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Yoshioka T. et al., 2020: Negative impact of being underweight on the outcomes of single-session shockwave lithotripsy in patients with upper urinary tract calculi: a retrospective cohort study

Yoshioka T, Omae K, Kawada T, Inoue Y, Sugimoto M, Oeda T, Yamasaki T, Fujio K, Otsuki H, Uehara S, Araki M, Fukuhara.
Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.
Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto, Japan.
Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.
Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto, Japan.
Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University, Fukushima, Japan.
Department of Urology, Onomichi Municipal Hospital, Hiroshima, Japan.
Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Department of Urology, Abiko Toho Hospital, Chiba, Japan.
Department of Urology, Kawasaki Medical School General Medical Center, Okayama, Japan.
Department of Urology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.

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Peter Alken
25 underweight patients and 37 obese patients had similar mediocre results (Table 1). Statistics on small numbers are prone to... Read More
Wednesday, October 28 2020 08:30
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Salvi M. et al., 2020: Active treatment of renal stones in Pelvic Ectopic Kidney: systematic review of literature

Abstract

Purpose: To identify the role of Doppler US (DUS) in the prediction of factors affecting stone-clearance post-SWL for ureteral stones in addition to its role in prediction of pretreatment stone impaction.

Methods: We prospectively included patients with ureteric stone for SWL between October 2018 and September 2019. Patient's demographics were collected. Using DUS, resistive index (RI), Δ RI, and ureteric jets were evaluated in both kidneys. Also, stone site, volume, density, skin to stone distance, degree of hydronephrosis, ureteral wall thickness (UWT) were evaluated by NCCT. Univariate and multivariate logistic regression analyses were performed to identify factors that contribute to treatment success. Correlation between ipsilateral RI with other radiological findings predicting stone impaction was done.

Results: A total of 93 patients were finally included (61 males and 32 females). The mean age was 31.4 ± 7.7 years. The success rate (absence of significant residuals post 1 month by NCCT) was 51.6%. In multivariate analysis, the presence of ureteric jet, ipsilateral lower RI, and ipsilateral lower UWT were independent factors for treatment success (P = 0.0001, 0.002, and 0.03, respectively). Also, ipsilateral absence of ureteric jet, increased hydronephrosis, and increased UWT were correlated with higher ipsilateral RI in prediction of stone impaction. Ipsilateral higher RI was found to achieve higher accuracy in stone impaction prediction (PPV of 94.8%).

Conclusion: Pretreatment DUS is a useful, non-invasive with a less irradiative tool for prediction of stone impaction and stone-free rate post-SWL for ureteric stones.

Minerva Urol Nefrol. 2020 Apr 16. doi: 10.23736/S0393-2249.20.03792-3. Online ahead of print. PMID: 32298068.

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Peter Alken
There is no clear definition of stone impaction as a measurable value. Also in the present paper the authors do not define but sus... Read More
Monday, October 26 2020 08:30
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Jdaini A. et al., 2020: Subcapsular hematoma of the kidney after extracorporeal shock wave lithotripsy: A rare complication

Jdaini A, Aynaou M, Irzi M, Mhanna T, El Farhaoui H, Barki A.
Department of Urology, Mohammed IV University Medical Center, Mohammed the First University Oujda, Morocco.

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Dhawan S. et al., 2020: Phyllanthus niruri (stone breaker) herbal therapy for kidney stones; a systematic review and meta-analysis of clinical efficacy, and Google Trends analysis of public interest

Dhawan S, Olweny EO.
Rutgers-Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.

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Peter Alken
I could not read this paper because Karolinska and Heidelberg university libraries do not have access to the publications of the C... Read More
Wednesday, October 21 2020 08:30
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Turan T. et al., 2020: The effects of shock wave lithotripsy and retrograde intrarenal surgery on renal function

Turan T, Isman FK, Efiloğlu Ö, Genc Kahraman N, Şendoğan F, Danacioğlu YO, Atis RG, Yildirim A.
Department of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Department, of Biochemistry, Istanbul Medeniyet University, Istanbul, Turkey.
Department of Urology, Istanbul Bakirkoy Dr. Sadi Konuk Education Research Hospital, Istanbul, Turkey.

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Hans-Göran Tiselius
In this report the authors compared cystatin C levels in patients treated with SWL and RIRS. The results showed an increase in Cys... Read More
Monday, October 19 2020 08:30
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Lorio E. et al., 2020: Management of Hepatolithiasis: Review of the Literature

Lorio E, Patel P, Rosenkranz L, Patel S, Sayana H.
Department of Internal Medicine, UT Health San Antonio - Long School of Medicine, San Antonio, TX, 78229-3900, USA.
Division of Gastroenterology & Nutrition, Department of Medicine, UT Health San Antonio - Long School of Medicine, MC 7878, 7703 Floyd Curl Dr., San Antonio, TX, 78229-3900, USA.
Division of Gastroenterology & Nutrition, Department of Medicine, UT Health San Antonio - Long School of Medicine, MC 7878, 7703 Floyd Curl Dr., San Antonio, TX, 78229-3900, USA.

