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

Sokolakis I. et al., 2019: The Basic Science Behind Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction: A Systematic Scoping Review of Pre-Clinical Studies

Sokolakis I, Dimitriadis F, Teo P, Hatzichristodoulou G, Hatzichristou D, Giuliano F.
Department of Urology and Paediatric Urology, Julius Maximilian University Medical Centre of Würzburg, Würzburg, Germany; Centre for Sexual and Reproductive Health, Aristotle University of Thessaloniki, Greece;  Department of Urology, Aristotle University of Thessaloniki, Thessaloniki, Greece. Department of Global Clinical Research, Dornier MedTech Asia Pte Ltd, Singapore. Poincare Hospital AP-HP, Garches, UMR1179 Inserm-UVSQ-Paris Saclay University, Paris, France.

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Peter Alken
The first quarter of 2019 offers at least 7 publication on LI-ESWT (1-7) The LI-ESWT community seems to stand up like one man to ... Leggi tutto
Lunedì, 24 Giugno 2019 08:31
73 Visite
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Patel P. et al., 2019: Should Low-intensity Extracorporeal Shockwave Therapy Be the First-line Erectile Dysfunction Treatment for Nonresponders to Phosphodiesterase Type 5 Inhibition?

Patel P, Fode M, Lue T, Ramasamy R.
Department of Urology, University of Miami, Miami, FL, USA.
Department of Urology, Herlev and Gentofte Hospital, Herlev, Denmark.
Department of Urology, University of California, San Francisco, San Francisco, CA, USA.

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Peter Alken
The first quarter of 2019 offers at least 7 publication on LI-ESWT (1-7) The LI-ESWT community seems to stand up like one man to ... Leggi tutto
Venerdì, 21 Giugno 2019 08:21
134 Visite
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Choudhary A. et al., 2019: A novel triple oral regime provides effective analgesia during extracorporeal shockwave lithotripsy for renal stones

Choudhary A, Basu S, Sharma R, Gupta R, Das RK, Dey RK.
Department of Urology, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India.
Department of Urology, Apex Hospital, Jaipur, Rajasthan, India.

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Peter Alken
“Fragmentation was classified into complete ( 4-mm fragments), partial (4-mm fragments), and no fragmentation.” “Success was defin... Leggi tutto
Mercoledì, 19 Giugno 2019 09:00
214 Visite
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Shirvani M. et al., 2019: Unilateral endogenous Candida endophthalmitis after extracorporeal shock wave lithotripsy for a renal stone in an immunocompetent woman: a case report

Shirvani M, Hosseini S, Maalhagh M, Afarid M, Mirza-Khanlooi A, Mohaghegh S.
Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiraz University of Medical Sciences, Shiraz, Iran.

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Peter Alken
This is an extremely rare complication. Of five cases reported in the literature in 2006, 2015 and 3 in 2017, 4 had a proven funga... Leggi tutto
Giovedì, 13 Giugno 2019 08:54
274 Visite
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Alathel AH. et al., 2019: The New/Novel Oral Anticoagulants and Their Impact on Patients Being Considered for Shock Wave Lithotripsy: The Findings of an International Survey of the Endourological Society

Alathel AH, Nott L, Bjazevic J, Chew BH, Pace KT, Razvi H.
Division of Urology, Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Division of Urology, Department of Surgery, Western University, London, Canada.
Department of Urological Sciences, University of British Columbia, Vancouver, Canada.
Division of Urology, Department of Surgery, University of Toronto, Toronto, Canada.

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Peter Alken
“Unfortunately, the literature related to SWL and the risks of bleeding associated with antiplatelet/anticoagulants in general has... Leggi tutto
Giovedì, 06 Giugno 2019 08:47
432 Visite
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Alken P. et al., 2019: [Looking back on 50 years of stone treatment] (Original Article only in German)

Alken P., Knoll T.
Klinikum Sindelfingen-Böblingen, Urologische Klinik Sindelfingen, Sindelfingen.
Universitätsmedizin Mannheim, Klinik für Urologie, Mannheim.

