in-vivo (pigs) results with a new sparker array (SPA) extracorpo... Read More
Wednesday, 03 October 2018 08:41
1173 Hits
1 Comment

Yanaral F et al, 2018: Shock-wave Lithotripsy for Pediatric Patients: Which Nomogram Can Better Predict Postoperative Outcomes?

Yanaral F, Ozgor F, Savun M, Agbas A, Akbulut F, Sarilar O.
Department of Urology, Department of Pediatric Nephrology, Haseki Training and Research Hospital, Istanbul, Turkey.

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  1174 Hits
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Hans-Göran Tiselius
Prediction of the outcome of SWL has remained a matter of debate over the years. Few attempts have been made to compare prediction... Read More
Friday, 28 September 2018 08:37
1174 Hits
1 Comment

Samotyjek J et al, 2018: Surgical treatment methods of urolithiasis in the pediatric population.

Samotyjek J, Jurkiewicz B, Krupa A.
Pediatric Surgery and Urology Clinic CMKP in Dziekanów Leśny, Poland.

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  1119 Hits
  1 Comment
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Peter Alken
No free access via Karolinska Institute.
Wednesday, 26 September 2018 09:09
1119 Hits
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Wang D et al, 2018: Extracorporeal Shock Wave Lithotripsy for Chronic Pancreatitis Patients With Stones After Pancreatic Surgery.

Wang D, Ji JT, Xin L, Bi YW, Pan J, Liao Z, Du TT, Lin JH, Zhang D, Zeng XP, Ye B, Zou WB, Chen H, Xie T, Li BR, Zheng ZH, Li ZS, Hu LH.

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  1157 Hits
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Peter Alken
No free access via Karolinska Institute.
Friday, 21 September 2018 09:05
1157 Hits
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Yuri P et al, 2018: Meta-analysis of Optimal Management of Lower Pole Stone of 10 - 20 mm: Flexible Ureteroscopy (FURS) versus Extracorporeal Shock Wave Lithotripsy (ESWL) versus Percutaneus Nephrolithotomy (PCNL).

Yuri P, Hariwibowo R, Soeroharjo I, Danarto R, Hendri AZ, Brodjonegoro SR, Rasyid N, Birowo P, Widyahening IS.
Division of Urology, Department of Surgery, Faculty of Medicine Universitas Gadjah Mada - Sardjito Hospital, Yogyakarta, Indonesia.

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Hans-Göran Tiselius
This article is one of several examples of the popularity and ease on how modern computerized tools can be used to carry out syste... Read More
Wednesday, 19 September 2018 08:31
1155 Hits
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Geraghty RM et al, 2018: Ureteroscopy is more cost effective than shock wave lithotripsy for stone treatment: systematic review and meta-analysis.

Geraghty RM, Jones P, Herrmann TRW, Aboumarzouk O, Somani BK.
Department of Urology, University Hospital Southampton NHS Trust, Southampton, SO16 6YD, UK.
Clinic of Urology, Spital Thurgau AG, Frauenfeld, Switzerland.
Department of Urology, Queen Elizabeth University Hospital, Glasgow, UK.

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Hans-Göran Tiselius
Like many reports today this article is a ”systematic review and meta-analysis” based on reports of comparisons between SWL and UR... Read More
Friday, 14 September 2018 08:26
1239 Hits
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Chen KH et al, 2018: A Young Man With Epigastric Pain After Extracorporeal Shock Wave Lithotripsy.

Chen KH, Shen CY, Su YJ.
Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan; Department of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan; Yuanpei University of Medical Technology, HsinChu, Taiwan.

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Hans-Göran Tiselius
Acute pancreatitis as a consequence of SWL has previously been reported in occasional patients but is uncommon. The reviewer has n... Read More
Monday, 10 September 2018 08:23
1273 Hits
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Bucci S et al, 2018: Emergency extracorporeal shockwave lithotripsy (eSWL) as opposed to delayed SWL (dSWL) for the treatment of acute renal colic due to obstructive ureteral stone: a prospective randomized trial.

Bucci S, Umari P, Rizzo M, Pavan N, Liguori G, Barbone F, Trombetta C.
Department of Urology, University of Trieste, Cattinara Hospital, Trieste, Italy.
IRCCS Burlo Garofolo, University of Trieste, Trieste, Italy.

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  1223 Hits
  1 Comment
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Peter Alken
No free access via Karolinska Institute.
Friday, 07 September 2018 09:01
1223 Hits
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Liu R et al, 2018: Noncontrast computed tomography factors predictive of extracorporeal shock wave lithotripsy outcomes in patients with pancreatic duct stones.

Liu R, Su W, Gong J, Zhang Y, Lu J.
Department of Radiology, Department of Nuclear Medicine, Changhai Hospital Affiliated to the Second Military Medical University, Changhai Road 168, Yangpu District, Shanghai, 200433, People's Republic of China.