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Peter Alken
This is a review on a relatively rare disease. It just briefly mentions ESWL as a not so effective procedure among the various dif... Read More
Friday, October 16 2020 08:30
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Maxwell AD. et al., 2020: An investigation of elastic waves producing stone fracture in burst wave lithotripsy

Maxwell AD, MacConaghy B, Bailey MR, Sapozhnikov OA.
Department of Urology, University of Washington School of Medicine, 1959 Northeast Pacific Street, Seattle, Washington 98195, USA.
Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington 98105, USA.
Department of Acoustics, Physics Faculty, Lomonosov Moscow State University, Leninskie Gory, Moscow 119992, Russia.

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Hans-Göran Tiselius
The article is a summary of experimental studies of BWL (burst wave lithotripsy). The propagation of burst waves with frequencies ... Read More
Wednesday, October 14 2020 08:30
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Hyun JJ. et al., 2020: Incidence and Significance of Biliary Stricture in Chronic Pancreatitis Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Obstructing Pancreatic Duct Stones

Hyun JJ, Irani SS, Ross AS, Larsen MC, Gluck M, Kozarek RA.
Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea.
Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.

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Peter Alken
This article focusses on the treatment of pre-existing biliary strictures in patients successfully treated with ESWL for pancreati... Read More
Monday, October 12 2020 08:30
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Kartal I. et al., 2020: Comparison of semirigid ureteroscopy, flexible ureteroscopy, and shock wave lithotripsy for initial treatment of 11-20 mm proximal ureteral stones

Kartal I, Baylan B, Çakıcı MÇ, Sarı S, Selmi V, Ozdemir H, Yalçınkaya F.
Department of Urology, Dıskapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara.

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Hans-Göran Tiselius
This comparison between flexible URS, semirigid URS and SWL for treatment of 15-20 mm proximal ureteral stones showed, like many o... Read More
Thursday, October 08 2020 08:30
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Huang Y. et al., 2020: Efficacy of Eutectic Mixture of Local Anesthetics on Pain Control During Extracorporeal Shock Wave Lithotripsy: A Systematic Review and Meta-Analysis

Huang Y, Chai S, Wang D, Li W, Zhang X.
Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

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Peter Alken
Of the 9 studies included, 6 are ≥ 20 years old and 3 are 15, 8, and 7 years old resp. I do not think that this meta-analysis wil... Read More
Tuesday, October 06 2020 08:30
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Gao X. et al., 2020: Management of staghorn stones in special situations

Gao X, Fang Z, Lu C, Shen R, Dong H, Sun Y.
Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China.

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Hans-Göran Tiselius
The authors have written a review of methods applicable for patients with staghorn stones. The basic message is that in most cases... Read More
Friday, October 02 2020 08:30
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Nesheiwat Z. et al., 2020: Obstructing Pancreatic Ductal Calculus: A Case Report and Literature Review

Nesheiwat Z, Sheikh T, Patel D, Burmeister C, Balla M.
Cardiology, University of Toledo Medical Center, Toledo, USA.
Internal Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, USA.
Internal Medicine, University of Toledo Medical Center, Toledo, USA.
Internal Medicine, University of Toledo, Toledo, USA.
Internal Medicine, Promedical Toledo Hospital, Toledo, USA.

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177 Hits
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Guler Y. et al., 2020: Factors affecting success in the treatment of proximal ureteral stones larger than 1 cm with extracorporeal shockwave lithotripsy in adult patients

Guler Y, Erbin A, Kafkasli A, Ozmerdiven G.
Department of Urology, Private Safa Hospital, Istanbul, Turkey.
Department of Urology, Haseki Traning and Research Hospital, Istanbul, Turkey.
Department of Urology, Dr. Lutfi Kirdar Kartal Traning and Research Hospital, Istanbul, Turkey.
Department of Urology, Istanbul Aydin University Medical Faculty, Istanbul, Turkey.