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Peter Alken
Currently no comment available.
Martedì, 04 Giugno 2019 08:39
507 Visite
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Liu R. et al., 2019: Quantitative factors of unenhanced CT for predicting fragmenting efficacy of extracorporeal shock wave lithotripsy on pancreatic duct stones

Liu R, Su W, Wang J, Gong J, Lu J.
Department of Radiology,Department of Nuclear Medicine, Changhai Hospital Affiliated to the Second Military Medical University, Changhai Road 168, Yangpu District, Shanghai, 200433 PR China.

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Peter Alken
The ease with which Gastroenterologists treat pancreatic duct stones with several ESWL sessions always impressed me. At the same ... Leggi tutto
Venerdì, 31 Maggio 2019 08:30
536 Visite
1 Commento

Li X et al., 2018: Outcomes of long-term follow-up of asymptomatic renal stones and prediction of stone-related events

Li X, Zhu W, Lam W, Yue Y, Duan H, Zeng G.
Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. Division of Urology, Department of Surgery, Queen Mary Hospital, Hong Kong SAR, China. Department of Urology, Longgang Central Hospital, Shenzhen, China.

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Peter Alken
Currently no comment available.
Mercoledì, 29 Maggio 2019 08:41
550 Visite
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Turan T et al., 2018: Can intervals in extracorporeal shock wave lithotripsy sessions affect success in the treatment of upper ureteral stones?

Turan T, Efioglu O, Danacioglu YO, Sendogan F, Culpan M, Gunaydin B, Atis RG, Caskurlu T, Yildirim A.
Department of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

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Peter Alken
An often desired answer to a neglected question is given in this small study. All patients had received a 2-week conservative trea... Leggi tutto
Lunedì, 27 Maggio 2019 08:37
493 Visite
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Hao L et al., 2018: Extracorporeal shock wave lithotripsy is safe and effective for geriatric patients with chronic pancreatitis

Hao L, Liu Y, Wang T, Guo HL, Wang D, Bi YW, Xin L, He L, Lin JH, Zhang D, Zeng XP, Zou WB, Chen H, Xie T, Li BR, Cong ZJ, Wang LS, Liao Z, Xu ZL, Li ZS, Hu LH.
Department of Gastroenterology, Hainan Branch of Chinese PLA General Hospital, Sanya, China.  Gongli Hospital, The Second Military Medical University, Shanghai, China. Digestive Endoscopy Center, Changhai Hospital, The Second Military Medical University, Shanghai, China. Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, China. Air Force General Hospital, Beijing, China. Department of General Surgery, Renji Hospital, Shanghai Jiaotong University, Shanghai, China.Department of Gastroenterology, The Second Clinical Medical College (Shenzhen People's Hospital), Jinan University, Shenzhen, China.

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Peter Alken
The long term outcome is evaluated in a matched pair analysis of 72 geriatric group patients with 72 of 1322 patients from the con... Leggi tutto
Venerdì, 24 Maggio 2019 08:30
594 Visite
1 Commento

Xun Y et al., 2018: Single extracorporeal shock-wave lithotripsy for proximal ureter stones: Can CT texture analysis technique help predict the therapeutic effect?

Xun Y, Li J, Geng Y, Liu Z, Yu X, Wang X, Xiao F, Li Z, Li C, Wang S.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan, Hubei, 430030, China.

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Peter Alken
CT texture analysis has been most frequently applied to image processing of malignant tumors. There are also a few publications de... Leggi tutto
Lunedì, 20 Maggio 2019 08:15
599 Visite
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Yamashita S, et al., 2018: Three-dimensional mean stone density measurement is superior for predicting extracorporeal shock wave lithotripsy success

Yamashita S, Kohjimoto Y, Iwahashi Y, Iguchi T, Iba A, Nishizawa S, Hara I.
Department of Urology, Wakayama Medical University, Wakayama, Japan.