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  1191 Hits
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Hans-Göran Tiselius
As SWL-treatment of pancreatic duct stones commonly are placed in the hands of the urologist responsible for the lithotripsy servi... Read More
Wednesday, 05 September 2018 08:11
1191 Hits
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McClinton S et al, 2018: TISU: Extracorporeal shockwave lithotripsy, as first treatment option, compared with direct progression to ureteroscopic treatment, for ureteric stones: study protocol for a randomised controlled trial.

McClinton S, Cameron S, Starr K, Thomas R, MacLennan G, McDonald A, Lam T, N'Dow J, Kilonzo M, Pickard R, Anson K, Keeley F, Burgess N, Clark CT, MacLennan S, Norrie J; TISU Study Group.
Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, UK.
Academic Urology Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD, UK.
The Centre for Healthcare Randomised Trials (CHaRT), Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD, UK.
Health Economics Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD, UK.
Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, NE2 4HH, UK.
St George's Hospital, London, SW17 0QT, UK.
Southmead Hospital, Bristol, BS10 5NB, UK.
Norfolk and Norwich University Hospitals, Colney Lane, Norwich, NR4 7UY, UK.
Stone Patient Advisory Group, Section of Endourology, British Association of Urological Surgeons, London, UK.
Edinburgh Trial Unit, University of Edinburgh, Edinburgh, EH16 4UX, UK.

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Hans-Göran Tiselius
This article describes a planned multicentre randomised clinical trial comparing SWL and URS for removal of ureteral stones (TISU)... Read More
Friday, 31 August 2018 08:06
1230 Hits
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Inui K et al, 2018: Management of Pancreatolithiasis: A Nationwide Survey in Japan.

Inui K, Masamune A, Igarashi Y, Ohara H, Tazuma S, Sugiyama M, Suzuki Y, Miyoshi H, Yamamoto S, Takeyama Y, Nakano E, Takuma K, Sakagami J, Hayashi K, Kogure A, Ito T, Mukai T, Maetani I, Nagahama M, Serikawa M, Ueki T, Furuya K, Isayama H, Moriyama I, Shigeno M, Mizukami K, Nanashima A, Oana S, Ikehata A, Watanabe N, Hirooka Y, Ogoshi K, Sasaki Y, Iwata Y, Kudo Y, Nakayama A, Nakamura M.

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Hans-Göran Tiselius
It is not possible to open this link via Karolinska Institute.
Monday, 27 August 2018 08:00
1181 Hits
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Shinde S et al, 2018: Factors Affecting the Outcome of Extracorporeal Shockwave Lithotripsy in Urinary Stone Treatment.

Shinde S, Al Balushi Y, Hossny M, Jose S, Al Busaidy S.
Urology Department, Armed Forces Hospital, Muscat, Oman.
Planning and Studies Department, Oman Medical Specialty Board, Muscat, Oman.
Lithotripsy Unit, Armed Forces Hospital, Muscat, Oman.

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Hans-Göran Tiselius
In a retrospective analysis of SWL carried out in 235 patients, the authors have identified factors of importance for failed treat... Read More
Wednesday, 22 August 2018 07:53
1275 Hits
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Connors BA et al, 2018: Preliminary Report on Stone Breakage and Lesion Size Produced by a New Extracorporeal Electrohydraulic (Sparker Array) Discharge Device.

Connors BA, Schaefer RB, Gallagher JJ, Johnson CD, Li G, Handa RK, Evan AP.
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN.
Phoenix Science and Technology, Goffstown, NH.
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN.
School of Physics, Northeast Normal University, Changchun, China.

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Hans-Göran Tiselius
This article describes a new and interesting technique for stone disintegration. The technique is based on a sparker array arrange... Read More
Monday, 20 August 2018 11:36
1541 Hits
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Fojecki GL et al, 2018: Effect of Linear Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction-12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study.

Fojecki GL, Tiessen S, Osther PJS.
Department of Urology, Hospital of Southern Jutland, Sønderborg, Denmark.
Department of Urology, Odense University Hospital, Odense, Denmark.
Urological Research Center, Department of Urology, Lillebaelt Hospital, University of Southern, Denmark.

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Peter Alken
A well done study with long term data of a previously published series (Fojecki GL, Tiessen S, Osther PJ. Effect of low-energy lin... Read More
Thursday, 16 August 2018 09:13
1346 Hits
1 Comment

Rassweiler J., 2018: Re: Extracorporeal Shock Wave Therapy (ESWT) in Urology: A Systematic Review of Outcome in Peyronie's Disease, Erectile Dysfunction, and Chronic Pelvic Pain.

Rassweiler J.
Department of Urology, SLK Kliniken Heilbronn, Heilbronn, Germany.

