Peter Alken, MD
Professor of Urology
Department of Urology, Universitätsklinik Mannheim
Ruprecht- Karls-Universität Heidelberg
68135 Mannheim, Germany

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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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
75 Hits
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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
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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
76 Hits
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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
134 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
139 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
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Thursday, 25 January 2018 11:49
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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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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
197 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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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
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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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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
261 Hits
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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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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
437 Hits
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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, Urology Clinic, Şemsi Denizer caddesi, 34865, Cevizli-Kartal, Istanbul, Turkey.

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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
464 Hits
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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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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
683 Hits
2 Comments

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
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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
555 Hits
1 Comment

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
536 Hits
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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
509 Hits
1 Comment

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
552 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
581 Hits
1 Comment

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
596 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
836 Hits
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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
562 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
597 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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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
604 Hits
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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
602 Hits
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Bahílo Mateu P et al, 2017: Is extracorporeal shock wave lithotripsy a current treatment for urolithiasis? A systematic review.

Bahílo Mateu P, Budía Alba A, Liatsikos E, Trassierra Villa M, López-Acón JD, de Guzmán Ordaz D, Boronat Tormo F.
Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España.
Universidad de Patras, Patras, Grecia.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Wednesday, 23 August 2017 08:03
810 Hits
1 Comment

Aboumarzouk OM et al, 2017: Analgesia for patients undergoing shockwave lithotripsy for urinary stones - a systematic review and meta-analysis.

Aboumarzouk OM, Hasan R, Tasleem A, Mariappan M, Hutton R, Fitzpatrick J, Beatty L, Jones GE, Amer T.
North Bristol NHS Trust, United Kingdom.
NHS Greater Glasgow and Clyde, United Kingdom.
Ayr University Hospital, United Kingdom.

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Aboutaleb H et al, 2016: Management of upper ureteral stones exceeding 15 mm in diameter: Shock wave lithotripsy versus semirigid ureteroscopy with holmium:yttrium-aluminum-garnet laser lithotripsy.

Aboutaleb H, Omar M, Salem S, Elshazly M.
Department of Urology, Menoufia University Hospital, Shebin El Kom, Egypt.

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Peter Alken
A 3-months residual stone rate of 41 % after ESWL or 13,6% after URS is a misleading information. In the ESWL group 31 (47%) pat... Read More
Friday, 18 August 2017 08:00
885 Hits
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Hamamoto S et al, 2017: Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy.

Hamamoto S, Unno R, Taguchi K, Naiki T, Ando R, Okada A, Inoue T, Okada S, AbdelRazek M, Kohri K, Yasui T; SMART Study Group.
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan.
Department of Urology, Toyota Kosei Hospital, Toyota, Aichi, Japan.
Department of Urology, Kansai Medical University Medical Center, Osaka, Japan.
Department of Urology, Gyotoku General Hospital, Chiba, Japan.
Department of Urology, Qena University Hospital, Qena, Egypt.

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Peter Alken
ESWL is better than URS!? Comparing the present data with those of other previously reviewed publications (e.g. Sahin et al. Ston... Read More
Monday, 14 August 2017 07:57
905 Hits
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Smith HE et al, 2017: Extracorporeal shockwave lithotripsy without radiation: Ultrasound localization is as effective as fluoroscopy.

Smith HE, Bryant DA, KooNg J, Chapman RA, Lewis G.
Department of Urology, Sunderland Royal Hospital, Sunderland, SR4 7TP, United Kingdom.
Department of Urology, Ninewells Hospital, Dundee, DD1 9SY, United Kingdom.

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Peter Alken
Comment currently not available.
Friday, 04 August 2017 07:52
806 Hits
1 Comment

Telli O et al, 2017: What happens to asymptomatic lower pole kidney stones smaller than 10 mm in children during watchful waiting?

Telli O, Hamidi N, Bagci U, Demirbas A, Hascicek AM, Soygur T, Burgu B.
Department of Pediatric Urology, School of Medicine, Ankara University, Sihhiye, Ankara, 06100, Turkey.
Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
Urology Clinic, Ankara Training and Research Hospital, Ankara, Turkey.

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Peter Alken
Childhood urolithiasis is rare. The authors present a large number of 284 lower pole stones in 242 children seen within 10 years. ... Read More
Monday, 31 July 2017 07:49
847 Hits
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Sermeus L et al, 2017: Hypovolemic Shock Caused by Massive Renal Hematoma After a Third Consecutive Extracorporeal Shockwave Lithotripsy Session: A Case Report.

Sermeus L, Vander Eeckt K, Ost D, Van Den Branden M.
Faculty of Medicine, Katholieke Universiteit Leuven , Leuven, Belgium.
AZ Sint Blasius , Dendermonde, Belgium.

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Peter Alken
The patient was initially admitted to the emergency room because of colicky pain and hydronephrosis due to an obstructing stone in... Read More
Wednesday, 26 July 2017 07:46
802 Hits
1 Comment

Chaudhary R et al, 2017: Perspectives on hypertension outcomes after single-stage clearance of a complete staghorn renal calculus.

Chaudhary R, Singh K, Dausage CS, Jain N.
Department of Surgery, People's College of Medical Sciences, Bhopal, Madhya Pradesh, India.
Department of Obstetrics and Gynecology, People's College of Medical Sciences, Bhopal, Madhya Pradesh, India.