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Peter Alken
On first glance it makes more sense to measure the mean density (MSD) of a whole stone to determine the stone’s susceptibility to ... Leggi tutto
Venerdì, 17 Maggio 2019 08:15
719 Visite
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Haraldsson S et al., 2018: Extracorporeal shock wave lithotripsy for pancreatic duct stones: an observational study

Haraldsson S, Roug S, Nøjgaard C, Novovic S, Gluud LL, Feldager E, Schmidt PN.
Department of Gastroenterology, Landspitali - University Hospital, Reykjavik, Iceland. Abdominal Center K, Bispebjerg Hospital, Copenhagen, Denmark. Department of Gastroenterology and Gastrointestinal Surgery, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.

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Peter Alken
The results remember me of the fact that ESWL frequently improved the pain situation of patients with medullary sponge kidneys des... Leggi tutto
Mercoledì, 15 Maggio 2019 08:40
692 Visite
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Islamoglu E et al., 2018: Does extracorporeal shock wave lithotripsy-related pain get affected by menstrual cycle and menopause?

Islamoglu E, Tas S, Karamik K, Yalcinkaya S, Tokgoz H, Savas M
University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

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Peter Alken
This is a well done gender study on female pain perception during ESWL written by five males. “… as far as we know our study is t... Leggi tutto
Lunedì, 13 Maggio 2019 08:31
731 Visite
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Bianchi G. et al., 2018: Comparison of an electromagnetic and an electrohydraulic lithotripter: Efficacy, pain and complications

Bianchi G, Marega D, Knez R, Bucci S, Trombetta C.
Department of Urology, University of Trieste, Cattinara Hospital, Trieste.

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Peter Alken
Sometimes better results are achieved with new machine and sometimes with thorough instructions in the proper use of machines. I r... Leggi tutto
Giovedì, 09 Maggio 2019 08:25
720 Visite
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Liu Y et al., 2018: Large mesenteric hematoma after extracorporeal shock wave lithotripsy for pancreatic stones: A case report

Department of Gastroenterology, Gongli Hospital.Changhai Hospital, The Second Military Medical University, Shanghai.
Hainan Branch of Chinese PLA General Hospital, Sanya.
Digestive Endoscopy Center, Changhai Hospital, The Second Military Medical University, Shanghai.
Department of Gastroenterology, The Second Clinical Medical College (Shenzhen People's Hospital), Jinan University, Guangdong, China

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Peter Alken
Currently no comment available.
Lunedì, 06 Maggio 2019 08:20
892 Visite
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Tao RZ et al., 2018: External physical vibration lithecbole facilitating the expulsion of upper ureteric stones 1.0-2.0 cm after extracorporeal shock wave lithotripsy: a prospective randomized trial

Tang QL, Zhou S, Jia CP, Lv JL.

Department of Urology, The Affiliated Jiangning Hospital with Nanjing Medical University, Nanjing, 211100, Jiangsu, China.

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Peter Alken
This is the 4th publication on the the EPVL (Friend I) (1-3). The device consists of two essential pieces: a mechanical oscillator... Leggi tutto
Venerdì, 03 Maggio 2019 10:43
839 Visite
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Reynolds LF et al., 2018: Indications and contraindications for shock wave lithotripsy and how to improve outcomes

Kroczak T, Pace KT.
Division of Urology, St. Michael's Hospital, Toronto, Canada.

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Peter Alken
This general review offers 101 references to readers with no or limited knowledge of ESWL.
Giovedì, 02 Maggio 2019 08:30
904 Visite
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Watson RR et al., 2018: Biliary and pancreatic lithotripsy devices

ASGE Technology Committee, Watson RR, Parsi MA, Aslanian HR, Goodman AJ, Lichtenstein DR, Melson J, Navaneethan U, Pannala R, Sethi A, Sullivan SA, Thosani NC, Trikudanathan G, Trindade AJ, Maple JT.
Biliary and pancreatic lithotripsy devices.