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  1314 Hits
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Hans-Göran Tiselius
A Words of Wisdom comment that emphasizes the need and importance of using established parameters to be used for ESWT of for insta... Read More
Monday, 13 August 2018 11:30
1314 Hits
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Kalyvianakis D et al, 2018: Low-Intensity Shockwave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment.

Kalyvianakis D, Memmos E, Mykoniatis I, Kapoteli P, Memmos D, Hatzichristou D.
Department of Urology, University of Crete, Heraklion, Greece; 1st Department of Urology and Center for Sexual and Reproductive Health, Aristotle University of Thessaloniki, Thessaloniki, Greece; Institute for the Study of Urological Diseases, Thessaloniki, Greece.

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  1309 Hits
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Peter Alken
The unexperienced reader has to become familiar with the term minimally clinical important differences (MCID). He will find the fi... Read More
Friday, 10 August 2018 09:08
1309 Hits
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Ruan Y et al, 2018: The Effect of Low-Intensity Extracorporeal Shock Wave Therapy in an Obesity-Associated Erectile Dysfunction Rat Model.

Ruan Y, Zhou J, Kang N, Reed-Maldonado AB, Tamaddon A, Wang B, Wang HS, Wang G, Banie L, Lin G, Liu J, Lue TF.
Knuppe Molecular Urology Laboratory, Department of Urology, School of Medicine, University of California, San Francisco, CA, USA.
Department of Urology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China.

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  1202 Hits
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Hans-Göran Tiselius
Although this is an experimental study in rats, it gives deeper insights both into the the effects of obesity on ED and how LI-ESW... Read More
Tuesday, 07 August 2018 11:27
1202 Hits
1 Comment

Rizk PJ et al, 2018: Low-Intensity Shockwave Therapy for Erectile Dysfunction.

Rizk PJ, Krieger JR, Kohn TP, Pastuszak AW.
Baylor College of Medicine, Houston, TX, USA.
Center for Reproductive Medicine, Baylor College of Medicine, Houston, TX, USA; Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

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Peter Alken
I do not like publications that covertly quote quotations from other papers instead of leading the reader down to the original one... Read More
Friday, 03 August 2018 09:03
1645 Hits
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Kang HW et al, 2018: Predictive factors and treatment outcomes of Steinstrasse following shock wave lithotripsy for ureteral calculi: A Bayesian regression model analysis.

Kang HW, Cho KS, Ham WS, Kang DH, Jung HD, Kwon JK, Choi YD, Lee JY.
Department of Urology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
Department of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology, Inha University School of Medicine, Incheon, Korea.
Department of Urology, Yongin Severance Hospital,Yonsei University Health System, Yongin, Korea.
Department of Urology, Severance Check-Up, Yonsei University Health System, Seoul, Korea.

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Peter Alken
This is how the authors explain the fact that a short SSD provoked Steinstrasse: “… in ureter stones with relatively short SSDs,... Read More
Tuesday, 31 July 2018 08:59
1420 Hits
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Klein J et al, 2018: [Extracorporeal shock wave lithotripsy].

Klein J, Netsch C, Sievert KD, Miernik A, Westphal J, Leyh H, Herrmann TRW, Olbert P, Häcker A, Bachmann A, Homberg R, Schoenthaler M, Rassweiler J, Gross AJ.
Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland.
Abteilung für Urologie, Asklepios Klinik Barmbek, Hamburg, Deutschland.
Urologische Klinik und Poliklinik, Universitätsmedizin Rostock, Rostock, Deutschland.
Medizinische Fakultät, Klinik für Urologie, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Klinik für Urologie und Kinderurologie, Krankenhaus Maria Hilf der Alexianer GmbH, Krefeld, Deutschland.
Urologische Klinik, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen, Deutschland.
Spital Thurgau AG, Kantonsspital Frauenfeld, Klinik für Urologie, Frauenfeld, Schweiz.
BRIXSANA, private clinic, Brixen, Italien.
Klinik für Urologie, Haus 28, Universitätsklinikum Mannheim, Mannheim, Deutschland.
alta uro Praxis für Urologie, Basel, Schweiz.
Klinik für Urologie, Kinderurologie und Uro-Gynäkologie, St. Barbara-Klinik Hamm-Heessen, Hamm, Deutschland.
Klinik für Urologie, SLK-Kliniken Heilbronn GmbH, Heilbronn, Deutschland.

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Hans-Göran Tiselius
For those colleagues who can read German, this article is an excellent overview of factors important to consider during SWL. Such ... Read More
Friday, 27 July 2018 11:21
1412 Hits
1 Comment

Jing S et al, 2018: Modified Mechanical Percussion for Upper Urinary Tract Stone Fragments after Extracorporeal Shock Wave Lithotripsy: a Prospective Multi-Center Randomized Controlled Trial.