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Hans-Göran Tiselius
The authors of this article present their experience with SWL for treating stones with a diameter > 10 mm and located in the urete... Read More
Monday, September 28 2020 08:30
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Nemirovsky C. et al., 2020: [Argentine Intersociety Consensus on Urinary Infection 2018-2019 - Part II]

Nemirovsky C, López Furst MJ, Pryluka D, De Vedia L, Scapellato P, Colque A, Barcelona L, Desse J, Caradonti M, Varcasia D, Ipohorski G, Votta R, Zylberman M, Romani A, Valdez P, Amalfa F, Lucero C, Fernández Lausi A, Fernández Garces A, Rodríguez C, Chattas A, Farina J, Clara L, Nuccetelli Y; Grupo de trabajo del Consenso Argentino de Infección.
Sociedad Argentina de Infectología, Argentina.
Sociedad Argentina de Infectología, Argentina.
Sociedad Argentina de Urología, Argentina.
Federación Argentina de Urología, Argentina.
Federación Argentina de Sociedades de Ginecología y Obstetricia, Argentina.
Sociedad Argentina de Medicina, Argentina.
Sociedad Argentina de Bacteriología, Micología y Parasitología Clínica, Argentina.
Administración Nacional de Laboratorios e Institutos de Salud Dr. Carlos Malbrán, Buenos Aires, Argentina.

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Fathelbab TK. et al., 2020: Anterior or posterior SWL in proximal ureteral stones opposite to 4th and 5th lumbar vertebrae?

Fathelbab TK, Hasanein MGS, Fawzy AM.
Urology Department, Minia Urology & Nephrology University Hospital, School of Medicine, Minia University, Minia, Egypt.
Specialized SWL Center, Nile SWL, Minia, Egypt.
Urology Department, Minia Urology & Nephrology University Hospital, School of Medicine, Minia University, Minia, Egypt.
Specialized SWL Center, Nile SWL, Minia, Egypt.

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Hans-Göran Tiselius
Almost 30 years of experience with SWL has taught me that that this treatment needs to be individualized to be maximally successfu... Read More
Tuesday, September 22 2020 08:30
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Wang Y. et al., 2020: Efficacy and safety of various surgical treatments for proximal ureteral stone ≥10mm: A systematic review and network meta-analysis

Wang Y, Chang X, Li J, Han Z.
Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

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Peter Alken
I am looking for the surprise meta-analysis to come which will show that I was wrong in my internal summery of what I have read an... Read More
Friday, September 18 2020 08:35
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Olesen SS. et al., 2020: Combined extracorporeal shock wave lithotripsy and endoscopic treatment for pain in chronic pancreatitis (SCHOKE trial): study protocol for a randomized, sham-controlled trial

Olesen SS, Drewes AM, Gaud R, Tandan M, Lakhtakia S, Ramchandani M, Rao GV, Reddy DN, Talukdar R.
Department of Gastroenterology and Hepatology, Centre for Pancreatic Diseases, Aalborg University Hospital, Aalborg, Denmark. .
Department of Gastroenterology and Hepatology, Centre for Pancreatic Diseases, Aalborg University Hospital, Aalborg, Denmark.
Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
Department of Surgical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
Pancreas Research Group, Wellcome DBT Labs, Asian Healthcare Foundation, Hyderabad, Telangana, India.

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Hans-Göran Tiselius
This article is a “study protocol” of an investigation with the aim of getting information on whether a combined treatment of panc... Read More
Wednesday, September 16 2020 08:30
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Ur Rehman MF. et al., 2020: Comparison of Ureteroscopic Pneumatic Lithotripsy and Extracorporeal Shock Wave Lithotripsy for Proximal Ureteral Calculi

Ur Rehman MF, Adnan M, Hassan A 3rd, Humayun Akhtar F, Javed N, Ali F.
Urology, Bakhtawar Amin Medical and Dental College, Multan, PAK.
Urology, University of Lahore Teaching Hospital, Lahore, PAK.
Urology, Children Hospital and Institute of Child Health, Lahore, PAK.
Paediatric Urology, Children Hospital and Institute of Child Health, Lahore, PAK.
Internal Medicine, District Headquarter Hospital, Khanewal, PAK.

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Peter Alken
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Tuesday, September 15 2020 07:07
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Sampogna G. et al., 2020: Shock wave lithotripsy for a renal stone in a tetraplegic patient as a trigger for life-threatening posterior reversible encephalopathy syndrome

Sampogna G, Maltagliati M, Rocco B, Micali S, Montanari E, Spinelli M.
Urology Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, University of Milan, Via della Commenda 15, 20122, Milano, MI, Italy.
Neuro-urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore 3, 20162 Milano, MI, Italy.
Urology Unit, Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino-Estense, University of Modena and Reggio Emilia, Via Pietro Giardini 1355, 41126 Baggiovara, MO, Italy.