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Peter Alken
This overview on all lithotripsy techniques to treat biliary and pancreatic stones includes a few basic general comments on ESWL.... Leggi tutto
Lunedì, 29 Aprile 2019 10:00
1003 Visite
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Reesink DJ et al., 2018: Extracorporeal shock wave lithotripsy under intravenous sedation for treatment of urolithiasis

Reesink DJ, Scheltema JMW, Barendrecht MM, Boeken Kruger AE, Jansonius A, Wiltink J, van der Windt F.

a Urology Department , Tergooi Hospital Hilversum/Blaricum , Blaricum , The Netherlands.

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Peter Alken
We have reviewed more than 1000 publication on EWSL and I have read a lot of other publications on different urological topics. Th... Leggi tutto
Giovedì, 25 Aprile 2019 08:40
1201 Visite
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Woźniak P et al., 2018: The lipid peroxidation 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, 93-513 Łódź, Poland.
Department of General Biochemistry, Faculty of Biology & Environmental Protection, University of Łódź, Pomorska 141/3, 90-236 Łódź, Poland.

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Peter Alken
The core information concerning the effect of ESWL on the parameters evaluated is: no change after ESWL. The stone patients were... Leggi tutto
Martedì, 23 Aprile 2019 08:32
1036 Visite
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Leapman MS et al, 2018: Variation in National Opioid Prescribing Patterns Following Surgery for Kidney Stones.

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

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Peter Alken
The most devastating pain in urology is colicky pain. But even in this acute situation opioids are rarely given in Europe: The 20... Leggi tutto
Mercoledì, 09 Gennaio 2019 15:29
2963 Visite
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Zewin TS et al, 2018: Efficacy and safety of low-intensity shock wave therapy in penile rehabilitation post nerve-sparing radical cystoprostatectomy: a randomized controlled trial.

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

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Commenti recenti
Peter Alken
To the best of our knowledge, this is the first randomized controlled study that evaluated the use of LI-ESWT as a penile rehabili... Leggi tutto
Giovedì, 28 Marzo 2019 12:56
Peter Alken
All patients suffered from postoperative ED. In the Li-ESWT group patients received 12 sessions of penile within 9 weeks while the... Leggi tutto
Lunedì, 07 Gennaio 2019 15:25
2878 Visite
2 Commenti

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

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

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Peter Alken
This publication comes from a department with extensive experience in super-mini percutaneous nephrolithotomy (SMP). “All the proc... Leggi tutto
Venerdì, 04 Gennaio 2019 15:22
2785 Visite
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Veld JV et al, 2018: A systematic review of advanced endoscopy-assisted lithotripsy for retained biliary tract stones: laser, electrohydraulic or extracorporeal shock wave.

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

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Peter Alken
The trend described is similar to that for the treatment of pancreatic duct stones. It is surprising to see that electrohydraulic... Leggi tutto
Mercoledì, 02 Gennaio 2019 15:19
2693 Visite
1 Commento

Fankhauser CD et al, 2018: Extracorporeal shock wave lithotripsy versus flexible ureterorenoscopy in the treatment of untreated renal calculi.

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

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Peter Alken
This is a good retrospective study which has the added value of a propensity score-matched analysis of a large case number and thu... Leggi tutto
Lunedì, 31 Dicembre 2018 15:15
2966 Visite
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Gadzhiev N et al, 2018: Novel Approach for Endoscopic Management of Duodenal Injury during Perirenal Infected Haematoma Drainage after Shock-Wave Lithotripsy.

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

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Peter Alken
The duodenal lesion happened not as a consequence of ESWL but during the percutaneous puncture and drainage of the hematoma.... Leggi tutto
Giovedì, 27 Dicembre 2018 15:11
2907 Visite
1 Commento

Choo MS et al, 2018: A Prediction Model using Machine Learning Algorithm for Assessing Stone-Free Status after Single-Session Shockwave Lithotripsy to Treat Ureteral Stones.