Jing S, Liu B, Lan W, Zhao X, Bao J, Ma J, Liu Z, Liu H, Pan T, Yang J, Wu D, Zhao Y, Wang Y, Wang Z.
Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases, Gansu Province (Lanzhou University), Gansu Nephro-Urological Clinical Center, Lanzhou, China.
Department of Urology, Wuhan General Hospital of Guangzhou Military Region, Wuhan, China.
Department of Urology, Shenzhen People's Hospital, Second Clinical Medicine School of Jinan University, Shenzhen, China.
Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases, Gansu Province (Lanzhou University), Gansu Nephro-Urological Clinical Center, Lanzhou, China.

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Peter Alken
This adds to the positive results with post-ESWL percussion-inversion-diuresis protocols. The results are surprisingly good from t... Read More
Monday, 23 July 2018 08:51
1416 Hits
1 Comment

Choo MS et al, 2018: The transgluteal approach to shockwave lithotripsy to treat distal ureter stones: a prospective, randomized, and multicenter study.

Choo MS, Han JH, Kim JK, Shin TY, Lee WK, Lee SK, Lee SH.
Department of Urology, Hallym University Songtan Sacred Heart Hospital, Hwaseong, Korea.
Department of Urology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea.

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  1305 Hits
  1 Comment
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Hans-Göran Tiselius
The authors can be congratulated to a successfully completed randomized comparison of SWL of distal ureteral stones with the patie... Read More
Thursday, 19 July 2018 11:16
1305 Hits
1 Comment

Streeper NM, 2018: Asymptomatic Renal Stones-to Treat or Not to Treat.

Streeper NM.
Division of Urology, Penn State Milton S. Hershey Medical Center, Mail Code H055, 500 University Drive, PO Box 850, Hershey, PA.

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  1728 Hits
  1 Comment
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Peter Alken
This is a well written bias-free publication with a lot of good facts and clear cut recommendations. Get a copy and read it! You ... Read More
Monday, 16 July 2018 08:23
1728 Hits
1 Comment

Ellison JS et al, 2018: Risk factors for repeat surgical intervention in pediatric nephrolithiasis: A Pediatric Health Information System database study.

Ellison JS, Shnorhavorian M, Oron A, Kieran K, Lendvay TS, Merguerian PA.
Pediatric Urology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.

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  1554 Hits
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Peter Alken
This is a very detailed care research analysis. it would be good to have similar data on all other stone treatment procedures in a... Read More
Friday, 13 July 2018 08:18
1554 Hits
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Ozgor F et al, 2018: Flexible ureterorenoscopy is associated with less stone recurrence rates over Shockwave lithotripsy in the management of 10-20 millimeter lower pole renal stone: medium follow-up results.

Ozgor F, Sahan M, Yanaral F, Savun M, Sarilar O.
Department of Urology, Haseki Teaching and Research Hospital, Istanbul, Turkey.

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  1418 Hits
  1 Comment
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Hans-Göran Tiselius
The optimal treatment of stones in the lower calices has remained a matter of debate over time. Not unexpectedly the authors of th... Read More
Monday, 09 July 2018 10:27
1418 Hits
1 Comment

Ng CF et al, 2018: Extracorporeal Shockwave Lithotripsy Could Lead to a Prolonged Increase in the Renal Fibrotic Process of Up to 2 Years.

Ng CF, Luke S, Yee CH, Leung SCH, Teoh JYC, Yuen J.
SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong .
School of Nursing, Hong Kong Polytechnic University , Hung Hom, Hong Kong.

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  1454 Hits
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Peter Alken
A carefully selected title for a paper with alarming specifications: “In the literature, the average annual incidence of add-on ph... Read More
Friday, 06 July 2018 12:13
1454 Hits
1 Comment

Kyriakides R et al, 2017: Effect of Music on Outpatient Urological Procedures: A Systematic Review and Meta-Analysis from ESUT.

Kyriakides R, Jones P, Geraghty R, Skolarikos A, Liatsikos E, Traxer O, Pietropaolo A, Somani BK.
University of Southampton, University Hospital Southampton National Health Service Trust, Southampton, United Kingdom.
Department of Urology, National and Kapodistrian University of Athens and 2nd Department of Urology, Sismanoglio Hospital, Athens, Greece.
Department of Urology, Patras University, Patra, Greece.
Tenon Hospital, Pierre and Marie Curie University and Group Recherche Clinique Lithiase No. 20, Paris, France.

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  1491 Hits
  1 Comment
Recent comment in this post
Peter Alken
In the six studies on ESWL 489 of 1023 patients were exposed to music. It helps to reduce analgesic consumption.
Monday, 02 July 2018 08:06
1491 Hits
1 Comment

Sabharwal S et al, 2017: A prospective randomised double-blind placebo-controlled trial to assess the effect of diuretics on shockwave lithotripsy of calculi.

Sabharwal S, Jeyaseelan L, Panda A, Gnanaraj L, Kekre NS, Devasia A.
Department of Urology, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.

