Current Trend: Why More and More Physicians Prefer Combined Shock Wave Therapy

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Until just a few years ago, either focused shock waves or radial pressure waves (from a physical point of view, they are radial pressure waves, not shock waves) were used for orthopaedic pain management, depending on the indication. Lately, however, there has been a change: In order to achieve even better therapy results, more and more physicians prefer to combine both technologies for many indications.

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Aktueller Trend: Warum immer mehr Ärzte die kombinierte Stosswellentherapie bevorzugen

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Traditionell wurden in der orthopädischen Schmerzpraxis bis vor einigen Jahren je nach Indikation entweder fokussierte Stosswellen oder radiale Druckwellen (häufig – physikalisch inkorrekt – als radiale Stosswellen bezeichnet) eingesetzt. In letzter Zeit hat sich jedoch ein Wandel vollzogen: Um noch bessere Therapieergebnisse zu erzielen, favorisieren immer mehr Ärzte bei vielen Indikationen die Kombination beider Technologien.

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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
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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
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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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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Friday, 27 April 2018 11:08
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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
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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
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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
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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
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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
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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
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The Prestigious Italian Clinic J Medical Puts Its Trust in Shock Waves from STORZ MEDICAL

J Medical is not only one of the most advanced sports medicine institutes in Italy, but one of the best in the whole of Europe. With an area of over 3,500 m2, offers an excellent range of diagnosis and treatment options that enjoy the highest reputation even far beyond the northern Italian city of Turin where it is based.

Practical Workshops on Shock Wave Therapy

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Die renommierte italienische Klinik J Medical vertraut Stosswellen von STORZ MEDICAL

J Medical zählt nicht nur zu den fortschrittlichsten Sportmedizin­Zentren in Italien, sondern auch zu den besten in ganz Europa. Auf mehr als 3,500 m2 bietet es ein erstklassiges Diagnose­ und Behandlungsspektrum, das weit über die norditalienische Stadt Turin hinaus höchste Anerkennung geniesst.

Practical Workshops on Shock Wave Therapy

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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
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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
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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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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
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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
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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
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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
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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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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
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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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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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Qian YY et al, 2017: Rectally administered indomethacin to prevent post-ESWL-pancreatitis (RIPEP): study protocol for a randomized controlled trial.

Qian YY, Chen H, Tang XY, Jiang X, Qian W, Zou WB, Xin L, Li B, Qi YF, Hu LH, Zou DW, Jin ZD, Wang D, Du YQ, Wang LW, Liu F, Li ZS, Liao Z.
Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, 168 Changhai Road, Shanghai, 200433, China.
Digestive Endoscopy Center, Department of Anesthesiology, Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Shanghai Institute of Pancreatic Diseases, Shanghai, China.
National Clinical Research Center of Digestive Diseases, Shanghai, China.

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Hans-Göran Tiselius
This article is a description of a planned randomized double-blind study aimed to get information on whether NSAID (indomethacin) ... Read More
Thursday, 05 April 2018 14:22
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Man L et al, 2017: Low-Intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: a Systematic Review and Meta-Analysis.

Man L, Li G.
Department of Urology, Beijing Jishuitan Hospital, Beijing, 100035, China.

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Peter Alken
In the discussion it says: “Most of the included RCTs did not describe the details of randomization or blinding, and the potential... Read More
Wednesday, 04 April 2018 10:17
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Yamashita S et al, 2017: Upper urinary tract stone disease in patients with poor performance status: active stone removal or conservative management?

Yamashita S, Kohjimoto Y, Hirabayashi Y, Iguchi T, Iba A, Higuchi M, Koike H, Wakamiya T, Nishizawa S, Hara I.
Department of Urology, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayaka, 641-0012, Japan. Department of Urology, Hashimoto Municipal Hospital, 2-8-1 Ominedai, Hashimoto City, Wakayama, 648-0005, Japan.
Department of Urology, Kinan Hospital, 46-70 Shinjyo, Tanabe City, Wakayama, 646-8588, Japan.
Department of Urology, Rinku General Medical Center, 2-23 Rinkuouraikita, Izumisano City, Osaka, 598-8577, Japan.

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Hans-Göran Tiselius
It is of no surprise that survival was higher in patients who were actively treated. This is particularly obvious for patients wit... Read More
Tuesday, 03 April 2018 14:14
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Chung JM et al, 2017: Impact of repeated extracorporeal shock wave lithotripsy on prepubertal rat kidney.

Chung JM, Park BK, Kim JH, Lee HJ, Lee SD.
Department of Urology, Pusan National University School of Medicine, Yangsan, Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Pathology, Pusan National University Yangsan Hospital, Yangsan, Korea.

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Peter Alken
The basic idea to do this study is described by the authors: “It is well known that renal trauma differs between children and adul... Read More
Monday, 02 April 2018 10:14
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Maldonado-Avila M et al, 2017: Comparison of three analgesic drug regimens with twelfth subcostal nerve block for pain control during extracorporeal shock wave lithotripsy.

Maldonado-Avila M, Garduño-Arteaga LM, Vela-Mollinedo RA, Jaspersen-Gastelum J, Virgen-Gutierrez F, Del Rosario-Santiago M, Rios-Davila V.
Hospital General de México, Mexico City, Mexico.

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Peter Alken
Ø
Friday, 30 March 2018 10:04
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Jeong HC et al, 2017: Effects of Next-Generation Low-Energy Extracorporeal Shockwave Therapy on Erectile Dysfunction in an Animal Model of Diabetes.

Jeong HC, Jeon SH, Qun ZG, Kim KS, Choi SW, Bashraheel F, Bae WJ, Kim SJ, Cho HJ, Ha US, Hong SH, Lee JY, Moon DG, Kim SW.
Department of Urology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
Department of Urology, The Catholic University of Korea, Incheon St. Mary's Hospital, Incheon, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Korea University College of Medicine, Seoul, Korea.

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Hans-Göran Tiselius
The effects of ESWT on ED are variable and inconclusive. Patients with ED, as a consequence of DM, comprise a particularly difficu... Read More
Thursday, 29 March 2018 14:02
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Chaussy CG et al, 2017: How can and should we optimize extracorporeal shockwave lithotripsy?

