Mantica G. et al., 2025: "Second-look" extracorporeal shock wave lithotripsy after percutaneous nephrolithotomy.

Guglielmo Mantica, Rafaela Malinaric, Federica Balzarini, Carlo Terrone
Urologia. 2025 Nov 20:3915603251398250. doi: 10.1177/03915603251398250

Abstract

no abstract available

Comment Peter Alken

That is interesting positive comment on a paper (1) on analgesia for ESWL. Some years ago, Italian Urologists told me that their old shockwave machine would not be replaced because of too low reimbursement rates. Now costs of RIRS and OR-time and waiting lists seem to reverse the thinking (2): “At our center, we have similarly reintroduced ESWL in recent years as part of a broader strategy to reduce the burden on RIRS and to minimize waiting list times for patients requiring intervention for renal stones. This reintroduction of ESWL has significantly enhanced ability to manage patient flow and provide timely care.”

1 Zareian Baghdadabad L, Mohammadi A, Oskouie IM, et al.

Evaluation of the analgesic effect of a combination of oral

acetaminophen and oxycodone after extracorporeal shock

wave lithotripsy (SWL). Urol J. 2025;92(3):439–445.

2 Malinaric R, Mantica G, Martini M, et al. The lifetime history

of the first Italian public extra-corporeal shock wave

lithotripsy (ESWL) lithotripter as a mirror of the evolution

of endourology over the last decade. Int J Environ Res

Public Health. 2023;20(5):4127

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Peter Alken