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  1406 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
This is an interesting study dealing with the possible role of diuretics for improved stone disintegration. The majority of stones... Read More
Thursday, 28 June 2018 10:17
1406 Hits
1 Comment

Sarica K et al, 2017: Super-mini percutaneous nephrolithotomy for renal stone less than 25mm in pediatric patients: Could it be an alternative to shockwave lithotripsy?

Sarica K, Eryildirim B, Tuerxun A, Batuer A, Kavukoglu O, Buz A, Zeng G.
Lütfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turquía.
The First People's Hospital of Kashgar Erea, Kashgar City, Xinjiang, China.
Department of Urology, Guangdong Key Laboratory of Urology, Minimally Invasive Surgery Center, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

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  1384 Hits
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Hans-Göran Tiselius
No free access via Karolinska Institute.
Monday, 25 June 2018 10:10
1384 Hits
1 Comment

Yucel MO et al, 2017: The Respiratory Induced Kidney Motion: Does It Really Effect the Shock Wave Lithotripsy?

Yucel MO, Ozcan S, Tirpan G, Bagcioglu M, Aydin A, Demirbas A, Karakan T.
Department of Urology, Adiyaman University, Adiyaman, Turkey.
Department of Urology, Izmir Katip Çelebi University, Izmir, Turkey.
Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey.

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  1541 Hits
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Peter Alken
This paper deals with a well-known fact. I admit that I did not understand how the authors measured the kidney motion: “The size o... Read More
Thursday, 21 June 2018 08:01
1541 Hits
1 Comment

Shoar K et al, 2017: Tracking kidney stones in a homogeneous medium using a trilateration approach.

Shoar K, Turney BW, Cleveland RO.
Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford OX3 7DQ, United Kingdom.
Nuffield Department of Surgical Sciences, University of Oxford, Oxford OX3 9DU, United Kingdom.

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  1668 Hits
  1 Comment
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Hans-Göran Tiselius
It is indeed an uncomfortable and annoying situation when the target stone moves in and out of focus in an un-controlled way. Not ... Read More
Monday, 18 June 2018 10:04
1668 Hits
1 Comment

Hazar IA et al, 2017: Does Mild Hydronephrosis Induced by Full-Bladder Improve Outcomes in Patients Undergoing Shock Wave Lithotripsy for Lower Calyceal Stones?: A Prospective Randomized Study.

Hazar IA, Cakiroglu B, Sinanoglu O, Akgün FS, Arda E, Yuksel I, Akdere H.
Department of Urology, Taksim Research and Training Hospital, Istanbul, Turkey.
Department Urology, Hisar Intercontinental Hospital, Istanbul, Turkey.
Department of Urology, Maltepe University, Istanbul, Turkey.
Department of Emergency Clinic, Maltepe University, Istanbul, Turkey.
Department of Urology, Trakya University, Edirne, Turkey.

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  1454 Hits
  1 Comment
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Peter Alken
How is this done? “In the present study as well, we tried to increase hydrostatic pressure in the renal calyces and pelvis through... Read More
Thursday, 14 June 2018 07:57
1454 Hits
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May PC et al, 2018: The Morbidity of Ureteral Strictures in Patients with Prior Ureteroscopic Stone Surgery: Multi-Institutional Outcomes.

May PC, Hsi RS, Tran HH, Stoller M, Chew BH, Chi T, Usawachintachit M, Duty BD, Gore JL, Harper JD.
Department of Urology, University of Washington, Seattle, Washington.
Department of Urology, University of California, San Francisco, San Francisco, California.
Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Department of Urologic Sciences, University of British Columbia, Vancouver, Canada .
Department of Urology, Oregon Health and Science University, Portland, Oregon.

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  1485 Hits
  1 Comment
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Hans-Göran Tiselius
This report is not directly associated with SWL but shows the complexity of strictures as a complication to URS. The frequency of ... Read More
Monday, 11 June 2018 10:01
1485 Hits
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Waqas M et al, 2018: Evaluating the importance of different computed tomography scan-based factors in predicting the outcome of extracorporeal shock wave lithotripsy for renal stones.

Waqas M, Saqib IU, Imran Jamil M, Ayaz Khan M, Akhter S.
Department of Urology, Shifa International Hospital, Islamabad, Pakistan.
Foundation Year Resident, Shifa International Hospital, Islamabad, Pakistan.

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  1513 Hits
  1 Comment
Recent comment in this post
Peter Alken
There are many studies on the market looking at parameters that allow predicting the success rate of ESWL based on imaging finding... Read More
Friday, 08 June 2018 07:51
1513 Hits
1 Comment

Huang L et al, 2018: Management of upper urinary tract calculi in crossed fused renal ectopic anomaly.

Huang L, Lin Y, Tang Z, Lie D, Wang Z, Chen H, Wang G.
Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R. China.
2Institute for Virology, University Hospital of Essen, University of Duisburg-Essen, D-45147 Essen, Germany.