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Peter Alken
Currently no comment available.
Friday, 21 July 2017 07:43
882 Hits
1 Comment

Al Edwan GM et al, 2017: Long term efficacy of extracorporeal shock wave therapy [ESWT] for treatment of refractory chronic abacterial prostatitis.

Al Edwan GM, Muheilan MM, Atta ON.
Division of Urology, Department of Special Surgery, Jordan University Hospital, The University of Jordan, Jordan.

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Peter Alken
Being a surgically very active urologist in Germany I rarely saw patients with abacterial prostatitis and I admit that diagnosis ... Read More
Monday, 17 July 2017 07:40
937 Hits
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Kwon CI et al, 2017: Clinical response to dorsal duct drainage via the minor papilla in refractory obstructing chronic calcific pancreatitis.

Kwon CI, Gromski MA, Sherman S, El Hajj II, Easler JJ, Watkins J, McHenry L, Lehman GA, Fogel EL.
Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, USA.

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Peter Alken
Reviews on the treatment of pancreatic pathologies with ESWL get significant visits of the blog. We have therefore included this a... Read More
Thursday, 13 July 2017 07:35
992 Hits
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Morrison JC et al, 2017: Use of Ultrasound in Pediatric Renal Stone Diagnosis and Surgery.

Morrison JC, Kawal T, Van Batavia JP, Srinivasan AK.
Division of Urology, The Children's Hospital of Philadelphia, 3rd Floor, Wood Building, 34th and Civic Center Blvd, Philadelphia, PA, 19104, USA.

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Peter Alken
Only a short paragraph with one reference deals with sonographic targeting of stones for ESWL.
Monday, 10 July 2017 07:29
1193 Hits
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Lawler AC et al, 2017: Extracorporeal Shock Wave Therapy: Current Perspectives and Future Directions.

Lawler AC, Ghiraldi EM, Tong C, Friedlander JI.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, 19131, USA.
Department of Urology, Einstein Healthcare Network, Philadelphia, PA, 19141, USA.
Division of Urologic Oncology and Urology, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Einstein Healthcare Network, Temple Health and the Fox Chase Cancer Center, 1200 Tabor Road Moss / 3 Sley, Philadelphia, PA, 19141, USA.

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Peter Alken
To the constant visitor of the Storz Med homepage, reader of the SWL literature Database and the relevant literature this review w... Read More
Wednesday, 05 July 2017 07:26
1084 Hits
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Lin G et al, 2017: In Situ Activation of Penile Progenitor Cells With Low-Intensity Extracorporeal Shockwave Therapy.

Lin G, Reed-Maldonado AB, Wang B, Lee YC, Zhou J, Lu Z, Wang G, Banie L, Lue TF.
Knuppe Molecular Urology Laboratory, Department of Urology, School of Medicine, University of California-San Francisco, San Francisco, CA, USA.

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Peter Alken
Since several years the Lab in San Francisco is working experimentally on that subject. Their studies have not offered a breakthro... Read More
Friday, 30 June 2017 07:23
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Hevia M et al, 2017: Predicting the effectiveness of extracorporeal shock wave lithotripsy on urinary tract stones. Risk groups for accurate retreatment.

Hevia M, García Á, Ancizu FJ, Merino I, Velis JM, Tienza A, Algarra R, Doménech P, Diez-Caballero F, Rosell D, Pascual JI, Robles JE.
Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.
Servicio de Urología, Hospital Universitario Son Espases, Mallorca, España.
Departamento de Urología, Hospital Nuestra Señora del Rosario, Madrid, España.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Monday, 26 June 2017 09:08
1190 Hits
1 Comment

Desoky EA et al, 2016: Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy.

Desoky EA, Fawzi AM, Sakr A, Eliwa A, El Sayed ER, El Sayed D, Shahin AM, Salem EA, Kamel HM, Shabana W, Kamel M.
Department of Urology, Faculty of Medicine, Zagazig University Hospital, Zagazig University, Zagazig, Egypt.

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Peter Alken
Too good to simply replicate. The most dangerous complication after PNL is SIRS or Sepsis which is most frequent in patients with ... Read More
Wednesday, 21 June 2017 07:15
1205 Hits
1 Comment

Pullar B et al, 2017: Do renal stones that fail lithotripsy require treatment?

Pullar B, Lunter C, Collie J, Shah S, Shah N, Hayek S, Wiseman OJ.
Department of Urology, Addenbrookes Hospital, Hills Road, Cambridge, CB2 0QQ, UK.

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Peter Alken
It is difficult to draw a conclusion from this paper because the details given do not allow finding out what the reason for the ou... Read More
Monday, 19 June 2017 07:08
1181 Hits
1 Comment

Alexander CE et al, 2016: Routine Antibiotic Prophylaxis Is Not Required for Patients Undergoing Shockwave Lithotripsy: Outcomes from a National Shockwave Lithotripsy Database in New Zealand.

Alexander CE, Gowland S, Cadwallader J, Hopkins D, Reynard JM, Turney BW.
School of Medicine and Dentistry, University of Aberdeen , Aberdeen, United Kingdom.
Mobile Medical Technology , Christchurch, New Zealand.
Mobile Medical Technology , Auckland, New Zealand.
Oxford Stone Group, Department of Urology, Nuffield Department of Surgical Sciences, The Churchill Hospital , Oxford, United Kingdom.