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Hans-Göran Tiselius
The authors describe an unusual complication, posterior reversible encephalopathy syndrome (PRES), in a tetraplegic patient treate... Read More
Thursday, September 10 2020 08:30
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Hughes SF. et al., 2020: Shock wave lithotripsy, for the treatment of kidney stones, results in changes to routine blood tests and novel biomarkers: a prospective clinical pilot-study

Hughes SF, Jones N, Thomas-Wright SJ, Banwell J, Moyes AJ, Shergill I.

North Wales Clinical Research Centre, Betsi Cadwaladr University Health Board (BCUHB) Wrexham Maelor Hospital, Wrexham, Wales, UK.
North Wales & North West Urological Research Centre, Betsi Cadwaladr University Health Board (BCUHB) Wrexham Maelor Hospital, Wrexham, Wales, UK.
Department of Biological Sciences, University of Chester, Chester, UK.
Department of Haematology, Countess of Chester Hospital, Chester, UK.
North Wales & North West Urological Research Centre, Betsi Cadwaladr University Health Board (BCUHB) Wrexham Maelor Hospital, Wrexham, Wales, UK.
Department of Blood Sciences, BCUHB Wrexham Maelor Hospital, Wrexham, Wales, UK.
School of Medical Sciences, Bangor University, Bangor, Wales, UK.
North Wales Clinical Research Centre, Betsi Cadwaladr University Health Board (BCUHB) Wrexham Maelor Hospital, Wrexham, Wales, UK.
The Alan de Bolla Department of Urology, BCUHB Wrexham Maelor Hospital, Wrexham, Wales, UK.

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Peter Alken
No comment available.
Tuesday, September 08 2020 08:37
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Zhong P., 2020: Editorial Comment on: " In Vitro Evaluation of Urinary Stone Comminution with a Clinical Burst Wave Lithotripsy System" by Ramesh et al. (J Endourology [Epub ahead of print]; DOI: 10.1089/end.2019.0873)

Zhong P.
Department of Mechanical Engineering and Materials Science, Duke University, Durham, North Carolina, USA.

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Hans-Göran Tiselius
This publication is an editorial comment to the in vitro evaluation of burst wave lithotripsy. The advantage of this this new tech... Read More
Friday, September 04 2020 08:30
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Porst H., 2020: Review of the Current Status of Low Intensity Extracorporeal Shockwave Therapy (Li-ESWT) in Erectile Dysfunction (ED), Peyronie's Disease (PD), and Sexual Rehabilitation After Radical Prostatectomy With Special Focus on Technical Aspects of the Different Marketed ESWT Devices Including Personal Experiences in 350 Patients

Porst H.
European Institute for Sexual Health (EISH), Hamburg, Germany.

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Peter Alken
No comment available.
Friday, September 04 2020 12:50
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Patel VV. et al., 2020: A Case of Splenic Injury After Shockwave Lithotripsy Presenting as Septic Shock

Patel VV, Mohindroo A.
Community Medical Center, Toms River, New Jersey.

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Hans-Göran Tiselius
The authors describe splenic rupture as complication to SWL. This is indeed a very unusual complication and I have not encountered... Read More
Monday, August 31 2020 08:30
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Wang X. et al., 2020: Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review

Wang X, Zhang B, Zhu Y, Ge H.
Department of Vascular Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, China.

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Peter Alken
Knowing the exact position of the stone and the direction of the shock wave path could further clarify if shock waves really cause... Read More
Thursday, August 27 2020 08:35
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Qiang YC. et al., 2020: The effectiveness and safety of extracorporeal shock wave lithotripsy for the management of kidney stones: A protocol of systematic review and meta-analysis

Qiang YC, Guo YG, Wang YQ.
Department of Urology, Xianyang Hospital of Yan'an University.
Department of Obstetrics and Gynecology.
Department of Urology, Yangling Demonstration District Hospital, Xianyang, China.

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Hans-Göran Tiselius
This article is a “study protocol” for systematic review and meta-analysis of SWL of kidney stones. Is there really need of additi... Read More
Tuesday, August 25 2020 08:30
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Al Darrab R. et al., 2020: Trends of upper urinary tract stone management in a high volume stone center in Saudi Arabia, 12 years analysis

Al Darrab R, Addar AM, Al Shohaib I, Ghazwani Y.
Division of Urology, King Abdullah International Medical Research Center, College of Medicine, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

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Peter Alken
In publications like this one, you always find a typical sentence on the epidemiology: “Urinary stone disease is increasing global... Read More
Friday, August 21 2020 08:30
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Chuang YC. et al., 2020: Pain reduction realized with extracorporeal shock wave therapy for the treatment of symptoms associated with interstitial cystitis/bladder pain syndrome-A prospective, multicenter, randomized, double-blind, placebo-controlled study

Chuang YC, Meng E, Chancellor M, Kuo HC.
Department of Urology, Center for Shockwave Medicine and Tissue Engineering, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Department of urology, Oakland University William Beaumont School of
Department of Urology, Hualien Tzu Chi General Hospital, Tzu Chi Medical Foundation, Buddhist Tzu Chi University, Hualien, Taiwan.