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

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Peter Alken
This paper is worth reading because it is a new promise to predict the future. “Stone length as well as stone width and height me... Leggi tutto
Venerdì, 21 Dicembre 2018 15:07
2950 Visite
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Proietti S et al, 2018: Italian endourological panorama: results from a national survey.

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

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Peter Alken
An interesting article because of the data and moreover because of the discussion which touches many aspects of the urological pro... Leggi tutto
Mercoledì, 19 Dicembre 2018 14:59
3070 Visite
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Wang YB et al, 2018: Efficacies of Various Surgical Regimens in the Treatment of Renal Calculi Patients: a Network Meta-Analysis in 25 Enrolled Controlled Clinical Trials.

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

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Peter Alken
Another Network Meta-Analysis. A simple rule to avoid wasting time is: do not read meta-analyses which do not state in the introdu... Leggi tutto
Lunedì, 17 Dicembre 2018 14:56
2815 Visite
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Zang ZJ et al, 2018: The impact of low-intensity extracorporeal shock wave therapy on testicular function in adult rats.

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

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Peter Alken
Do patients have to be informed about possible testicular damage while being treated with Li-ESWT? I would say, no: “…the use of a... Leggi tutto
Martedì, 11 Dicembre 2018 14:51
2759 Visite
1 Commento

Ali M et al, 2018: Shock wave lithotripsy versus endoscopic cystolitholapaxy in the management of patients presenting with calcular acute urinary retention: a randomised controlled trial.

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

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Peter Alken
Very good results with ESWL on bladder stones integrate and clear stones in 43 patients (86%), while 2 patients required 2 session... Leggi tutto
Giovedì, 06 Dicembre 2018 14:48
2862 Visite
1 Commento

Weigel WA et al, 2018: Process improvement for a complex dual medical procedure.

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

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Peter Alken
The article does not focus on ESWL but describes an organizational and procedural rearrangement of the combined therapy of pancrea... Leggi tutto
Martedì, 27 Novembre 2018 14:37
3777 Visite
1 Commento

Davis RB et al, 2018: Contemporary practice patterns in the treatment of pediatric stone disease.

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

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Peter Alken
No free access via Karolinska Institute and Heidelberg University
Giovedì, 22 Novembre 2018 14:44
3149 Visite
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Li PC et al, 2018: [Low-intensity extracorporeal shockwave therapy for Peyronie's disease: A preliminary study of 32 cases].

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

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Peter Alken
Currently no comment available.
Martedì, 20 Novembre 2018 14:32
3129 Visite
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Frost F et al, 2018: Between a Rock and an Airspace: Pneumothorax After Extracorporeal Shock Wave Lithotripsy for Renal Stones in a Patient With Cystic Fibrosis.

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

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Peter Alken
Currently no comment available.
Giovedì, 15 Novembre 2018 11:59
3141 Visite
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Gürbuz ZG et al, 2018: Small renal pelvis stones: Shock wave lithotripsy or flexible ureteroscopy? A match-pair analysis.

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

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Peter Alken
In the fURS group an 11.5/9.5 F ureteral access sheath was placed in all cases obviously without problems. No patient had a primar... Leggi tutto
Venerdì, 09 Novembre 2018 11:55
3152 Visite
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Fan J et al, 2018: The role of super-mini percutaneous nephrolithotomy (SMP) in the treatment of symptomatic lower pole renal stones (LPSs) after the failure of shockwave lithotripsy (SWL) or retrograde intrarenal surgery (RIRS).

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

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Peter Alken
Good study about the percutaneous removal of lower pole stones after failed ESWL or RIRS. The only critic I have is that 9,1% of t... Leggi tutto
Martedì, 06 Novembre 2018 12:04
3358 Visite
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Tokgöz H et al, 2017: Lunar cycle may have an effect on Shock Wave Lithotripsy related pain outcome.

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

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Peter Alken
From Wikimedia :https://commons.wikimedia.org/wiki/File:Fases_lunars.png I am not familiar with the working habits at the Depart... Leggi tutto
Venerdì, 02 Novembre 2018 11:58
3283 Visite
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Goel H et al, 2018: Role of clinical and radiological parameters in predicting the outcome of shockwave lithotripsy for ureteric stones.