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Peter Alken
The 2016 EAU Urolithiasis Guideline states in the ESWL section: Antibiotic prophylaxis No standard antibiotic prophylaxis before S... Read More
Wednesday, 14 June 2017 10:02
1132 Hits
1 Comment

Lu YM et al, 2016: Is Extracorporeal Shock Wave Lithotripsy Really Safe in Long-Term Follow-Up? A Nationwide Retrospective 6-Year Age-Matched Non-Randomized Study.

Lu YM, Chien TM, Chou YH, Wu WJ, Huang CN.
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

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Recent Comments
Hans-Göran Tiselius
The two articles referred to (by the same group of authors) represent an amazing scientific story. In the two articles, based on d... Read More
Thursday, 08 June 2017 08:21
Peter Alken
I do not believe any more in ESWL induced hypertension if described in studies which are based on reviews of statistics without se... Read More
Thursday, 08 June 2017 09:52
1145 Hits
2 Comments

Tokas T et al, 2016: Uncovering the real outcomes of active renal stone treatment by utilizing non-contrast computer tomography: a systematic review of the current literature.

Tokas T, Habicher M, Junker D, Herrmann T, Jessen JP, Knoll T, Nagele U; Training Research in Urological Surgery Technology (T.R.U.S.T.)-Group.
Department of Urology and Andrology, General Hospital Hall i.T., Milser Str. 10, 6060, Hall in Tirol, Austria.
Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Department of Urology and Urooncology, Hannover Medical School (MHH), Hannover, Germany.
Department of Urology, Klinikum Sindelfingen-Böblingen, Sindelfingen, Germany.

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Peter Alken
This group of authors from different departments in Austria and Germany probably wanted to create some clarity in the publication ... Read More
Friday, 02 June 2017 09:47
1096 Hits
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Featured

Alavi Tamaddoni H et al, 2016: Enhanced High-Rate Shockwave Lithotripsy Stone Comminution in an In Vivo Porcine Model Using Acoustic Bubble Coalescence.

Alavi Tamaddoni H, Roberts WW, Duryea AP, Cain CA, Hall TL.
Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan.
Department of Urology and Biomedical Engineering, University of Michigan , Ann Arbor, Michigan.
HistoSonics, Inc. , Ann Arbor, Michigan.

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Peter Alken
It is always nice to see that ESWL, the least invasive technique of stone removal still offers not only room for improvement but f... Read More
Monday, 29 May 2017 09:37
1687 Hits
1 Comment

Galli R et al, 2016: Advantage of supine transgluteal approach for distal ureteral stone extracorporeal shock wave lithotripsy: outcomes based on computerized tomography characteristics.

Galli R, Sighinolfi MC, Micali S, Martorana E, Rosa M, Mofferdin A, Bianchi G.
Urology Department, University of Modena & Reggio Emilia, Modena, Italy.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Wednesday, 24 May 2017 09:25
1093 Hits
1 Comment

Tandan M et al, 2016: Management of Pancreatic Calculi: An Update.

Tandan M, Talukdar R, Reddy DN.
Asian Institute of Gastroenterology, Hyderabad, India.
Asian Healthcare Foundation, Hyderabad, India.

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Peter Alken
This paper focusses on the authors experience with 2800 cases of ESWL for pancreatic calculi (PC) which “is now the accepted stand... Read More
Friday, 19 May 2017 09:19
1191 Hits
1 Comment

Altok M et al, 2016: Do anxiety, stress, or depression have any impact on pain perception during shock wave lithotripsy?

Altok M, Akpinar A, Güneş M, Umul M, Demirci K, Baş E.
Süleyman Demirel University, Faculty of Medicine, Department of Urology, Isparta, Turkey.
Süleyman Demirel University, Faculty of Medicine, Department of Psychiatry, Isparta, Turkey.

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Peter Alken
In the present study patients received 75 mg Diclofenac sodium i.m. 30 - 45 minutes before the ESWL session; the VAS score at the ... Read More
Monday, 15 May 2017 09:16
1511 Hits
1 Comment

Iqbal N et al, 2016: Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study.

Iqbal N, Assad S, Rahat Aleman Bhatti J, Hasan A, Shabbir MU, Akhter S.
Department of Neurology & Neurosurgery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Department of Urology, Shifa International Hospital, Islamabad, Pakistan.
Department of Cardiology, Shifa International Hospital, Islamabad, Pakistan.

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Peter Alken
Good results but SFR was determined by KUB and/or sonography only and the complications were not classified. I always wonder why h... Read More
Wednesday, 10 May 2017 09:12
1325 Hits
1 Comment

Tzou DT et al, 2016: Ultrasound Use in Urinary Stones: Adapting Old Technology for a Modern-Day Disease.

Tzou DT, Usawachintachit M, Taguchi K, Chi T.
Department of Urology, University of California , San Francisco, San Francisco, California.
Division of Urology, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University , The Thai Red Cross Society, Bangkok, Thailand.
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences , Nagoya, Japan.

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Peter Alken
A small paragraph focusses on the advantages of ultrasound stone tracking during ESWL Sorensen MD, Bailey MR, Shah AR, et al. Quan... Read More
Thursday, 04 May 2017 09:08
1150 Hits
1 Comment

Freton L et al, 2016: Extracorporeal shockwave lithotripsy versus flexible ureteroscopy for the management of upper tract urinary stones in children.

Freton L, Peyronnet B, Arnaud A, Tondut L, Hascoët J, Pradere B, Verhoest G, Habonimana E, Azzis O, Fremond B, Bensalah K.
Department of Urology, CHU Rennes , Rennes, France.
Department of Pediatric Surgery, CHU Rennes , Rennes, France.