Chaussy CG, Tiselius HG.
University of Munich, Munich, Germany.
University of Regensburg, Regensburg, Germany.
Keck School of Medicine, USC, Los Angeles, USA.
Division of Urology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

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Peter Alken
A must-read for the Urologist in charge of the ESWL treatment in his department. The second must read is (López-Acón JD et al. Ana... Read More
Wednesday, 28 March 2018 10:00
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San Juan J et al, 2017: Variation in Spending around Surgical Episodes of Urinary Stone Disease-Findings from Michigan.

San Juan J, Hou H, Ghani KR, Dupree JM, Hollingsworth JM.
Department of Urology, University of Michigan Medical School, Ann Arbor, Michigan.

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Hans-Göran Tiselius
This economic analysis is based on data from a large number of hospitals in the Michigan area. The recorded payment for the index... Read More
Tuesday, 27 March 2018 13:56
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Zou ZJ et al, 2017: Low-intensity extracorporeal shock wave therapy for erectile dysfunction after radical prostatectomy: a review of preclinical studies.

Zou ZJ, Liang JY, Liu ZH, Gao R, Lu YP.
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, 350005, China.

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Peter Alken
An interesting review on experimental studies on the possible mechanisms of how LI-ESWT could help in post-prostatectomy ED which ... Read More
Monday, 26 March 2018 09:54
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Neues Praxishandbuch: »Stosswellen in der Sportmedizin«

»Shock Waves in Sports Medicine« ist bereits der achte Band der erfolgreichen Fachbuchreihe »Stosswellentherapie in der Praxis«. Die von Prof. Dr. Heinz Lohrer und Dr. Tanja Nauck herausgegebene Publikation zeigt das breite Einsatzspektrum der extrakorporalen Stosswellentherapie (ESWT) in der Sportmedizin und liefert wertvolle Erkenntnisse für die praktische Anwendung.Shock Waves in Sports Medicine

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New Practice Handbook: »Shock Waves in Sports Medicine«

»Shock Waves in Sports Medicine« (Level10 publishing house) is already the 8th volume in the »Shock Wave Therapy in Practice« book series. Edited by Prof Heinz Lohrer and Dr Tanja Nauck, the publication shows the range of applications of extracorporeal shock wave therapy (ESWT) in sports medicine and provides valuable insights.

2018 03 26 001 news

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Wu W et al, 2017: How to accelerate the upper urinary stone discharge after extracorporeal shockwave lithotripsy (ESWL) for bole (EPVL).

Wu W, Yang Z, Tang F, Xu C, Wang Y, Gu X, Chen X, Wang R, Yan J, Wang X, Gao W, Hou C, Guo J, Zhang J, Gurioli A, Ye Z, Zeng G.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangdong Key Laboratory of Urology, Guangzhou, 510230, China.
Department of Urology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Urology, The Chinese Medicine Hospital of Jiangsu Province, Nanjing, China.
Department of Urology, The People's Hospital of Huzhou, Huzhou, China.
Department of Urology, The Tongji Hospital of Huazhong Science and Technology University, Wuhan, China.
Department of Urology, The Chinese Medicine Hospital of Hubei Province, Wuhan, China.
Department of Urology, The Zhongshan Hospital of Fudan University, Shanghai, China.
Department of Urology, Turin University of Studies, Turin, Italy.
Department of Urology, The Tongji Hospital of Huazhong Science and Technology University, Wuhan, China.

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Hans-Göran Tiselius
Different ideas have emerged with the aim of improving the end result of SWL and make this method attractive in comparison with en... Read More
Friday, 23 March 2018 13:52
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Alken P., 2017: Intracorporeal lithotripsy.

Alken P.
Department of Urology, University Clinic Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Germany.

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Hans-Göran Tiselius
This review article gives an excellent and comprehensive description of different devices for intracorporeal stone disintegration.... Read More
Wednesday, 21 March 2018 13:48
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Schoenthaler M et al, 2017: The stone surgeon in the mirror: how are German-speaking urologists treating large renal stones today?

Schoenthaler M, Hein S, Seitz C, Türk C, Danuser H, Vach W, Miernik A.
Department of Urology, Faculty of Medicine, Medical Centre-University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Department of Urology, Vienna General Hospital, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Department of Urology/Stone Centre, Hospital Rudolfstiftung, Ziehrerplatz 7/7, 1030, Vienna, Austria.
Department of Urology, Kantonsspital, 6000, Lucerne 16, Switzerland.
Centre for Medical Biometry and Medical Informatics, University of Freiburg, Stefan-Meier Str. 26, 79104, Freiburg, Germany.

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Peter Alken
I have some doubts on the ways the data were collected, and how they are interpreted and presented. “Open surgery is still perfor... Read More
Tuesday, 20 March 2018 09:44
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Kyriakides R et al, 2017: Effect of music on outpatient urological procedures: A systematic review and meta-analysis from European section of Uro-technology (ESUT).

Kyriakides R, Jones P, Geraghty R, Skolarikos A, Liatsikos E, Traxer O, Pietropaolo A, Somani BK.
Foundation trainee, Clinical Fellow, Foundation trainee, Associate Professor of Urology, University Hospital Southampton NHS Trust, UK.
Associate Professor of Urology, National and Kapodistrian University of Athens, 2(nd) Department of Urology, Sismanoglio Hospital, Athens - Greece.
Associate Professor of Urology, Patras University, Department of Urology, Patra - Greece.
Professor, Tenon Hospital, Pierre and Marie Curie University, Paris, France; Group Recherche Clinique Lithiase No. 20, Paris, France.

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Hans-Göran Tiselius
That music during SWL can divert the patient’s attention from an unpleasant treatment situation has been observed in several clini... Read More
Monday, 19 March 2018 13:42
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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.
2Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.

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Peter Alken
A proper, well done study with a small number of cases based on the presumption that the difference between the two groups would b... Read More
Friday, 16 March 2018 09:39
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Pietropaolo A et al, 2017: Trends of intervention for paediatric stone disease over the last two decades (2000-2015): A systematic review of literature.

Pietropaolo A, Proietti S, Jones P, Rangarajan K, Aboumarzouk O, Giusti G, Somani BK.
University Hospital Southampton NHS Trust, Southampton, UK.
Raffaele Hospital, Ville Turro Division, Milan, Italy.
Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK.