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

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Peter Alken
“This present study was designed to establish factors predicting the success of SWL” Unfortunately there is no new information off... Leggi tutto
Mercoledì, 31 Ottobre 2018 11:46
3370 Visite
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Iqbal N et al, 2018: Comparison of ureteroscopic pneumatic lithotripsy and extracorporeal shock wave lithotripsy for the management of proximal ureteral stones: A single center experience.

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

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Peter Alken
This is a retrospective study on two groups of exactly 200 patients each. “As per departmental policy patients were given choice t... Leggi tutto
Lunedì, 29 Ottobre 2018 11:42
3309 Visite
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Fankhauser CD et al, 2018: Prevalence of hypertension and diabetes after exposure to extracorporeal shock-wave lithotripsy in patients with renal calculi: a retrospective non-randomized data analysis.

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

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Peter Alken
Hypertension as a late complication of ESWL is an important and controversial issue. With the present paper the battel continues. ... Leggi tutto
Venerdì, 26 Ottobre 2018 11:37
3515 Visite
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Langenauer J et al, 2018: Advanced non-contrasted computed tomography post-processing by CT-Calculometry (CT-CM) outperforms established predictors for the outcome of shock wave lithotripsy.

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

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Peter Alken
This is work in progress and the authors’ enthusiasm is damped a little bit by the fact that “no re-intervention needed” includes ... Leggi tutto
Mercoledì, 24 Ottobre 2018 11:04
3252 Visite
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Barreto L et al, 2018: Medical and surgical interventions for the treatment of urinary stones in children.

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

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Peter Alken
Terrifying view on what has been published on the subject. There are not only too many journals but also too many low quality pape... Leggi tutto
Lunedì, 22 Ottobre 2018 10:58
4300 Visite
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Ito H et al, 2018: Systematic review of Calyceal Diverticulum.

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

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Peter Alken
Meta-Analyses are usually done to shed light on a disease and to better understand how to handle it. Unfortunately frequently the... Leggi tutto
Venerdì, 19 Ottobre 2018 10:51
3430 Visite
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Samotyjek J et al, 2018: Surgical treatment methods of urolithiasis in the pediatric population.

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

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Peter Alken
No free access via Karolinska Institute.
Mercoledì, 26 Settembre 2018 09:09
3324 Visite
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Wang D et al, 2018: Extracorporeal Shock Wave Lithotripsy for Chronic Pancreatitis Patients With Stones After Pancreatic Surgery.

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

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Peter Alken
No free access via Karolinska Institute.
Venerdì, 21 Settembre 2018 09:05
3381 Visite
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Bucci S et al, 2018: Emergency extracorporeal shockwave lithotripsy (eSWL) as opposed to delayed SWL (dSWL) for the treatment of acute renal colic due to obstructive ureteral stone: a prospective randomized trial.

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

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Peter Alken
No free access via Karolinska Institute.
Venerdì, 07 Settembre 2018 09:01
3609 Visite
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Fojecki GL et al, 2018: Effect of Linear Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction-12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study.

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

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Peter Alken
A well done study with long term data of a previously published series (Fojecki GL, Tiessen S, Osther PJ. Effect of low-energy lin... Leggi tutto
Giovedì, 16 Agosto 2018 09:13
3939 Visite
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Kalyvianakis D et al, 2018: Low-Intensity Shockwave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment.

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

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Peter Alken
The unexperienced reader has to become familiar with the term minimally clinical important differences (MCID). He will find the fi... Leggi tutto
Venerdì, 10 Agosto 2018 09:08
3752 Visite
1 Commento

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

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

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Peter Alken
I do not like publications that covertly quote quotations from other papers instead of leading the reader down to the original one... Leggi tutto
Venerdì, 03 Agosto 2018 09:03
4245 Visite
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Kang HW et al, 2018: Predictive factors and treatment outcomes of Steinstrasse following shock wave lithotripsy for ureteral calculi: A Bayesian regression model analysis.