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Peter Alken
The Storz Medical database contains a review on a paper by Wang HH et al. (Wang HH, Huang L, Routh JC, Nelson CP. Shock wave litho... Read More
Friday, 28 April 2017 09:03
1204 Hits
1 Comment

Rizvi SA et al, 2016: Paediatric urolithiasis in emerging economies.

Rizvi SA, Sultan S, Zafar MN, Aba Umer S, Ahmed B, Naqvi SA.
Department of Paediatric Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Department of Pathology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.

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Peter Alken
This review is partially based on the authors experience with a paediatric urological workload of 21,390 patients from 1998 to 201... Read More
Tuesday, 18 April 2017 08:57
1177 Hits
1 Comment

Elmansy HE et al, 2016: Recent advances in lithotripsy technology and treatment strategies: A systematic review update.

Elmansy HE, Lingeman JE.
Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.

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Peter Alken
I learned a new word: „Guarantor”; “… a person or corporation, that makes or gives a promise, assurance, or pledge typically relat... Read More
Wednesday, 05 April 2017 08:40
1312 Hits
1 Comment

Radfar MH et al, 2016: What is the impact of extracorporeal shock wave lithotripsy on semen parameters? A systematic review and meta-analysis.

Radfar MH, Simforoosh N, Sotoudeh M, Ramezani MH, Mollakoochakian MJ, Nikravesh M, Shemshaki H.
Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran - Iran.
Research Committee, Shahid Beheshti University of Medical Sciences, Tehran - Iran.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Friday, 31 March 2017 08:35
1183 Hits
1 Comment

Nayak HK et al, 2016: Gastric Submucosal Hematoma: An Unusual Complication of Extracorporeal Shockwave Lithotripsy.

Nayak HK, Krishna VP, Mohindra S, Saraswat VA, Mohindra N, Pande G.
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

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Peter Alken
No details on the lithotripsy of the pancreatic stone are given. Thus it is difficult to understand why the patient developed bila... Read More
Monday, 27 March 2017 08:30
1227 Hits
1 Comment

Fojecki GL et al, 2016: Effect of Low-Energy Linear Shockwave Therapy on Erectile Dysfunction-A Double-Blinded, Sham-Controlled, Randomized Clinical Trial.

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

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Peter Alken
Good study
Wednesday, 22 March 2017 08:26
1212 Hits
1 Comment

Clavijo RI et al, 2016: Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis.

Clavijo RI, Kohn TP, Kohn JR, Ramasamy R.
Department of Urology, University of California, Los Angeles, CA, USA.
Baylor College of Medicine, Houston, TX, USA.
Department of Urology, Miller School of Medicine, University of Miami, Miami, FL, USA.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Friday, 17 March 2017 10:15
1202 Hits
1 Comment

Long Q et al, 2016: Autophagy activation protects shock wave induced renal tubular epithelial cell apoptosis may through modulation of Akt/ GSK-3β pathway.

Long Q, Li X, He H, He D.
Department of Urology, First affiliated hospital, Medical School of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

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Peter Alken
This paper - like 21 of the 29 references - concentrates more on apoptosis and phagocytosis than on ESWL. In previous studies the ... Read More
Monday, 13 March 2017 10:05
1409 Hits
1 Comment

Angulo JC et al, 2016: Efficacy of low-intensity shock wave therapy for erectile dysfunction: A systematic review and meta-analysis.

Angulo JC, Arance I, de Las Heras MM, Meilán E, Esquinas C, Andrés EM.
Servicio de Urología, Hospital Universitario, Getafe, Madrid, España; Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Laureate Universities, Getafe, Madrid, España.
Análisis Estadísticos PerTICA, S. L., Madrid, España.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Friday, 24 February 2017 10:46
1343 Hits
1 Comment

Kang DH et al, 2016: Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis.

Kang DH, Cho KS, Ham WS, Lee H, Kwon JK, Choi YD, Lee JY.
Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Osong, Korea.
Department of Urology, Severance Check-Up, Yonsei University Health System, Seoul, Korea.

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Peter Alken
For those readers who are fans of math statistics the original paper is a must-read. The methods of calculation are described exte... Read More
Monday, 20 February 2017 10:40
1462 Hits
1 Comment

Kodama K et al, 2016: Management of Ureterolithiasis in a Patient with Crossed Unfused Renal Ectopia.

Kodama K, Takase Y, Tatsu H.
Department of Urology, Toyama City Hospital, Toyama 939-8511, Japan.
Department of Radiology, Toyama City Hospital, Toyama 939-8511, Japan.

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Peter Alken
Comment currently not available.
Monday, 13 February 2017 10:35
1609 Hits
1 Comment

Ogura T et al, 2016: A review of treatment options for bile duct stones.

Ogura T, Higuchi K.
2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.

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Peter Alken
Just as in Urology for ureteral stones endoscopic removal is more effective than ESWL for the treatment of bile duct stones in Gas... Read More
Tuesday, 07 February 2017 10:30
1701 Hits
1 Comment

Majzoub A et al, 2016: Effect of urine pH on the effectiveness of shock wave lithotripsy: A pilot study.

Majzoub A, Al-Ani A, Gul T, Kamkoum H, Al-Jalham K.
Department of Urology, Hamad Medical Corporation, Doha, Qatar.