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Hans-Göran Tiselius
It is generally assumed that the number of publications on different methods for stone removal reflects how frequently the differe... Read More
Thursday, 15 March 2018 13:31
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STORZ MEDICAL präsentiert den neuen MODULITH® SLX-F2 »FD21« auf dem EAU 2018

Auf dem diesjährigen EAU (European Association of Urology) 2018 in Kopenhagen präsentiert STORZ MEDICAL den neuen MODULITH® SLX-F2 »FD21«: : den bewährten extrakorporalen Lithotripter ausgestattet mit einem neuen, dynamischen und modernen Röntgenflachdetektor.

MODULITH® SLX-F2 »FD21«

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STORZ MEDICAL is presenting the new MODULITH SLX-F2 »FD21« on EAU 2018

On this year`s EAU (European Association of Urology) 2018 in Copenhagen STORZ MEDICAL is presenting the new MODULITH® SLX-F2 »FD21«: the proven extracorporeal shockwave lithotripter equipped with a new dynamic state-of the art x-ray flat panel detector.

2018 03 14 001 news

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Gezginci E et al, 2017: Comparison of Two Different Distraction Methods Affecting the Level of Pain and Anxiety during Extracorporeal Shock Wave Lithotripsy: A Randomized Controlled Trial.

Gezginci E, Iyigun E, Yalcin S, Bedir S, Ozgok IY.
University of Health Sciences, Gulhane Training and Research Hospital, Department of Urology, Ankara, Turkey.
University of Health Sciences, Gulhane School of Nursing, Ankara, Turkey.
University of Turkish Aeronautical Association, Board of Trustees, Ankara, Turkey.

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Peter Alken
In this study “no patients were administered any type of analgesic drug before and during ESWL”. No surprise that the mean (SD) pa... Read More
Wednesday, 14 March 2018 09:34
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Ahn JS et al, 2017: National Imaging Trends After Ureteroscopic or Shockwave Lithotripsy For Nephrolithiasis

Ahn JS, Holt S, May P, Harper JD.
Department of Urology, University of Washington, Seattle, Washington.

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Peter Alken
America runs way behind with the use of sonographic imaging. It’s good to see that this imaging technique, which is urological rou... Read More
Monday, 12 March 2018 13:46
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Cevik B et al, 2017: Procedural sedation and analgesia for pediatric shock wave lithotripsy: a 10 year experience of single institution.

Cevik B, Tuncer M, Erkal KH, Eryildirim B, Sarica K.
Dr. Lütfi Kirdar Training and Research Hospital, Anesthesiology and Reanimation Clinic, Şemsi Denizer caddesi, 34865, Cevizli-Kartal, Istanbul, Turkey.

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Peter Alken
A good study with clear cut information for everyday use.
Friday, 09 March 2018 13:42
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Kalyvianakis D et al, 2017: Low-Intensity Shockwave Therapy Improves Hemodynamic Parameters in Patients With Vasculogenic Erectile Dysfunction: A Triplex Ultrasonography-Based Sham-Controlled Trial.

Kalyvianakis D, Hatzichristou D.
Center for Sexual and Reproductive Health, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece.

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Peter Alken
A good study by a group being involved in that matter since years. Hatzichristou D. Low-Intensity Extracorporeal Shock Waves Thera... Read More
Wednesday, 07 March 2018 13:38
221 Hits
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Durmuş G et al, 2017: Assessment of electrocardiographic parameters in adult patients undergoing extracorporeal shockwave lithotripsy.

Durmuş G, Kalyoncuoğlu M, Karataş MB, Çanga Y, Öztürk S, Özal E, Çakıllı Y, Kırış T, Güngör B, Alper AT, Can MM, Bolca O.
Department of Cardiology, Haseki Training and Research Hospital, İstanbul, Turkey.

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Peter Alken
11 cardiologist writing about the differences between pre- and post-ESWL ECGs in 40 patients treated in 4 different clinics during... Read More
Monday, 05 March 2018 13:33
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Schregel C et al, 2017: Influence of acetylsalicylic acid and low-molecular weight heparins on the formation of renal hematoma after shock wave lithotripsy.

Schregel C, John H, Randazzo M, Keller I.
Department of Urology, Kantonsspital Winterthur, Brauerstrasse 15, 8401, Winterthur, Switzerland.

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Peter Alken
The basis of this publication is very week and does not allow any sound conclusions regarding the frequency of renal hematomas aft... Read More
Friday, 02 March 2018 14:19
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Raheem OA et al, 2017: Burden of Urolithiasis: Trends in Prevalence, Treatments, and Costs.

Raheem OA, Khandwala YS, Sur RL, Ghani KR, Denstedt JD.
Department of Urology, University of California San Diego Health, San Diego, CA, USA.
University of California San Diego School of Medicine, San Diego, CA, USA.
Department of Urology, University of Michigan, Ann Arbor, MI, USA.
Department of Surgery, Western University, London, ON, Canada.

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Peter Alken
In the section focusing on therapy selection and costs the authors state: “Management trends for urolithiasis in Europe vary becau... Read More
Thursday, 01 March 2018 13:18
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Zou ZJ et al, 2017: Short-term efficacy and safety of low-intensity extracorporeal shock wave therapy in erectile dysfunction: a systematic review and meta-analysis.

Zou ZJ, Tang LY, Liu ZH, Liang JY, Zhang RC, Wang YJ, Tang YQ, Gao R, Lu YP.
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.
Department of Urology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, P.R. China.

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Hans-Göran Tiselius
Low-intensity ESWT for erectile dysfunction is currently intensively discussed in the literature. This article is a review (n=15) ... Read More
Wednesday, 28 February 2018 09:46
174 Hits
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Fode M et al, 2017: Low-intensity shockwave therapy for erectile dysfunction: is the evidence strong enough?

Fode M, Hatzichristodoulou G, Serefoglu EC, Verze P,Albersen M on behalf of the Young Academic Urologists Men’s Health Group Young Academic Urologists Men's Health Group.

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Peter Alken
One decisive sentence is: “Thus, Li‑ESWT is the only currently marketed treatment for ED that might offer a cure, which is the mo... Read More
Monday, 26 February 2018 13:14
187 Hits
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Chiang BJ et al, 2017: The efficacy of extracorporeal shockwave lithotripsy for symptomatic ureteral stones: Predictors of treatment failure without the assistance of computed tomography.

Chiang BJ, Liao CH, Lin YH.
Department of Life Science, National Taiwan Normal University, Taipei, Taiwan.
Division of Urology, Department of Surgery, Cardinal Tien Hospital, New Taipei City, Taiwan.
Department of Urology, School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
Department of Urology, National Taiwan University Hospital, Taipei, Taiwan.