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

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Peter Alken
This is how the authors explain the fact that a short SSD provoked Steinstrasse: “… in ureter stones with relatively short SSDs,... Leggi tutto
Martedì, 31 Luglio 2018 08:59
3701 Visite
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Jing S et al, 2018: Modified Mechanical Percussion for Upper Urinary Tract Stone Fragments after Extracorporeal Shock Wave Lithotripsy: a Prospective Multi-Center Randomized Controlled Trial.

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

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Peter Alken
This adds to the positive results with post-ESWL percussion-inversion-diuresis protocols. The results are surprisingly good from t... Leggi tutto
Lunedì, 23 Luglio 2018 08:51
3693 Visite
1 Commento

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

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

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Peter Alken
This is a well written bias-free publication with a lot of good facts and clear cut recommendations. Get a copy and read it! You ... Leggi tutto
Lunedì, 16 Luglio 2018 08:23
4443 Visite
1 Commento

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

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

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Peter Alken
This is a very detailed care research analysis. it would be good to have similar data on all other stone treatment procedures in a... Leggi tutto
Venerdì, 13 Luglio 2018 08:18
3835 Visite
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Ng CF et al, 2018: Extracorporeal Shockwave Lithotripsy Could Lead to a Prolonged Increase in the Renal Fibrotic Process of Up to 2 Years.

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

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Peter Alken
A carefully selected title for a paper with alarming specifications: “In the literature, the average annual incidence of add-on ph... Leggi tutto
Venerdì, 06 Luglio 2018 12:13
3505 Visite
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Kyriakides R et al, 2017: Effect of Music on Outpatient Urological Procedures: A Systematic Review and Meta-Analysis from ESUT.

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

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Peter Alken
In the six studies on ESWL 489 of 1023 patients were exposed to music. It helps to reduce analgesic consumption.
Lunedì, 02 Luglio 2018 08:06
3686 Visite
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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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Peter Alken
This paper deals with a well-known fact. I admit that I did not understand how the authors measured the kidney motion: “The size o... Leggi tutto
Giovedì, 21 Giugno 2018 08:01
3741 Visite
1 Commento

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

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

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Peter Alken
How is this done? “In the present study as well, we tried to increase hydrostatic pressure in the renal calyces and pelvis through... Leggi tutto
Giovedì, 14 Giugno 2018 07:57
3704 Visite
1 Commento

Waqas M et al, 2018: Evaluating the importance of different computed tomography scan-based factors in predicting the outcome of extracorporeal shock wave lithotripsy for renal stones.

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

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Peter Alken
There are many studies on the market looking at parameters that allow predicting the success rate of ESWL based on imaging finding... Leggi tutto
Venerdì, 08 Giugno 2018 07:51
3589 Visite
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Sridharan K et al, 2018: Efficacy and safety of alpha blockers in medical expulsive therapy for ureteral stones: a mixed treatment network meta-analysis and trial sequential analysis of randomized controlled clinical trials.

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

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Peter Alken
Here is a next-generation meta-analyses: network meta-analysis. In the discussion section the authors state: “More recently, Hol... Leggi tutto
Giovedì, 31 Maggio 2018 07:45
3544 Visite
1 Commento

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

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

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Peter Alken
This is a general small review on all aspects of stone therapy similar to a very condense version of a guideline.
Martedì, 22 Maggio 2018 07:39
4900 Visite
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Farouk A et al, 2018: Is mini-percutaneous nephrolithotomy a safe alternative to extracorporeal shockwave lithotripsy in pediatric age group in borderline stones? a randomized prospective study.

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

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Peter Alken
A prospective randomised study of a significant number of patients which adds to what is known when comparing Mini-PNL with ESWL. ... Leggi tutto
Martedì, 15 Maggio 2018 07:47
3610 Visite
1 Commento

Ergin G et al, 2018: Shock wave lithotripsy or retrograde intrarenal surgery: which one is more effective for 10-20-mm renal stones in children.