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Peter Alken
It is well known that the urinary pH varies during 24 hrs from around 5-6,5 in night-time and morning to 7-8 during the day-time... Read More
Wednesday, 01 February 2017 10:26
2163 Hits
1 Comment

El-Assmy A et al, 2016: Does lithotripsy increase stone recurrence? A comparative study between extracorporeal shockwave lithotripsy and non-fragmenting percutaneous nephrolithotomy.

El-Assmy A, Harraz AM, Eldemerdash Y, Elkhamesy M, El-Nahas AR, Elshal AM, Sheir KZ.
Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
Fresh data on a non-remarkable recurrence rate after ESWL compared to PNL. Why a stone size > 8 mm should be a (physiological) thr... Read More
Thursday, 26 January 2017 10:21
1522 Hits
1 Comment

Perera M et al, 2016: Urolithiasis Treatment In Australia: The Age Of Ureteroscopic Intervention.

Perera M, Papa NP, Kinnear N, Wetherell D, Lawrentschuk N, Webb DR, Bolton DM.
Department of Surgery, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia.
Cancer Council Victoria and University of Melbourne, Department of Surgery, Austin Health, Melbourne, Victoria, Australia.
Department of Urology, Heidelberg, Victoria, Australia.

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Peter Alken
The complete text offers some interesting but also conflicting additional information: “The current study identified the consider... Read More
Wednesday, 14 December 2016 09:03
1877 Hits
1 Comment

Soliman T et al, 2016: Miniperc versus shockwave lithotripsy for average sized radiopaque lower pole calculi: A prospective randomized study.

Soliman T, Sherif H, Ahmed AS, Mohey A, Almohamdy B.
1Urology Department, Faculty of Medicine, Benha University, Benha, Egypt.

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Peter Alken
The results were to be expected and are in fact even more unfavourable for ESWL. The present paper gives - as many other publicati... Read More
Monday, 05 December 2016 08:43
2217 Hits
1 Comment

Fojecki GL et al, 2016: Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie's disease, erectile dysfunction and chronic pelvic pain.

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

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1
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Peter Alken
A narrative synthesis of 56 references from a reliable group of authors is a solid basis for the interested reader.
Wednesday, 30 November 2016 10:04
2180 Hits
1 Comment

Chung E, Alkhayal A and Carrier S: Pro and Con

Chung E: Pro: does shockwave therapy have a place in the treatment of Peyronie's disease?
Transl Androl Urol. 2016 Jun;5(3):366-70. doi: 10.21037/tau.2016.03.26.
Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia ; 2 AndroUrology Centre, St Andrew's War Memorial Hospital, Brisbane, QLD, Australia.

Alkhayal A, Carrier S: Con: does shockwave therapy have a place in the treatment of Peyronie's disease?
Transl Androl Urol. 2016 Jun;5(3):371-4. doi: 10.21037/tau.2016.03.20.
Department of Urology, Royal Victoria hospital, McGil University, Montreal, Québec, Canada.

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Peter Alken
Despite the fact that these two articles are pro and con my impression is that the sum is 70-80% con.
Saturday, 26 November 2016 09:59
2928 Hits
1 Comment

Lee JY et al, 2016: Stone heterogeneity index as the standard deviation of Hounsfield units: A novel predictor for shock-wave lithotripsy outcomes in ureter calculi.

Lee JY, Kim JH, Kang DH, Chung DY, Lee DH, Do Jung H, Kwon JK, Cho KS.
Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Department of Urology, Incheon Red Cross Hospital, Incheon, Korea.
Department of Urology, Severance Check-Up, Yonsei University Health System, Seoul, Korea.
Department of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

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2
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Peter Alken
I wonder why the group around Williams who has been working on CT and stones since years (1,2,3) has never jumped on that issue. A... Read More
Sunday, 20 November 2016 09:45
2238 Hits
1 Comment

Park HS et al, 2016: Computed Tomography-Based Novel Prediction Model for the Outcome of Shockwave Lithotripsy in Proximal Ureteral Stones.

Park HS, Gong MK, Yoon CY, Moon DG, Cheon J, Choi YD.
Department of Urology, College of Medicine, Korea University , Seoul, Korea.
Department of Urology, Urological Science Institute, Yonsei University College of Medicine , Seoul, Korea.

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Peter Alken
I do not believe in mathematic formulas to predict the future like ”SWL success = 1/[1 + exp (-10.165 + 0.279 · [BMI] + 0.334 · [d... Read More
Wednesday, 16 November 2016 09:41
2036 Hits
1 Comment

Liu H et la, 2016: A 63-year-old man with two huge connected urinomas after extracorporeal shock wave lithotripsy.

Liu H, Kang W, Wu L, Xu G.
Medical Center of the Graduate School, Nanchang, China.
Department of Pathology, NanchangUniversity, Nanchang, China.
Department of Nephrology, Second Affiliated Hospital, NanchangUniversity, Nanchang, China.

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Peter Alken
A case report in a letter to the editor. No information about why and how ESWL was done is given.
Saturday, 12 November 2016 09:33
2406 Hits
1 Comment

Raja A et al, 2016: How Do Urinary Calculi Influence Health-Related Quality of Life and Patient Treatment Preference: A Systematic Review.

Raja A, Hekmati Z, Joshi HB.
Cardiff University , Cardiff, United Kingdom.
Department of Urology, University Hospital of Wales , Cardiff, United Kingdom.