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Hans-Göran Tiselius
In this report the authors studied the outcome of SWL for ureteral stones without imaging with NCCT. Instead they used KUB and IVP... Read More
Wednesday, 21 February 2018 09:38
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Nielsen TK et al., 2017: Efficacy of commercialised extracorporeal shock wave lithotripsy service: a review of 589 renal stones.

Nielsen TK, Jensen JB.
Department of Urology, Hospitalsenheden Vest, Holstebro, Denmark.

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Peter Alken
The second good quality Scandinavian ESWL study published in the third quarter of 2017 (Wagenius M, et al. Complications in extrac... Read More
Friday, 16 February 2018 14:08
425 Hits
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Muratori R et al, 2017: Ductal stones recurrence after extracorporeal shock wave lithotripsy for difficult common bile duct stones: Predictive factors.

Muratori R, Mandolesi D, Pierantoni C, Festi D, Colecchia A, Mazzella G, Bazzoli F, Azzaroli F.
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Italy.

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Hans-Göran Tiselius
Although the recurrence risk of bile duct stones is not a urological problem, SWL for difficult common bile duct stones are common... Read More
Wednesday, 14 February 2018 09:34
293 Hits
1 Comment

Sridharan K et al, 2017: Medical expulsive therapy in urolithiasis: a mixed treatment comparison network meta-analysis of randomized controlled clinical trials.

Sridharan K, Sivaramakrishnan G.
School of Health Sciences, Fiji National University, Suva, Fiji Islands.
School of Oral Health, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva , Fiji Islands.

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Peter Alken
This meta-analysis includes 9 studies published in 2012, 14 in 2013, 15 in 2014, 18 in 2015, 14 in 2016. The authors state: from t... Read More
Monday, 12 February 2018 12:49
297 Hits
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Chuang YC et al, 2017: Urodynamic and molecular characteristics of detrusor underactivity in a rat cryoinjury model and effects of low energy shock wave therapy.

Chuang YC, Tyagi P, Wang HJ, Huang CC, Lin CC, Chancellor MB.
Department of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
The Center of Excellence in Shockwave Medicine and Tissue Regeneration, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Department of Pathology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan.
Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Oakland University-William Beaumont School of Medicine, Royal Oak, Michigan.

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Peter Alken
Detrusor underactivity (DU) or underactive bladder (UAB) is a slowly developing, long standing condition usually seen in old patie... Read More
Thursday, 08 February 2018 12:43
312 Hits
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Balawender K et al, 2017: The impact of pelvicalyceal anatomy on the stone formation in patients with lower pole renal stones.

Balawender K, Orkisz S.
Morphological Sciences Department of Human Anatomy Medical Faculty University of Rzeszów.

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Hans-Göran Tiselius
This report does not deal directly with SWL, but with the possible importance of the geometry of the lower calyx for the risk of s... Read More
Tuesday, 06 February 2018 09:23
314 Hits
1 Comment

Wagenius M et al, 2017: Complications in extracorporeal shockwave lithotripsy: a cohort study.

Wagenius M, Jakobsson J, Stranne J, Linder A.
Department of Clinical Sciences, Division of Infection Medicine, Lund University, Lund, Sweden.
Department of Surgery , Helsingborg Hospital, Helsingborg, Sweden.
Department of Urology , Sahlgrenska University Hospital, Gothenburg, Sweden.

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Peter Alken
A sound retrospective study on 1169 patients treated with 1838 ESWL sessions. Single treatment was used most frequently (n = 1414,... Read More
Thursday, 01 February 2018 11:58
365 Hits
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He XZ et al, 2017: Analysis of the safety and efficacy of combined extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy for the treatment of complex renal calculus

He XZ, Ou TW, Cui X, Li J, Wang SH.
Department of Urology, Xuanwu Hospital, Capital Medical University, Beijing, P.R. China.

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Hans-Göran Tiselius
This article on treatment of large and complex renal stones is interesting inasmuch as PCNL (control group) treatment alone was co... Read More
Wednesday, 31 January 2018 09:18
650 Hits
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Chang KD et al, 2017: Impact of Pretreatment Hydronephrosis on the Success Rate of Shock Wave Lithotripsy in Patients with Ureteral Stone.

Chang KD, Lee JY, Park SY, Kang DH, Lee HH, Cho KS.
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology and Urological Science Institute, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

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Peter Alken
The number of patients with grade 3 and 4 hydronephrosis was small (100 and 19 resp.). In these cases the one-session success rate... Read More
Monday, 29 January 2018 11:54
374 Hits
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Ceylan Y et al, 2017: The effect of SWL and URS on health-related quality of life in proximal ureteral stones.

Ceylan Y, Ucer O, Bozkurt O, Gunlusoy B, Mertoglu O, Zumrutbas AE, Yildiz G, Irer B, Muezzinoglu T, Demir O.
Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey.
Department of Urology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
Department of Urology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey.
Department of Urology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Department of Urology, Dr Suat Seren Chest Diseases and Surgery Training, Research Hospital, İzmir, Turkey.
Department of Urology, Esrefpaşa Hospital, Izmir, Turkey.

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Hans-Göran Tiselius
The authors analysed short-term HRQoL-scores in patients treated with URS or SWL for proximal ureteral stones. The conclusion was ... Read More
Friday, 26 January 2018 09:14
468 Hits
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Silay MS et al, 2017: Update on Urinary Stones in Children: Current and Future Concepts in Surgical Treatment and Shockwave Lithotripsy.

Silay MS, Ellison JS, Tailly T, Caione P.
Division of Pediatric Urology, Department of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Division of Pediatric Urology Department of Urology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Department of Urology, University of Ghent, Ghent, Belgium.
Department of Urology, Bambino Children's Hospital, Rome, Italy.

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Peter Alken
Ø
Thursday, 25 January 2018 11:49
384 Hits
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Chang H et al, 2017: Melamine Poisoning Pediatric Urolithiasis Treatment in Gansu, China 5-Year Follow-up Analysis.

Chang H, Wu G, Yue Z, Ma J, Qin Z.
Department of Urology, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China; Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou, Gansu Province, China; Department of Clinical Laboratory Center, The Second Clinical Medical College of Lanzhou University, Lanzhou, Gansu Province, China.