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  1524 Hits
  1 Comment
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Hans-Göran Tiselius
It is easy to understand that the complex anatomy of CFRE is associated with outflow problems. Accordingly it is not surprising th... Read More
Monday, 04 June 2018 09:56
1524 Hits
1 Comment

Sridharan K et al, 2018: Efficacy and safety of alpha blockers in medical expulsive therapy for ureteral stones: a mixed treatment network meta-analysis and trial sequential analysis of randomized controlled clinical trials.

Sridharan K, Sivaramakrishnan G.
Associate Professor, Department of Pharmacology and Therapeutics, College of Medicine and Medical Sciences, Arabian Gulf University, Manama , Bahrain.
Assistant Professor in Prosthodontics, School of Oral Health, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva , Fiji Islands.

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Peter Alken
Here is a next-generation meta-analyses: network meta-analysis. In the discussion section the authors state: “More recently, Hol... Read More
Thursday, 31 May 2018 07:45
1491 Hits
1 Comment

Hussaen J et al, 2017: Techniques: Shockwave lithotripsy may not be a good option in patients with previous renal superselective embolization.

Hussaen J, Andonian S.
Division of Urology, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.

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Hans-Göran Tiselius
The authors describe the development of a hematoma in a patient treated with SWL. It is speculated that a previous angio-embolizat... Read More
Friday, 25 May 2018 09:52
1444 Hits
1 Comment

Ludwig WW et al, 2018: Urinary Stone Disease: Diagnosis, Medical Therapy, and Surgical Management.

Ludwig WW, Matlaga BR.
Department of Urology, The James Buchanan Brady Urological Institute, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Marburg 134, Baltimore, MD 21287, USA.

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Peter Alken
This is a general small review on all aspects of stone therapy similar to a very condense version of a guideline.
Tuesday, 22 May 2018 07:39
2199 Hits
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Farouk A et al, 2018: Is mini-percutaneous nephrolithotomy a safe alternative to extracorporeal shockwave lithotripsy in pediatric age group in borderline stones? a randomized prospective study.

Farouk A, Tawfick A, Shoeb M, Mahmoud MA, Mostafa DE, Hasan M, Abdalla HM.
Department of Urology, Ain Shams University Hospital, Cairo, Egypt.

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Peter Alken
A prospective randomised study of a significant number of patients which adds to what is known when comparing Mini-PNL with ESWL. ... Read More
Tuesday, 15 May 2018 07:47
1473 Hits
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Saha PK et al, 2018: Forgotten, Encrusted Ureteral Stents: Removal - Multimodal Endourologic Approach.

Saha PK, Hossain MS, Ghosh KC, Alam MS, Nabi S, Saha BK, Pathan FH.
Dr Prodyut Kumar Saha, Associate Professor, Department of Urology, Dhaka Medical College, Dhaka, Bangladesh.

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Hans-Göran Tiselius
No free access via Karolinska Institute and Heidelberg University.
Saturday, 12 May 2018 09:28
1332 Hits
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Ergin G et al, 2018: Shock wave lithotripsy or retrograde intrarenal surgery: which one is more effective for 10-20-mm renal stones in children.

Ergin G, Kirac M, Kopru B, Ebiloglu T, Kibar Y, Biri H.
Department of Urology, Koru Ankara Hospital, Ankara, Turkey.
Department of Urology, Gulhane Training and Research Hospital, Ankara, Turkey.

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Peter Alken
A retrospective study on 79 children treated in 10 years by ESWL or URS; that might be 8 children per year. There is no informatio... Read More
Tuesday, 08 May 2018 07:15
1388 Hits
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Li G et al, 2017: Evaluation of an experimental electrohydraulic discharge device for extracorporeal shock wave lithotripsy: Pressure field of sparker array.

Li G, Connors BA, Schaefer RB, Gallagher JJ, Evan AP.
School of Physics, Northeast Normal University, Changchun, 130024, People's Republic of China.
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Medical Science Building, Room 0051, 635 Barnhill Drive, Indianapolis, Indiana 46202, USA.
Phoenix Science and Technology, C/O John Gallagher, 12 Van Buren Circle, Goffstown, New Hampshire 03045, USA.
Phoenix Science and Technology, 12 Van Buren Circle, Goffstown, New Hampshire 03045, USA.

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Othmar Wess
The myth is alive! The legendary glory of the original HM3-Lithotripter outshines all succeeding lithotripter developments since i... Read More
Thursday, 03 May 2018 08:03
1910 Hits
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Yucel MO et al, 2017: The Respiratory Induced Kidney Motion: Does It Really Effect the Shock Wave Lithotripsy?