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Peter Alken
“Narrative synthesis was performed.” That means you have to read it! Those who are interested in this important aspect of stone di... Read More
Tuesday, 08 November 2016 09:27
2171 Hits
1 Comment

Ahmed AF et al, 2016: Role of Tamsulosin Therapy after Extracorporeal Shockwave Lithotripsy for Renal Stones: Randomized Controlled Trial.

Ahmed AF, Shalaby E, El-Feky M, Kotb A, Elsotohi E, El-Kholy M Jr, Ragab A, Salem E.
Department of Urology, Al-Azhar University, Cairo, Egypt.

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Peter Alken
“Post-SWL, eligible patients were randomly assigned into one of 2 groups using the coin toss method.” A selection bias cannot be ... Read More
Friday, 04 November 2016 09:21
2278 Hits
1 Comment

Lee JH et al, 2016: A Case of Septic Shock caused by Achromobacter xylosoxidans in an Immunocompetent Female Patient after Extracorporeal Shock Wave Lithotripsy for a Ureteral Stone.

Lee JH, Lee SY, Park IY, Park SY, Lee JS, Kang G, Kim JS, Eom JS.
Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.
Department of Laboratory Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.

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Peter Alken
6 colleagues from a department of Internal Medicine, and 2 from Laboratory Medicine report on a patient who got ESWL for a uretera... Read More
Monday, 31 October 2016 15:43
2268 Hits
1 Comment

Khatami A et al, 2016: Reduced time from diagnosis to stone-free status in patients with ureteral calculi.

Khatami A, Rosengren K.
Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.

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Peter Alken
The main topic of this paper is not ESWL but how to improve the patient orientated service in a urological department by a contin... Read More
Thursday, 27 October 2016 15:40
2674 Hits
1 Comment

Heers H et al, 2016: Trends in urological stone disease: a 5-year update of Hospital Episode statistics.

Heers H, Turney BW.
Department of Urology, Oxford University Hospitals, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.

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Peter Alken
Another important publication concerning the socioeconomic position of ESWL and the way it starts losing its impact among the urol... Read More
Sunday, 23 October 2016 15:35
2717 Hits
1 Comment

Khan Z et al, 2016: Spontaneous retrograde migration of ureterovesical junction stone to the kidney; first ever reported case in the English literature in human.

Khan Z, Yaqoob AA, Bhatty TA.
Department of Urology, King Hamad University Hospital, Kingdom of Bahrain.

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2609 Hits
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Telegrafo M et al, 2016: Diagnostic and prognostic role of computed tomography in extracorporeal shock wave lithotripsy complications.

Telegrafo M, Carluccio DA, Rella L, Ianora AA, Angelelli G, Moschetta M.
Department of Interdisciplinary Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Piazza Giulio Cesare 11, 70124 Bari, Italy.

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Peter Alken
6 Radiologists and no Urologist present data on 43 of 120 patients who were treated by ESWL and had CTs because of postprocedural... Read More
Wednesday, 19 October 2016 15:31
2595 Hits
1 Comment

Cone EB et al, 2016: Cost-effectiveness comparison of ureteral calculi treated with ureteroscopic laser lithotripsy versus shockwave lithotripsy.

Cone EB, Pareek G, Ursiny M, Eisner B.
Division of Urology, Duke University School of Medicine, Durham, NC, USA.
Division of Urology, Warren Alpert School of Medicine of Brown University, Providence, RI, USA.
Department of Urology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.

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Peter Alken
An interesting publication with a lot of information. Who is interested in the ever increasing pressure costs have on medical dec... Read More
Tuesday, 11 October 2016 15:14
2956 Hits
1 Comment

Eze KC et al, 2016: Cost-effectiveness of extracorporeal shock wave lithotripsy in a poor resource setting: The Okada, Nigeria experience.

Eze KC, Irekpita E, Salami TA.
Department of Radiology, Faculty of Medicine, College of Health Sciences, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
Department of Surgery (Urology Unit), Faculty of Clinical Sciences, College of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria.
Department of Medicine, Faculty of Clinical Sciences, College of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria.

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Peter Alken
A sad story about economics in Nigeria, 32 stone patients treated in 6 years and final closure of the site. For those travelling t... Read More
Monday, 03 October 2016 15:07
3427 Hits
1 Comment
Featured

Sharma NL et al, 2016: Shock-wave lithotripsy: variance within UK practice.

Sharma NL, Alexander CE, Grout E, Turney BW.
School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK.
Oxford Stone Group, Department of Urology, Nuffield Department of Surgical Sciences, Oxford University Hospitals NHS Trust, Oxford, UK.

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Peter Alken
Shocking! Just as the paper by Lantz AG, McKay JP, Ordon M, Pace K, Monga M, Honey RJ. Shockwave lithotripsy practice pattern vari... Read More
Thursday, 29 September 2016 14:59
4503 Hits
1 Comment
Featured

Lantz AG et al, 2016: Shockwave lithotripsy practice pattern variations amongst and between American and Canadian urologists: in support of guidelines.

Lantz AG, McKay JP, Ordon M, Pace K, Monga M, Honey RJ.
Department of Urology, Dalhousie University , Halifax, Nova Scotia, Canada .
Division of Urology, Department of Surgery, St. Michael's Hospital, University of Toronto , Canada .
Department of Urology, Cleveland Clinic , Cleveland, Ohio.