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Hans-Göran Tiselius
It was of great interest to read about the 5-year course of stone-disease in children who were poisoned by melamine. In the author... Read More
Tuesday, 23 January 2018 09:06
474 Hits
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Gultekin MH et al, 2017: Does previous open renal stone surgery affect the outcome of SWL treatment in adults with renal stones?

Gultekin MH, Turegun FA, Ozkan B, Tulu B, Gulec GG, Tansu N, Demirdag C, Kendigelen P, Erozenci A, Onal B.
Department of Urology, University of Istanbul Cerrahpasa School of Medicine, Istanbul, Turkey.
epartment of Urology, Acıbadem University School of Medicine, Istanbul, Turkey.
Department of Anesthesiology, University of Istanbul Cerrahpasa School of Medicine, Istanbul, Turkey.

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  407 Hits
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Peter Alken
An exceptional series of 2097 cases treated by a single urologist specialized in SWL. The message I take is that the ESWL success ... Read More
Sunday, 21 January 2018 11:41
407 Hits
1 Comment

Seckiner I et al, 2017: A neural network - based algorithm for predicting stone - free status after ESWL therapy.

Seckiner I, Seckiner S, Sen H, Bayrak O, Dogan K, Erturhan S.
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, Shanghai, China.

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  430 Hits
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Recent comment in this post
Hans-Göran Tiselius
Numerous methods have been published during recent years with the aim of predicting outcome / stone-free rate after SWL. In this r... Read More
Thursday, 18 January 2018 09:02
430 Hits
1 Comment

Fouladi A et al, 2017: Comparison of Different Analgesic Techniques for Pain Relief During Extracorporeal Shock Wave Lithotripsy: a Double-blind, Randomized Clinical Trial.

Fouladi A, Soleimani A.
Department of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

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  479 Hits
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Peter Alken
The different outcomes in the two-armed study are partially explained by the use of different drug combinations and partially by t... Read More
Monday, 15 January 2018 11:25
479 Hits
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Mannil M et al, 2017: Prediction of successful shock wave lithotripsy with CT: a phantom study using texture analysis.

Mannil M, von Spiczak J, Hermanns T, Alkadhi H, Fankhauser CD.
Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Raemistr. 100, 8091, Zurich, Switzerland.
Department of Urology, University Hospital Zurich, University of Zurich, Raemistr. 100, 8091, Zurich, Switzerland.

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  518 Hits
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Recent comment in this post
Peter Alken
“Radiomics: Images Are More than Pictures, They Are Data” is the title of a recently published review (Gillies RJ, et al. Radiolog... Read More
Friday, 12 January 2018 11:33
518 Hits
1 Comment

Ya Wei B et al, 2017: Hepatic Subcapsular Hematoma Breaking into the Abdominal Cavity after Extracorporeal Shock Wave Lithotripsy for Pancreatic Stones.

Ya Wei B, Wang D, Du TT, Liao Z, Li ZS, Hu LH.
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, Shanghai, China.

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Hans-Göran Tiselius
This article describes the extremely unusual complication of a hepatic subcapsular hematoma as a consequence of SWL for pancreatic... Read More
Wednesday, 10 January 2018 08:57
482 Hits
1 Comment

Kaygısız O et al, 2017: Comparison of intermediate- and low-frequency shock wave lithotripsy for pediatric kidney stones.

Kaygısız O, Kılıçarslan H, Mert A, Coşkun B, Kordan Y.
Department of Urology, Faculty of Medicine, Uludağ University, Görükle, Bursa, 16059, Turkey.

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Hans-Göran Tiselius
Selection of the most appropriate effective SW-frequency remains an unresolved issue. That a high frequency is associated with a g... Read More
Thursday, 04 January 2018 08:53
559 Hits
1 Comment

Gupta R et al, 2017: Bilateral Staghorn Calculus with Forgotten Double J Stent in Ileal Conduit Patient - A Rare Urological Challenge.

Gupta R, Dey RK, Sharma R, Gupta S.
Department of Urology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.
Department of Urology, SMS Medical College, Jaipur, Rajasthan, India.
Department of Obstetrics And Gynaecology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.

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Hans-Göran Tiselius
Forgotten internal stents are a serious clinical shortcoming. This is particularly the case when – as in the presented patient - t... Read More
Wednesday, 27 December 2017 08:47
588 Hits
1 Comment

Neisius A, 2017: [What is the current status of shock wave lithotripsy?]

Neisius A
Abteilung für Urologie und Kinderurologie, Krankenhaus der Barmherzigen Brüder Trier, Akademisches Lehrkrankenhaus der Johannes Gutenberg-Universität Mainz, Nordallee 1, 54292, Trier, Deutschland.

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Hans-Göran Tiselius
This is a comprehensive review of the basic principles of SWL with a look into future aspects of this non invasive therapeutic app... Read More
Thursday, 21 December 2017 08:41
600 Hits
1 Comment

Tao T et al, 2017: Outcome of a session of extracorporeal shock wave lithotripsy before endoscopic retrograde cholangiopancreatography for problematic and large common bile duct stones.

Tao T, Zhang M, Zhang QJ, Li L, Li T, Zhu X, Li MD, Li GH, Sun SX.
Tao Tao, Qi-Jie Zhang, Ming-Dong Li, Gui-Hua Li, Department of Gastroenterology, Zibo Central Hospital, Zibo 255000, Shandong Province, China.

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  594 Hits
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Recent comment in this post
Hans-Göran Tiselius
Removal of bile duct stones can be a very complicated and challenging task. Although is a non-urological problem, the requests by ... Read More
Monday, 18 December 2017 08:37
594 Hits
1 Comment

Rashed FK et al, 2017: Prevalence of diabetes mellitus after extra corporeal shock wave lithotripsy in 15 years follow-up.

Rashed FK, Ahmadi NR, Zolfaghari A, Farshi A, Amjadi M, Gholipour M.
Department of Urology, Imam Reza Hospital, Tabriz, Iran.
Department of Extracorporeal Shock Wave Lithotripsy, Shahid Madani Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
General Practitioner at Imam Reza hospital, Tabriz, Iran.

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Recent comment in this post
Hans-Göran Tiselius
The question whether DM is a consequence of SWL obviously remains a continuous matter of debate. The authors of this report claim ... Read More
Thursday, 14 December 2017 08:32
575 Hits
1 Comment

Lu CH et al, 2017: Clinical analysis of 48-h emergency department visit post outpatient extracorporeal shock wave lithotripsy for urolithiasis.