Yucel MO, Ozcan S, Tirpan G, Bagcioglu M, Aydin A, Demirbas A, Karakan T.
Department of Urology, Adiyaman University , Adiyaman, Turkey.
Department of Urology, Izmir Katip Çelebi University, Izmir, Turkey.
Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey.

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Hans-Göran Tiselius
It is well recognized that respiratory movement of the kidney and stone is an obstacle to effective stone disintegration. This was... Read More
Monday, 30 April 2018 15:17
1479 Hits
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Sarica K et al, 2017: Super-mini percutaneous nephrolithotomy for renal stone less than 25mm in pediatric patients: Could it be an alternative to shockwave lithotripsy?

Sarica K, Eryildirim B, Tuerxun A, Batuer A, Kavukoglu O, Buz A, Zeng G.
Lütfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turquía.
The First People's Hospital of Kashgar Erea, Kashgar City, Xinjiang, China.
Department of Urology, Guangdong Key Laboratory of Urology, Minimally Invasive Surgery Center, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

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  1472 Hits
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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Friday, 27 April 2018 11:08
1472 Hits
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Issa Y et al, 2017: Diagnosis and treatment in chronic pancreatitis: an international survey and case vignette study.

Issa Y, van Santvoort HC, Fockens P, Besselink MG, Bollen TL, Bruno MJ, Boermeester MA; Collaborators.
Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Department of Surgery, St Antonius Hospital, Nieuwegein, The Netherlands.
Department of Gastroenterology, Academic Medical Center, Amsterdam, The Netherlands.
Department of Gastroenterology, Erasmus Medical Center, Rotterdam, The Netherlands.

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Hans-Göran Tiselius
Although chronic pancreatitis does not belong to the urological speciality, it is worthwhile to consider some parts of the message... Read More
Thursday, 26 April 2018 15:13
1467 Hits
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Fojecki GL et al, 2017: Effect of Linear Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction-12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study.

Fojecki GL, Tiessen S, Sloth Osther PJ.
Department of Urology, Hospital of Southern Jutland, Sønderborg, Denmark.
Department of Urology, Odense University Hospital, Odense, Denmark.
Urological Research Center, Department of Urology, Lillebaelt Hospital, University of Southern, Denmark.

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Peter Alken
A solid study on a swaying subject. The interested reader should have a look at: Fode M, Hatzichristodoulou G, Serefoglu EC, Verze... Read More
Wednesday, 25 April 2018 11:02
1536 Hits
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Cunitz BW et al, 2017: Characterizing the Acoustic Output of an Ultrasonic Propulsion Device for Urinary Stones.

Cunitz BW, Dunmire B, Bailey MR.

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Hans-Göran Tiselius
The major shortcoming of SWL, even when carried out with high quality lithotripters, is the presence of residual fragments. These ... Read More
Monday, 23 April 2018 15:09
1831 Hits
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Woźniak P et al, 2017: Evaluation of hemostasis parameters and the role of the oxidative damage to plasma proteins in the modulation of hemostasis in patients with nephrolithiasis before and after extracorporeal shock wave lithotripsy.

Woźniak P, Kontek B, Różański W, Olas B.
2nd Department of Urology, Medical University of Łódź, Pabianicka 62, Łódź, Poland.
Department of General Biochemistry, Faculty of Biology and Environmental Protection, University of Łódź, Pomorska 141/3, Łódź, Poland.

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Peter Alken
Ø
Friday, 20 April 2018 10:58
1501 Hits
1 Comment

Ellison JS et al, 2017: Patient-Reported Outcomes in Nephrolithiasis: Can We Do Better?

Ellison JS, Williams M, Keeley FX Jr.
Division of Pediatric Urology, Seattle Children's Hospital, University of Washington, Seattle, Washington.
Department of Urology, Bristol Urological Institute , Southmead Hospital, Bristol, United Kingdom.

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Hans-Göran Tiselius
This article describes and discusses patient reported experience of stone problems and stone treatment. The importance of this as... Read More
Thursday, 19 April 2018 15:00
1475 Hits
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Turkay R et al, 2017: Shear Wave Elastographic Alterations in the Kidney After Extracorporeal Shock Wave Lithotripsy.

Turkay R, Inci E, Bas D, Atar A.
Department of Radiology, Medical Sciences University, Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital, Bakirkoy, Istanbul, Turkey.
Department of Urology, Medical Sciences University, Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital, Bakirkoy, Istanbul, Turkey.

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Peter Alken
They say: This is a first report on the measurement of tissue elasticity after ESWL. What the SWE values can be used for is uncl... Read More
Wednesday, 18 April 2018 10:52
1359 Hits
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Branchereau J et al, 2017: Management of renal transplant urolithiasis: a multicentre study by the French Urology Association Transplantation Committee.