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Peter Alken
Shocking! Just as the paper by Sharma NL, Alexander CE, Grout E, Turney BW. Shock-wave lithotripsy: variance within UK practice. N... Read More
Wednesday, 21 September 2016 14:49
5013 Hits
1 Comment

Simal I et al, 2016: Therapeutic possibilities for urolithiasis in childhood.

Simal I, Parente A, Burgos L, Ortiz R, Martínez AB, Rojo R, Pérez-Egido L, Angulo JM.
Servicio de Cirugía Pediátrica, Sección de Urología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.
Servicio de Nefrología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Tuesday, 13 September 2016 14:34
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Connors BA et al, 2016: Using 300 Pretreatment Shock Waves In A Voltage Ramping Protocol Can Significantly Reduce Tissue Injury During Extracorporeal Shock Wave Lithotripsy.

Connors BA, Evan AP, Handa RK, Blomgren PM, Johnson CD, Liu Z, Lingeman JE.
Department of Anatomy and Cell Biology, Indiana University School of Medicine , Indianapolis, Indiana.
Department of Biostatistics, Indiana University Schools of Public Health and Medicine , Indianapolis, Indiana.
Methodist Hospital Institute for Kidney Stone Disease , Indianapolis, Indiana.

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Peter Alken
I refer to all previous reviews I have made of the publications of this very active research group. They go on and on with their n... Read More
Friday, 09 September 2016 14:24
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Knoll T et al, 2016: [S2k guidelines on diagnostics, therapy and metaphylaxis of urolithiasis (AMWF 043/025): Compedium].

Knoll T, Bach T, Humke U, Neisius A, Stein R, Schönthaler M, Wendt-Nordahl G.
Urologisches Zentrum Hamburg, Asklepios Klinikum Harburg, Hamburg, Deutschland.
Klinik für Urologie, Klinikum Stuttgart, Stuttgart, Deutschland.
Klinik für Urologie, Universitätsmedizin Mainz, Mainz, Deutschland.
Klinik für Urologie, Universitätsmedizin Mannheim, Mannheim, Deutschland.
Klinik für Urologie, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Urologische Klinik Sindelfingen, Klinikum Sindelfingen-Böblingen, Arthur-Gruber-Str. 70, 71065, Sindelfingen, Deutschland.

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Peter Alken
This German guideline covers all aspects of urolithiasis. ESWL as a primary form of therapy competes with URS and PNL. Compared to... Read More
Monday, 05 September 2016 14:03
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Kitrey ND et al, 2015: Penile low-intensity shockwave treatment is able to shift PDE5i non-responders to responders: A double-blind sham-controlled study.

Kitrey ND, Gruenwald I, Appel B, Shechter A, Massarwa O, Vardi Y.
Neurourology Unit, Rambam Healthcare Campus, Israel.
Department of Family Medicine, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Clalit Health Services, Haifa, Israel.
Urology Department, Sheba Medical Center, Tel-Hashomer, Israel.

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Peter Alken
Impressive results. A few things are difficult to understand before the treatment: ”patients included in the study were previous ... Read More
Friday, 13 May 2016 08:12
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Long Q et al, 2015: A Prospective Randomized Controlled Trial of the Efficacy of External Physical Vibration Lithecbole after Extracorporeal Shock Wave Lithotripsy for a Lower Pole Renal Stone Less Than 2 cm.

Long Q, Zhang J, Xu Z, Zhu Y, Liu L, Wang H, Guo J, Wang G.
Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.

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Peter Alken
“ESWL Plus” is what I called all procedures to improve the passage of stone fragments after ESWL. This is another publication on t... Read More
Wednesday, 11 May 2016 08:01
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Li BR et al, 2015: Extracorporeal shock wave lithotripsy is a safe and effective treatment for pancreatic stones coexisting with pancreatic pseudocysts.

Li BR, Liao Z, Du TT, Ye B, Chen H, Ji JT, Zheng ZH, Hao JF, Ning SB, Wang D, Lin JH, Hu LH, Li ZS.
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China; Digestive Endoscopy Center, Changhai Hospital, The Second Military Medical University, Shanghai, China; Department of Gastroenterology, Air Force General Hospital, Beijing, China.

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Peter Alken
In the present series “in each patient a P-ESWL session was repeated on consecutive days until the stones were fragmented down to ... Read More
Friday, 06 May 2016 13:14
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Ruffo A et al, 2015: Safety and efficacy of low intensity shockwave (LISW) treatment in patients with erectile dysfunction.

Ruffo A, Capece M, Prezioso D, Romeo G, Illiano E, Romis L, Di Lauro G, Iacono F.
Department of Urology, Federico II University, Naples, Italy.
Department of Urology, Hospital Santa Maria delle Grazie, Naples, Italy.

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Peter Alken
Again a study on ESWT with good results for erectile dysfunction. Some call it LISW, LI-ESWT other LIST and the machines and trea... Read More
Friday, 29 April 2016 13:08
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Ding J et al, 2015: Tailored minimally invasive management of complex calculi in horseshoe kidney.

Ding J, Zhang Y, Cao Q, Huang T, Xu W, Huang K, Fang J, Bai Q, Qi J, Huang Y.
Urology Department, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Urology Department, Anhui Provincial Hospital, Hefei, Anhui, China.
Radiology Department, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Anesthesiology Department, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ultrasonograhy Department, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

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Peter Alken
The tailored approach of the authors offered stone free rates between 73% and 93%. Only 11 of the 62 patients were treated with E... Read More
Monday, 25 April 2016 13:03
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Hassan M et al, 2015: Percutaneous nephrolithotomy vs. extracorporeal shockwave lithotripsy for treating a 20-30 mm single renal pelvic stone.