Lu CH, Kuo JY, Lin TP, Huang YH, Chung HJ, Huang WJS, Wu HHH, Chang YH, Lin ATL, Chen KK.
Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Shu-Tien Urological Institute, National Yang-Ming University, Taipei, Taiwan, ROC.

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  681 Hits
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Recent comment in this post
Hans-Göran Tiselius
It is of great clinical relevance to know to which extent patients treated with SWL return to the emergency unit within 48h. This ... Read More
Monday, 11 December 2017 08:27
681 Hits
1 Comment

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.HPB (Oxford).
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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  1 Comment
Recent comment in this post
Hans-Göran Tiselius
No free access via Karolinska Institute.
Wednesday, 06 December 2017 08:17
698 Hits
1 Comment

Bozzini G et al, 2017: A prospective randomized comparison among SWL, PCNL and RIRS for lower calyceal stones less than 2 cm: a multicenter experience: A better understanding on the treatment options for lower pole stones.

Bozzini G, Verze P, Arcaniolo D, Dal Piaz O, Buffi NM, Guazzoni G, Provenzano M, Osmolorskij B, Sanguedolce F, Montanari E, Macchione N, Pummer K, Mirone V, De Sio M, Taverna G.
Department of Urology, Humanitas Mater Domini, Via Gerenzano 2, 21053, Castellanza, Varese, Italy.
Department of Urology, University of Naples Federico II, Naples, Italy.
Department of Urology, Second University of Naples, Naples, Italy.
Universitätsklinik für Urologie, Graz, Austria.
Humanitas University, Milan, Italy.
Department of Urology, Lomonosov Hospital, Moscow, Russia.
Department of Urology, London Barts Hospital, London, UK.
ESUT European Section for UroTechnology, Arnhem, Netherlands.
Department of Urology, Policlinico di Milano, Milan, Italy.
ASST San Paolo, Milan, Italy.

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Hans-Göran Tiselius
In this randomized comparison between SWL, RIRS and PCNL for treatment of 10-20 mm large LC-stones, the authors not unexpectedly r... Read More
Monday, 04 December 2017 08:09
635 Hits
1 Comment

Tsai CC et al, 2017: Low-Intensity Extracorporeal Shockwave Therapy Can Improve Erectile Function in Patients Who Failed to Respond to Phosphodiesterase Type 5 Inhibitors.

Tsai CC, Wang CJ, Lee YC, Kuo YT, Lin HH, Li CC, Wu WJ, Liu CC.
Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Department of Urology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Management Offices, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
Department of Laboratory Medicine, Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan.
Department of Urology, Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan.

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  1 Comment
Recent comment in this post
Hans-Göran Tiselius
This study was conducted to find out if patients with erectile dysfunction in whom treatment with phosphodiesterase type 5 inhibit... Read More
Saturday, 02 December 2017 07:57
650 Hits
1 Comment

Beyna T et al, 2017: Endoscopic treatment of pancreatic duct stones under direct vision. Revolution or resignation? A systematic review.

Beyna T, Gerges C, Neuhaus H.
Evangelisches Krankenhaus Düsseldorf, Department of Gastroenterology, Düsseldorf, Germany.

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  710 Hits
  1 Comment
Recent comment in this post
Peter Alken
ESWL, usually followed by endoscopy, is regarded as a corner stone of pancreatic duct stone treatment. Success and limitations of ... Read More
Wednesday, 29 November 2017 09:22
710 Hits
1 Comment

Cevik B et al, 2017: Procedural sedation and analgesia for pediatric shock wave lithotripsy: a 10 year experience of single institution.

Cevik B, Tuncer M, Erkal KH, Eryildirim B, Sarica K.
Dr. Lütfi Kirdar Training and Research Hospital, Urology Clinic, Şemsi Denizer caddesi, 34865, Cevizli-Kartal, Istanbul, Turkey.

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  691 Hits
  1 Comment
Recent comment in this post
Peter Alken
This is an important report on conscious sedation for ESWL treatment in children of a relatively large number of stone patients. T... Read More
Monday, 27 November 2017 09:16
691 Hits
1 Comment

Xing Y et al, 2017: Comparison of Broad vs Narrow Focal Width Lithotripter Fields.

Xing Y, Chen TT, Simmons WN, Sankin G, Cocks FH, Lipkin ME, Preminger GM, Zhong P.
Department of Mechanical Engineering and Materials Science, Duke University, Durham, North Carolina.
School of Medicine, Duke University, Durham, North Carolina.
Comprehensive Kidney Stone Center/Urologic Surgery, Duke University, Durham, North Carolina.

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Recent Comments
Othmar Wess
Many factors determine the performance of a lithotripter. Positioning of stones, quality of coupling, energy settings, treatment s... Read More
Saturday, 25 November 2017 13:07
Peter Alken
A very interesting paper produced by a group with long standing experience in research on ESWL. The interested reader should get a... Read More
Friday, 24 November 2017 09:12
1035 Hits
2 Comments

MEDICA 2017: STORZ MEDICAL presents new shock wave systems and announces winners of »Scientific Shock Wave Award«

During MEDICA 2017 (13 – 16 November) STORZ MEDICAL presented the new radial shock wave system MASTERPULS® ONE. Other highlights were the presentation of the lithotripter MODULITH® SLK »intelect« and the award ceremony for the STORZ MEDICAL »Scientific Shock Wave Award«.

Review MEDICA 2017

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Wang D et al, 2017: Extracorporeal shock wave lithotripsy is safe and effective for pediatric patients with chronic pancreatitis.

Wang D, Bi YW, Ji JT, Xin L, 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.
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Department of Surgery, Jinling Hospital, Nanjing, China.
Digestive Endoscopy Center, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, China.
Department of Gastroenterology, Air Force General Hospital, Beijing, China.
Department of Traditional Chinese Medicine, Jiangdu Hospital, Yangzhou, China.

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Peter Alken
This is a report on the safety and efficacy of ESWL done in intravenous sedation analgesia in a rare disease. It is interesting t... Read More
Wednesday, 22 November 2017 09:07
802 Hits
1 Comment

Ordaz Jurado DG et al, 2017: Shockwave lithotripsy with music: Less painful and more satisfactory treatment.