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Hans-Göran Tiselius
Interstitial cystitis is a pathological condition associated with intolerable pain and frequency. Clinically, it might be demandin... Read More
Wednesday, August 19 2020 08:30
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Li X. et al., 2020: Treatment of recurrent renal transplant lithiasis: analysis of our experience and review of the relevant literature

Li X, Li B, Meng Y, Yang L, Wu G, Jing H, Bi J, Zhang J.
Department of Hepatobiliary Surgery, First Affiliated Hospital, China Medical University, No.155, Nanjing North Street, Heping District, Shenyang, 110001, Liaoning Province, People's Republic of China.
Department of Urology, First Affiliated Hospital, China Medical University, No.155, Nanjing North Street, Shenyang, 110001, Liaoning Province, People's Republic of China.
Department of Hepatobiliary Surgery, First Affiliated Hospital, China Medical University, No.155, Nanjing North Street, Heping District, Shenyang, 110001, Liaoning Province, People's Republic of China.

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Peter Alken
This is for the urologist among the readers: How many mistakes or misjudgments do you find? “A 35-year-old male with end-stage ren... Read More
Monday, August 17 2020 08:35
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Hirsch B. et al., 2020: Outcome groups and a practical tool to predict success of shock wave lithotripsy in daily clinical routine

Hirsch B, Abt D, Güsewell S, Langenauer J, Betschart P, Pratsinis M, Vetterlein MW, Schmid HP, Wildermuth S, Zumstein V.
Department of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Biostatistics, Clinical Trials Unit, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Department of Urology, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20247, Hamburg, Germany.
Department of Radiology and Nuclear Medicine, Kantonsspital St. Gallen, 9007, St. Gallen, Switzerland.
Department of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.

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Hans-Göran Tiselius
The authors analysed the outcome of SWL in 517 patients treated with Storz Modulith SLX-F2. The conclusion was that success define... Read More
Tuesday, August 11 2020 08:35
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Ouyang W. et al., 2020: Adjunctive medical expulsive therapy with tamsulosin for repeated extracorporeal shock wave lithotripsy: a systematic review and meta-analysis

Ouyang W, Sun G, Long G, Liu M, Xu H, Chen Z, Ye Z, Li H, Zhang Y.
Hubei Institute of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

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Hans-Göran Tiselius
This article is one of many in which the effect of alpha-receptor antagonists on stone clearance have been studied. The authors ... Read More
Friday, August 07 2020 06:40
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Yang SY. et al., 2020: Does Early Retrograde Intrarenal Surgery Improve the Cost-Effectiveness of Renal Stone Management?

Yang SY, Jung HD, Kwon SH, Lee EK, Lee JY, Lee SH.
School of Pharmacy, Sungkyunkwan University, Suwon, Korea.
Department of Urology, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea.
Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Nursing Science, College of Nursing, Gachon University, Incheon, Korea.

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Hans-Göran Tiselius
The authors of this report form South Korea were able to carry out a cost-effective analysis of patients treated with SWL and/or R... Read More
Monday, July 20 2020 07:13
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Paul CJ. et al., 2020: Treatment Setting Influences Treatment Modality for Urinary Stone Disease

Paul CJ, Gruca TS, Morrison PG, Ghareeb GM, Kim SH, Erickson BA.
University of Iowa Hospitals & Clinics, Department of Urology, Iowa City, IA.
University of Iowa, Tippie College of Business, Iowa City, IA.
United Regional Physician Group, Wichita Falls, TX.
Emory University, Department of Urology, Atlanta, GA.
University of Iowa Hospitals & Clinics, Department of Urology, Iowa City, IA.

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Hans-Göran Tiselius
The article describes the surgical care of patients with urolithiasis in Iowa; a state with a large rural area in which 14% of all... Read More
Friday, July 31 2020 08:35
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McClinton S. et al., 2020: The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones randomised controlled trial (PUrE RCT) protocol

McClinton S, Starr K, Thomas R, MacLennan G, Lam T, Hernandez R, Pickard R, Anson K, Clark T, MacLennan S, Thomas D, Smith D, Turney B, McDonald A, Cameron S, Wiseman O.
Aberdeen Royal Infirmary, Foresterhill, Aberdeen, UK.
Academic Urology Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, UK.
Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, UK.
Health Economics Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, UK.
5Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
St George’s Hospital, London, UK.
Stone Patient Advisory Group, Section of Endourology, British Association of Urological Surgeons, London, UK.
Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
University College London Hospitals NHS Foundation Trust, London, UK
Oxford University Hospitals NHS Trust, Headley Way, Oxford, UK.
Addenbrooke’s NHS Trust, Hills Road, Cambridge, UK.