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

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Peter Alken
A retrospective study on 79 children treated in 10 years by ESWL or URS; that might be 8 children per year. There is no informatio... Leggi tutto
Martedì, 08 Maggio 2018 07:15
3564 Visite
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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.
Venerdì, 27 Aprile 2018 11:08
3437 Visite
1 Commento

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... Leggi tutto
Mercoledì, 25 Aprile 2018 11:02
3583 Visite
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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
Venerdì, 20 Aprile 2018 10:58
3416 Visite
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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... Leggi tutto
Mercoledì, 18 Aprile 2018 10:52
3284 Visite
1 Commento

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... Leggi tutto
Lunedì, 16 Aprile 2018 10:48
4306 Visite
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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
Giovedì, 12 Aprile 2018 10:41
3591 Visite
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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 ... Leggi tutto
Martedì, 10 Aprile 2018 10:37
3638 Visite
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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... Leggi tutto
Venerdì, 06 Aprile 2018 10:30
3465 Visite
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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... Leggi tutto
Mercoledì, 04 Aprile 2018 10:17
3403 Visite
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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... Leggi tutto
Lunedì, 02 Aprile 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
Venerdì, 30 Marzo 2018 10:04
3296 Visite
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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... Leggi tutto
Mercoledì, 28 Marzo 2018 10:00
3802 Visite
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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 ... Leggi tutto
Lunedì, 26 Marzo 2018 09:54
3471 Visite
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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... Leggi tutto
Martedì, 20 Marzo 2018 09:44
3289 Visite
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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... Leggi tutto
Venerdì, 16 Marzo 2018 09:39
3339 Visite
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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... Leggi tutto
Mercoledì, 14 Marzo 2018 09:34
3660 Visite
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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... Leggi tutto
Lunedì, 12 Marzo 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.
Venerdì, 09 Marzo 2018 13:42
4678 Visite
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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... Leggi tutto
Mercoledì, 07 Marzo 2018 13:38
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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... Leggi tutto
Lunedì, 05 Marzo 2018 13:33
3799 Visite
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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... Leggi tutto
Venerdì, 02 Marzo 2018 14:19
3929 Visite
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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... Leggi tutto
Giovedì, 01 Marzo 2018 13:18
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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... Leggi tutto
Lunedì, 26 Febbraio 2018 13:14
3586 Visite
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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... Leggi tutto
Venerdì, 16 Febbraio 2018 14:08
4494 Visite
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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... Leggi tutto
Lunedì, 12 Febbraio 2018 12:49
3534 Visite
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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... Leggi tutto
Giovedì, 08 Febbraio 2018 12:43
3934 Visite
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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,... Leggi tutto
Giovedì, 01 Febbraio 2018 11:58
3480 Visite
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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... Leggi tutto
Lunedì, 29 Gennaio 2018 11:54
3849 Visite
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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
Giovedì, 25 Gennaio 2018 11:49
3355 Visite
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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 ... Leggi tutto
Domenica, 21 Gennaio 2018 11:41
3853 Visite
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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... Leggi tutto
Lunedì, 15 Gennaio 2018 11:25
3877 Visite
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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... Leggi tutto
Venerdì, 12 Gennaio 2018 11:33
3717 Visite
1 Commento

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 ... Leggi tutto
Mercoledì, 29 Novembre 2017 09:22
4288 Visite
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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... Leggi tutto
Lunedì, 27 Novembre 2017 09:16
4135 Visite
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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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Commenti recenti
Othmar Wess
Many factors determine the performance of a lithotripter. Positioning of stones, quality of coupling, energy settings, treatment s... Leggi tutto
Sabato, 25 Novembre 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... Leggi tutto
Venerdì, 24 Novembre 2017 09:12
4171 Visite
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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... Leggi tutto
Mercoledì, 22 Novembre 2017 09:07
3884 Visite
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