Ordaz Jurado DG, Budia Alba A, Bahilo Mateu P, Trassierra Villa M, López-Acón D, Boronat Tormo F.
Unidad de Litotricia y Endourología, Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Monday, 20 November 2017 09:01
777 Hits
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Drake T et al, 2017: What are the Benefits and Harms of Ureteroscopy Compared with Shock-wave Lithotripsy in the Treatment of Upper Ureteral Stones? A Systematic Review.

Drake T, Grivas N, Dabestani S, Knoll T, Lam T, Maclennan S, Petrik A, Skolarikos A, Straub M, Tuerk C, Yuan CY, Sarica K.
Department of Urology, Royal Bournemouth Hospital, Bournemouth, UK.
Department of Urology, Hatzikosta General Hospital, Ioannina, Greece; Department of Urology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Department of Urology, Skåne University Hospital, Malmö, Sweden.
Department of Urology, Sindelfingen-Boeblingen Medical Center, University of Tübingen, Sindelfingen, Germany.
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland; Academic Urology Unit, University of Aberdeen, Aberdeen, Scotland.
Academic Urology Unit, University of Aberdeen, Aberdeen, Scotland.
Department of Urology, Charles University, First Faculty of Medicine, Prague, Czech Republic; Department of Urology, Hospital Ceske Budejovice, Czech Republic.
Second Department of Urology, Sismanoglio Hospital, Athens Medical School, Athens, Greece.
Department of Urology, Technical University Munich, Munich, Germany.
Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria.
Division of Gastroenterology & Cochrane UGPD Group, Department of Medicine, Health Sciences Centre, McMaster University, Hamilton, Canada.
Department of Urology, Dr. Lutfi Kirdar Research and Teaching Hospital, Istanbul, Turkey.

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Peter Alken
This systematic review is perfectly done and highly recommended for reading not only the results but also the way the publications... Read More
Friday, 17 November 2017 08:50
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Ozmerdiven G et al, 2017: Protective effects of diltiazem and tadalafil on shock wave-induced kidney injury in rats.

Ozmerdiven G, Vuruskan BA, Kaygisiz O, Vuruskan H.

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Peter Alken
I do not think that the rat is a good animal model to study the side-effects of ESWL. 1500 shots with 14 kv on a fingernail-size o... Read More
Wednesday, 15 November 2017 08:43
777 Hits
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Patodia M et al, 2017: Management of renal caliceal diverticular stones: A decade of experience.

Patodia M, Sinha RJ, Singh S, Singh V.
Department of Urology, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India.
Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

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Peter Alken
Only three patients were treated with ESWL: “Three patients underwent ESWL as per their personal preference. Two patients had com... Read More
Monday, 13 November 2017 08:37
804 Hits
1 Comment

El-Nahas AR et al, 2017: Hospital admission for treatment of complications after extracorporeal shock wave lithotripsy for renal stones: a study of risk factors.

El-Nahas AR, Taha DE, Elsaadany MM, Zahran MH, Hassan M, Sheir KZ.
Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
The good news for ESWL is: “… the 9.2% admission rate for treatment of SWL complications is lower than the 15% unplanned hospital... Read More
Friday, 10 November 2017 08:30
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Angulo JC et al, 2017: Trends in the management of urolithiasis in Latin America, Spain and Portugal: results of a survey in the Confederación Americana de Urología (CAU).

Angulo JC, Bernardo N, Zampolli H, Rivero MA, Dávila H, Gutiérrez J.
Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, España.
Departamento de Urología, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Buenos Aires, Argentina.
Departamento de Urologia, Instituto do Cancer Dr. Arnaldo Vieira de Carvalho, São Paulo, Brasil.
Especialista consultor en Urología y Andrología, Buenos Aires, Argentina.
Departamento de Urología, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela.
Departamento de Urología, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, Carolina del Norte, EE. UU.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Wednesday, 08 November 2017 08:22
865 Hits
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Van Besien J et al, 2017: Ultrasonography Is Not Inferior to Fluoroscopy to Guide Extracorporeal Shock Waves during Treatment of Renal and Upper Ureteric Calculi: A Randomized Prospective Study.

Van Besien J, Uvin P, Hermie I, Tailly T, Merckx L.
Department of Urology, AZ Sint-Lucas, Ghent, Belgium.
Department of Radiology, AZ Sint-Jan, Bruges, Belgium.
Department of Urology, University Hospitals, Ghent, Belgium.

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Peter Alken
I expected the ultrasonography group outcomes to be much better than those of the fluoroscopy group. After all continuous real-tim... Read More
Monday, 06 November 2017 08:05
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Muratori R et al, 2017: Successful extracorporeal shock wave lithotripsy (ESWL) treatment of a symptomatic massive biliary stone proximal to an anastomotic biliary stricture.

Muratori R, Mandolesi D, Galaverni MC, Azzaroli F.
Department of Clinical and Surgical Sciences, Policlinico Sant'Orsola Malpighi, Italy.

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Peter Alken
This case report on six ESWL sessions on a 6 cm biliary stone impacted on the anastomotic biliary stricture is summarized: “The p... Read More
Friday, 03 November 2017 07:58
788 Hits
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Miah T et al, 2017: Pediatric Nephrolithiasis: A Review.

Miah T, Kamat D.

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Peter Alken
This general review on pediatric urolithiasis covers ESWL only briefly but negative: “ … although extracorporeal shockwave lith¬o... Read More
Wednesday, 01 November 2017 07:52
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Muratori R et al, 2017: Ductal stones recurrence after extracorporeal shock wave lithotripsy for difficult common bile duct stones: Predictive factors.

Muratori R, Mandolesi D, Pierantoni C, Festi D, Colecchia A, Mazzella G, Bazzoli F, Azzaroli F.
Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Italy.

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Recent comment in this post
Peter Alken
85% of common bile duct stones are treated by endoscopic techniques. ESWL is reserved for difficult bile duct stones (DCBDS), e.g.... Read More
Monday, 30 October 2017 07:47
877 Hits
1 Comment

May PC et al, 2017: Detection and Evaluation of Renal Injury in Burst Wave Lithotripsy Using Ultrasound and Magnetic Resonance Imaging.