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Hans-Göran Tiselius
This article is a “study protocol” with the aim of comparing cost-effectiveness of SWL, fURS and PCNL for removal of stones in the... Read More
Monday, July 27 2020 08:18
735 Hits
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Singh NP. et al., 2020: Obesity and Kidney Stone Procedures

Nikhi P. Singh, BS, Carter J. Boyd, BS, William Poore, BS, Kyle Wood, MD, Dean G. Assimos, MD.
University of Alabama-Birmingham School of Medicine, Birmingham, AL.
Department of Urology, University of Alabama-Birmingham, Birmingham, AL.

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Hans-Göran Tiselius
There is a well-recognized high risk of stone formation in obese patients. For selection of the most appropriate method for stone ... Read More
Wednesday, July 29 2020 08:35
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Dong L. et al., 2020: The efficacy and safety of diuretics on extracorporeal shockwave lithotripsy treatment of urolithiasis: A systematic review and meta analysis

Dong L, , Wang F, Chen H, Youyi Lu Y, Zhang Y, Chen L, Cui Y.
Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai.
Department of Urology, Qingdao Third People's Hospital, Qingdao.
Department of Urology, Beijing Tian Tan Hospital, Capital Medical University, Beijing.
Operating Room, The Affiliated YantaiYuhuangding Hospital of Qingdao University, Yantai, Shandong.
Department of Urology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, China.

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Hans-Göran Tiselius
The popularity of using SWL for treating patients with urolithiasis has decreased during recent years while endoscopic solutions a... Read More
Monday, July 20 2020 06:46
783 Hits
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Thomas GPL. et al., 2020: Confocal lens focused piezoelectric lithotripter

Thomas GPL, Chapelon JY, Birer A, Inserra C, Lafon C.
INSERM, LabTAU, F-69003 Lyon, France; Université Lyon 1, Univ Lyon, F-69003 Lyon, France.
INSERM, LabTAU, F-69003 Lyon, France.

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Othmar Wess
Shock wave lithotripsy (SWL) is a proven non-invasive treatment modality since 1980. Different shock wave generation principles (e... Read More
Friday, July 10 2020 08:30
1139 Hits
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Cift A. et al., 2020: Effect of Different Musical Types on Patient's Relaxation, Anxiety and Pain Perception during Shock Wave Lithotripsy: A Randomized Controlled Study

Çift A, Benlioglu C.
Department of Urology, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey.
Department of Urology, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey.

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Peter Alken
This is the first publication of the two authors on ESWL and I could not find any other publication of the department on ESWL. In ... Read More
Friday, July 03 2020 08:24
1043 Hits
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Kaya C. et al., 2020: The Predictive Role of Abdominal Fat Parameters and Stone Density on SWL Outcomes

Kaya C, Kaynak Y, Karabag A, Aykaç A.
Department of Urology, Eskisehir City Hospital, Eskisehir, Turkey.
Department of Urology, Eskisehir Ümit Visnelik Hospital, Eskisehir, Turkey.
Department of Radiology, Eskisehir City Hospital, Eskisehir, Turkey.
Department of Urology, Medical School, Karabuk University, Karabuk, Turkey.

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Peter Alken
The fat business is going on and may be over. I remember the impressive colour coded pictures in a publication from 2012 (1) demon... Read More
Friday, June 26 2020 08:30
1062 Hits
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Danilovic A., 2020: Editorial Comment: Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up

Danilovic A.
Serviço de Urologia, Hospital das Clínicas da Faculdade de Medicina da USP - HCFMUSP, São Paulo, SP, Brasil.

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Peter Alken
This comment refers to a recently published and reviewed article which is freely available at the site of the Journal of Endourolo... Read More
Wednesday, June 24 2020 08:30
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Chen TT. et al., 2020: Burst wave lithotripsy and acoustic manipulation of stones

Chen TT, Samson PC, Sorensen MD, Bailey MR.
Department of Urology, University of Washington, Seattle, Washington.
Department of Urology, Weill Cornell Medicine, New York, New York.
Applied Physics Laboratory, Center for Industrial and Medical Ultrasound, University of Washington, Seattle, Washington, USA.