Branchereau J, Timsit MO, Neuzillet Y, Bessède T, Thuret R, Gigante M, Tillou X, Codas R, Boutin J, Doerfler A, Sallusto F, Culty T, Delaporte V, Brichart N, Barrou B, Salomon L, Karam G, Rigaud J, Badet L, Kleinklauss F.
French Urology Association Transplantation Committee, Paris, France.
Department of Urology, CHU Nantes Hôtel Dieu, 1 Place Alexis Ricordeau, 44000, Nantes, France.

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Hans-Göran Tiselius
Stones in transplanted kidneys are problematic in several ways. The denervated kidney does not signal stone problems by pain. The ... Read More
Tuesday, 17 April 2018 14:56
1588 Hits
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López-Acón JD et al, 2017: Analysis of the Efficacy and Safety of Increasing the Energy Dose Applied Per Session by Increasing the Number of Shock Waves in Extracorporeal Lithotripsy: A Prospective and Comparative Study.

López-Acón JD, Budía Alba A, Bahílo-Mateu P, Trassierra-Villa M, de Los Ángeles Conca-Baenas M, de Guzmán Ordaz-Jurado D, Boronat FT.
Endourology and Lithotripsy Department, La Fe University and Polythecnic Hospital, Valencia, Spain.

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Peter Alken
No ramping, 120 Hz, up to 7000 shots per session with good results and no difference in the complication rate in a prospective R... Read More
Monday, 16 April 2018 10:48
1757 Hits
1 Comment

Türk H et al, 2017: Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy.

Türk H, Yoldaş M, Süelözgen T, İşoğlu CS, Karabıçak M, Ergani B, Ün S.
Dumlupınar University, Evliya Celebi Training and Research Hospital, Department of Urology, Kutahya, Turkey.
Tepecik Training and Research Hospital, Department of Urology, Izmir, Turkey.
Ataturk Training and Research Hospital, Department of Urology, Izmir, Turkey.

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  1442 Hits
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Hans-Göran Tiselius
It is difficult to draw reasonable conclusions from this retrospective analysis of the outcome of PCNL with or without previous SW... Read More
Friday, 13 April 2018 14:50
1442 Hits
1 Comment

Kazama I et al, 2017: Postrenal acute kidney injury in a patient with unilateral ureteral obstruction caused by urolithiasis: A case report.

Kazama I, Nakajima T.
Department of Physiology, Tohoku University Graduate School of Medicine, Seiryo-cho, Aoba-ku bInternal Medicine, Iwakiri Hospital, Miyagino-ku, Sendai, Miyagi, Japan.

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Peter Alken
A case report on renal function but without a focus on ESWL
Thursday, 12 April 2018 10:41
1518 Hits
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Eryildirim B et al, 2017: Radiologic evaluation of children prior to SWL: to what extent they are exposed to radiation?

Eryildirim B, Turkoglu O, Goktas C, Kavukoglu O, Guzel R, Sarica K.
Lutfi Kirdar Training and Research Hospital, Radiology Clinic, Istanbul, Turkey.
Lutfi Kirdar Training and Research Hospital, Urology Clinic, Kartal, Istanbul, Turkey.
Medistate Hospital Urology Department, Istanbul, Turkey.

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Hans-Göran Tiselius
During the past decades CT-examinations have been used increasingly in the diagnosis as well as follow-up of adult patients with u... Read More
Wednesday, 11 April 2018 14:30
1549 Hits
1 Comment

Guu SJ et al, 2017: Efficacy of Low-Intensity Extracorporeal Shock Wave Therapy on Men With Chronic Pelvic Pain Syndrome Refractory to 3-As Therapy.

Guu SJ, Geng JH, Chao IT, Lin HT, Lee YC, Juan YS, Liu CC, Wang CJ, Tsai CC.
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
Teaching and Research Center, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
Department of Urology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.

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Peter Alken
An “open-label, single-arm prospective study” with extremely good results on patients who failed everything else!? The materials ... Read More
Tuesday, 10 April 2018 10:37
1592 Hits
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Qi T et al, 2017: Comparison of the effects of extracorporeal shock wave therapy and a vacuum erectile device on penile erectile dysfunction: a randomized clinical trial.

Qi T, Ye L, Wang B, Zhang B, Chen J.
Department of Infertility and Sexual Medicine, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.

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  1461 Hits
  2 Comments
Recent Comments
Hans-Göran Tiselius
There is currently a great interest and research activity in how to treat patients with ED. Accordingly there has been a dramatic ... Read More
Monday, 09 April 2018 14:27
1461 Hits
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Yang TX et al, 2017: A network meta-analysis on the beneficial effect of medical expulsive therapy after extracorporeal shock wave lithotripsy.

Yang TX, Liao BH, Chen YT, Li H, He Q, Liu QY, Wang KJ.
Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.
Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P. R. China.

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  1541 Hits
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Peter Alken
Network metaanalysis is the new kid on the block. The present authors looked at 26 studies with 5 interventions (tamsulosin, tera... Read More
Friday, 06 April 2018 10:30
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