May PC, Kreider W, Maxwell AD, Wang YN, Cunitz BW, Blomgren PM, Johnson CD, Park JSH, Bailey MR, Lee D, Harper JD, Sorensen MD.
University of Washington Applied Physics Lab, Center for Industrial and Medical Ultrasound, Seattle, Washington.
Department of Urology, University of Washington School of Medicine, Seattle, Washington.
Department of Anatomy and Cell Biology, Indiana University, Indianapolis, Indiana.
Department of Radiology, University of Washington, Seattle, Washington.
Division of Urology, Department of Veteran Affairs Medical Center, Seattle, Washington.

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Peter Alken
An important study because it reports on work in progress on an ESWL technique alternative to classical ESWL. It requires careful ... Read More
Saturday, 28 October 2017 07:35
910 Hits
1 Comment

Balawender K et al, 2017: The impact of pelvicalyceal anatomy on the stone formation in patients with lower pole renal stones.

Balawender K, Orkisz S.
Morphological Sciences Department of Human Anatomy Medical Faculty University of Rzeszów.

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Hans-Göran Tiselius
Although the title of this manuscript has its focus on the relationship between lower calyx anatomy and stone formation, parts of ... Read More
Wednesday, 25 October 2017 10:28
921 Hits
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Zodda D et al, 2017: A Novel Case of Splenic Injury After Shockwave Lithotripsy.

Zodda D, Haley M, Sayegh R.
Hackensack University Medical Center, Hackensack, New Jersey.

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Hans-Göran Tiselius
Splenic rupture is an extremely unusual complication of SWL. The lesson learnt over the years is that any patient that presents wi... Read More
Friday, 13 October 2017 10:05
1324 Hits
1 Comment

Chen YZ et al, 2017: Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients.

Chen YZ, Lin WR, Lee CC, Sun FJ, Chow YC, Tsai WK, Chiang PK, Lin TP, Chen M, Chiu AW.
Department of Urology, MacKay Memorial Hospital.
School of Medicine, MacKay Medical College.
Department of Cosmetic Applications and Management, MacKay Junior College of Medicine, Nursing and Management.
School of Medicine, National Yang-Ming University, Taipei, Taiwan.

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Hans-Göran Tiselius
A comparison of SWL-results in “young” ( 8 mm ureteral stones. Another unexpected finding was that the two groups had similar ston... Read More
Monday, 09 October 2017 10:00
1128 Hits
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New Practice Handbook: »Fascia Treatment with Shock Waves«

The new practice handbook »Fascia Treatment with Shock Waves« (published by the Level10 publishing house) by Prof. Dr Matthias Beck, Dr Carlo Di Maio, Dr Stephan Swart and Corry Ullrich provides doctors and therapists with sound basic knowledge of fascial shock wave therapy.

Book: Fascia Treatment with Shock Waves

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2494 Hits
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Alsagheer G et al, 2017: Extracorporeal shock wave lithotripsy (ESWL) monotherapy in children: Predictors of successful outcome.

Alsagheer G, Abdel-Kader MS, Hasan AM, Mahmoud O, Mohamed O, Fathi A, Abass M, Abolyosr A.
Urology Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt.

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Hans-Göran Tiselius
Based on the reported poor outcome of ESWL in children, with SFR of only 47% after one treatment, the authors analysed the predict... Read More
Wednesday, 04 October 2017 09:55
1146 Hits
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Cui HW et al, 2017: CT Texture Analysis of Ex Vivo Renal Stones Predicts Ease of Fragmentation with Shockwave Lithotripsy.

Cui HW, Devlies W, Ravenscroft S, Heers H, Freidin A, Cleveland R, Ganeshan B, Turney BW.
Oxford Stone Group, University of Oxford, Oxford, United Kingdom.
Faculty of Medicine, KU Leuven, Leuven, Belgium.
Division of Medical Sciences, University of Oxford , Oxford, United Kingdom.
Department of Urology and Paediatric Urology, Philipps-Universität Marburg, Marburg, Germany.
Kennedy Institute of Rheumatology, University of Oxford, Oxford, United Kingdom.
Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom.
Division of Medicine, Institute of Nuclear Medicine, University College London, London, United Kingdom.

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Recent comment in this post
Hans-Göran Tiselius
Improved CT-technology enables texture analysis (TA) of stones. When data from CTTA were compared with the number of shockwaves re... Read More
Friday, 29 September 2017 09:50
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Cakmak O et al, 2017: Listening to music during shock wave lithotripsy decreases anxiety, pain, and dissatisfaction: A randomized controlled study.

Cakmak O, Cimen S, Tarhan H, Ekin RG, Akarken I, Ulker V, Celik O, Yucel C, Kisa E, Ergani B, Cetin T, Kozacioglu Z.
Department of Urology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, NS, Canada.
Urology Department, Sitki Kocman University, Mugla, Turkey.
Urology Department, Tepecik Training and Research Hospital, Izmir, Turkey.
Urology Department, Kemalpasa State Hospital, Izmir, Turkey.

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Recent comment in this post
Hans-Göran Tiselius
Undoubtedly, successful SWL needs a comfortable patient who tolerates the pain and can comply with the treatment efforts. It is po... Read More
Monday, 25 September 2017 09:41
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1 Comment

Tuncer M et al, 2017: Extracorporeal Shock Wave Lithotripsy Management of Renal Stones in Children: Does Anesthesia Affect the Treatment Outcomes on an Age Based Manner ?

Tuncer M, Çevik B, Eryıldırım B, Faydacı G, Sarıca K.
Department of Anaesthesia, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
Department of Urology, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.

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Hans-Göran Tiselius
It is in no way surprising to me that the need of anaesthesia (Ketamin) most commonly was encountered in the low age group. More s... Read More
Wednesday, 20 September 2017 09:35
1113 Hits
1 Comment

Waqas M et al, 2017: Comparison of Different Analgesia Drug Regimens for Pain Control During Extracorporeal Shock Wave Lithotripsy for Renal Stones: A Randomized Control Study.

Waqas M, Butt A, Ayaz Khan M, Khan I, Saqib IU, Hussain T, Akhter S.
Department of Urology, Shifa International Hospital, Islamabad, Pakistan.
Department of Urology, Pakistan Kidney Institute, Islamabad, Pakistan.
Department of Plastic Surgery, Shifa International Hospital, Islamabad, Pakistan.
Lithotripsy Department, Shifa International Hospital, Islamabad, Pakistan.

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  1090 Hits
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Recent comment in this post
Hans-Göran Tiselius
It is correctly concluded by the authors that poor analgesia results in poor patient compliance and insufficient treatment results... Read More
Friday, 15 September 2017 09:23
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