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Peter Alken
A look, not in the kitchen, but in the dining room of the group working on “… an office-based, handheld ultrasound device to targe... Read More
Thursday, July 02 2020 08:30
1021 Hits
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Yayik AM. et al., 2020: Analgesic efficacy of ultrasound-guided quadratus lumborum block during extracorporeal shock wave lithotripsy

Yayık AM, Ahıskalıoğlu A, Ergüney ÖD, Oral Ahıskalıoğlu E, Alıcı H, Demirdöğen ŞO, Adanur Ş.
Department of Anesthesiology and Reanimation, Ataturk University Faculty of Medicine, Erzurum, Turkey.
Department of Anesthesiology, Regional Training Hospital, Erzurum, Turkey.
Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey.

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Peter Alken
Good paper! QLB can also be used in percutaneous nephrolithotomy. A nice overview on QLB is given by Akerman et al. (1). 1 Akerman... Read More
Thursday, June 18 2020 08:30
1037 Hits
1 Comment

Rassweiler J. et al., 2020: Extracorporeal shock-wave lithotripsy: is it still valid in the era of robotic endourology? Can it be more efficient?

Rassweiler J, Rieker P, Rassweiler-Seyfried MC.
Department of Urology, SLK Kliniken Heilbronn.
Department of Urology, Medical School Mannheim, University of Heidelberg, Heidelberg, Germany.

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Hans-Göran Tiselius
The authors of this article pose the important and interesting question on the place of SWL (if any) in future urology. The releva... Read More
Tuesday, June 16 2020 08:30
1064 Hits
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Asi T. et al., 2020: Shockwave lithotripsy for kidney stones as a first-line therapy in children younger than 2 years

Asi T, Dogan HS, Altan M, Bozaci AC, Ceylan T, Asci A, Tekgul S.
Department of Urology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Department of Urology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

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Peter Alken
“Of all patients, 56.9% (148/260) were stone-free after the first session. The failed 112 cases were offered a second session. Alt... Read More
Friday, June 12 2020 08:30
1133 Hits
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Veser J. et al., 2020: The effect of focus size and intensity on stone fragmentation in SWL on a piezoelectric lithotripter

Veser J, Jahrreiss V, Seitz C, Özsoy M.
Department of Urology, Comprehensive Cancer Center, Medical Vienna General Hospital, University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Department of Urology, Comprehensive Cancer Center, Medical Vienna General Hospital, University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Karl Landsteiner SocietyUrology and Andrology, Vienna, Austria.

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Hans-Göran Tiselius
It is indeed surprising that 40 years after the introduction of SWL; the optimal relationship between the geometry of the focal vo... Read More
Wednesday, June 10 2020 08:30
1086 Hits
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Musa ZS. et al., 2019: Long-term effectiveness and predictors of success of low-intensity shockwave therapy in phosphodiesterase type 5 inhibitors non-responders

Musa ZS, El-Assmy A, Shokry AM, Shokeir AA, Zween T, Al-Kenawy MR.
Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Department of Radiology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
Type of machine, way of application, drug responders or non-responders, patients’ age and comorbidities, sham vs. no sham, duratio... Read More
Monday, June 08 2020 08:30
918 Hits
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Thompson E. et al., 2020: A Longitudinal Assessment of the Reporting Quality of Randomized Controlled Trials for Surgical Interventions to Treat Nephrolithiasis Over 16 Years (2002 to 2017)

Thompson E, Lai A, Morrey L, Borofsky MS, Dahm P.
Department of Urology, University of Minnesota, Minneapolis, Minnesota, USA.
Urology Section, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Department of Urology, University of Illinois, Chicago, Illinois, USA.

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Hans-Göran Tiselius
Treatment recommendations in urology are currently based on conclusions drawn from randomized controlled trials (RCTs) This is so ... Read More
Thursday, June 04 2020 08:30
1215 Hits
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Ramesh S. et al., 2020: In Vitro Evaluation of Urinary Stone Comminution with a Clinical Burst Wave Lithotripsy System

Ramesh S, Chen TT, Maxwell AD, Cunitz BW, Dunmire B, Thiel J, Williams JC, Gardner A, Liu Z, Metzler I, Harper JD, Sorensen MD, Bailey MR.
Applied Physics Laboratory, Center for Industrial and Medical Ultrasound, University of Washington, Seattle, Washington.
Department of Urology, University of Washington School of Medicine, Seattle, Washington.
Department of Anatomy, Cell Biology and Physiology and Indiana University School of Medicine, Indianapolis, Indiana.
Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
Division of Urology, VA Puget Sound Health Care System, Seattle, Washington.