Hassan M, El-Nahas AR, Sheir KZ, El-Tabey NA, El-Assmy AM, Elshal AM, Shokeir AA.
Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
This paper from a good institution on the treatment of single pelvic stones unfortunately is a retrospective study. Inclusion of d... Read More
Monday, 18 April 2016 12:53
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Sahin C et al, 2015: Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy.

Sahin C, Cetinel AC, Eryildirim B, Tuncer M, Faydaci G, Sarica K.
Dr. Lutfi Kirdar Training and Research Hospital, Departments of Urology, Istanbul.

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Peter Alken
Despite all the improvement in stone therapy our knowledge about patient satisfaction, preference and quality of life is scarce. I... Read More
Monday, 11 April 2016 12:48
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Akbas A et al, 2015: The effect of music therapy during shockwave lithotripsy on patient relaxation, anxiety, and pain perception.

Akbas A, Gulpinar MT, Sancak EB, Karakan T, Demirbas A, Utangac MM, Dede O, Sancaktutar AA, Simsek T, Sahin B, Resorlu B.
Department of Urology , Ankara Training and Research Hospital , Ankara , Turkey.
Department of Urology , Faculty of Medicine, Dicle University , Diyarbakir , Turkey.
Department of Anesthesiology , Faculty of Medicine, Canakkale Onsekiz Mart University , Canakkale , Turkey.
Department of Psychiatry , Faculty of Medicine, Canakkale Onsekiz Mart University , Canakkale , Turkey.

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Peter Alken
A nice topic and clear cut results at first glance. A look at the results seem to suggest that the anxiety score and the pain scor... Read More
Monday, 04 April 2016 12:42
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Denburg MR et al, 2015: Assessing the risk of incident hypertension and chronic kidney disease after exposure to shockwave lithotripsy and ureteroscopy.

Denburg MR, Jemielita TO, Tasian GE, Haynes K, Mucksavage P, Shults J, Copelovitch L.
The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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Peter Alken
Hypertension after ESWL is back again - this time based on population statistics. Papers like this have to be red with some cautio... Read More
Friday, 25 March 2016 12:35
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Mi Y et al, 2015: Flexible ureterorenoscopy (F-URS) with holmium laser versus extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stone

Mi Y, Ren K, Pan H, Zhu L, Wu S, You X, Shao H, Dai F, Peng T, Qin F, Wang J, Huang Y.
Department of Urology, Third Affiliated Hospital of Nantong University, Wuxi, Jiangsu, China.
Department of Orthopedics, The Affiliated Jiangyin Hospital of Southeast University Medical School, Wuxi, Jiangsu, China.

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Peter Alken
A similar meta-analysis on the same subject was recently published and reviewed (Zheng C, Yang H, Luo J, Xiong B, Wang H, Jiang... Read More
Monday, 21 March 2016 12:29
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Li HY et al, 2015: Treatment of renal uric acid stone by extracorporeal shock wave lithotripsy combined with sodium bicarbonate: 2 case reports.

Li HY, Lian PY, Zhou ZY, Song P, Yan Y, Liu JH.
Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei 430030, P. R. China.

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Peter Alken
Local chemolysis is not free from dangerous complications. The interested reader should have a look at Bernardo NO, Smith AD. Chem... Read More
Friday, 11 March 2016 12:21
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Ozkan B et al, 2015: Does ureteral stenting matter for stone size? A retrospectıve analyses of 1361 extracorporeal shock wave lithotripsy patients.

Ozkan B, Dogan C, Can GE, Tansu N, Erozencı A, Onal B.
Acıbadem Unıversıty, Faculty of Medıcıne, Department of Urology, Istanbul, Turkey.
Unıversıty of Istanbul, Cerrahpasa School of Medıcıne, Department of Urology, Istanbul, Turkey.

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Peter Alken
An old story updated. The unique quality of this report as compared to similar studies is the fact that all procedures through the... Read More
Thursday, 25 February 2016 12:24
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Taşdemir S et al, 2015: Meralgia paresthetica after the fragmentation of renal stone using extracorporeal shock wave lithotripsy: a case report.

Taşdemir S, Ulaş ÜH, Yücel M, Çetiz A.
Department of Neurology, Gulhane Military Academy, GATA Nöroloj Etlik, Ankara, Turkey.

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Peter Alken
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Friday, 19 February 2016 12:06
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Peng CZ et al, 2015: Giant Retroperitoneal Abscess Following Extracorporeal Shock Wave Lithotripsy.

Peng CZ, How CK.
Emergency Department, Taipei Veterans General Hospital, Taiwan.

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Peter Alken
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Monday, 15 February 2016 11:58
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Bantis A et al, 2015: Can tumor necrosis factor a (TNF-a) and interleukin 6 (IL-6) be used as prognostic markers of infection following ureteroscopic lithrotripsy and extracorporeal shock wave lithotripsy for ureteral stones?

Bantis A, Tsakaldimis G, Zissimopoulos A, Kalaitzis C, Gianakopoulos S, Pitiakoudis M, Polichronidis A, Touloupidis S.
Urology Department, University Hospital of Alexandroupolis, PC 68100, Alexandroupolis, Greece.

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Peter Alken
No free access via Karolinska Institute and Heidelberg University.
Monday, 08 February 2016 11:53
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