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Peter Alken
This is a fascinating report on the progress of a true third generation extracorporeal lithotripsy technique and therefore a must ... Read More
Tuesday, June 02 2020 08:25
Othmar Wess
The wish to fragmentize all types of human kidney and ureteral stones to small particles of cation is reasonable. Conventional sho... Read More
Tuesday, June 23 2020 05:36
1316 Hits
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Strohmaier WL., 2020: [Current aspects in pediatric urolithiasis treatment].

Strohmaier WL.
Regiomed-Klinikum Coburg, Regiomed Medical School Coburg, Universität Split, Ketschendorfer Str. 33, 96450, Coburg, Deutschland.

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Hans-Göran Tiselius
Most urologists have limited experience of treating children with stones. For readers who can understand the German language, this... Read More
Thursday, May 28 2020 08:30
1239 Hits
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Stoykov B. et al., 2020: Low-intensity extracorporeal shockwave therapy in the treatment of erectile dysfunction after penile trauma

Stoykov B, Kolev N, Dunev V, Genov P.
Department of Urology, Medical University Pleven, Bulgaria.
Department of Urology, UMHAT, Ruse, Bulgaria.

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Peter Alken
“To confirm the results, a longer-term study involving more patients is needed.” This will probably not happen.... Read More
Monday, May 25 2020 08:30
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Mains EAA. et al., 2020: Shockwave Lithotripsy Is an Efficacious Treatment Modality for Obese Patients with Upper Ureteral Calculi: Logistic Regression and Matched-Pair Analyses from a Dedicated Center Comparing Treatment Outcomes by Skin-to-Stone Distance

Mains EAA, Blackmur JP, Sharma AD, Gietzmann WK, El-Mokadem I, Stephenson C, Wallace S, Phipps S, Thomas BG, Tolley DA, Cutress ML.
Department of Urology, Western General Hospital, Edinburgh, United Kingdom.
MRC Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, United Kingdom.
Department of Urology, The Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, United Kingdom.

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Hans-Göran Tiselius
This an interesting and readable article that shows successful treatment of proximal ureteral stones in obese patients. Stone-free... Read More
Friday, May 22 2020 08:30
1215 Hits
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Kallidonis P. et al., 2020: Systematic Review and Meta-analysis Comparing Percutaneous Nephrolithotomy, Retrograde Intrarenal Surgery and Shock Wave Lithotripsy for Lower Pole Renal Stones

Kallidonis P, Ntasiotis P, Somani B, Adamou C, Emiliani E, Knoll T, Skolarikos A, Tailly T.
Department of Urology, University of Patras, Patras, Greece.
European Section of Uro-Technology.
Young Academic Urologist.
Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Department of Urology, Fundacion Puigvert, University Autonoma of Barcelona, Barcelona, Spain.
Department of Urology, Sindelfingen-Böblingen Medical Centre, University of Tübingen, Sindelfingen, Germany.
2nd Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Department of Urology, Ghent University Hospital, Ghent, Belgium.

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Peter Alken
Systematic reviews are needed from time to time to reliably capture and describe the current situation. But the most interesting ... Read More
Wednesday, May 20 2020 08:30
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Hegazy M. et al., 2020: The alternating bidirectional versus the standard approach during shock wave lithotripsy for upper lumbar ureteric stones: a randomized controlled trial

Hegazy M, El-Assmy A, Ali-El-Dein B, Sheir KZ.
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
Clever idea, well done study, impressive difference of results except the low SFR in both groups compared to old data like the ~ 8... Read More
Monday, May 18 2020 08:15
1384 Hits
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Shafiee M. et al., 2020: Chromosomal aberrations in C-arm fluoroscopy, CT-scan, lithotripsy, and digital radiology staff

Shafiee M, Borzoueisileh S, Rashidfar R, Dehghan M, Jaafarian Sisakht Z.
Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran.

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Hans-Göran Tiselius
The effect and risk of radiation exposure is an important issue in urological intervention, and it can be assumed that insufficien... Read More
Thursday, May 14 2020 08:15
1263 Hits
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Yoshioka T. et al., 2020: Development and validation of a prediction model for failed shockwave lithotripsy of upper urinary tract calculi using computed tomography information: the S3HoCKwave score

Yoshioka T, Ikenoue T, Hashimoto H, Otsuki H, Oeda T, Ishito N, Watanabe R, Saika T, Araki M, Fukuhara S, Yamamoto Y; Okayama-Ehime S.W.L. Study Group.
Department of Healthcare Epidemiology, Graduate School of Medicine, Kyoto University School of Public Health, Yoshida-Konoe-machi, Sakyo-ku, Kyoto-shi, Kyoto, 606-8501, Japan.
Center for Innovative Research for Communities and Clinical Excellence, Fukushima Medical University, 1, Hikarigaoka, Fukushima-shi, Fukushima, 960-1295, Japan.
Kyoto University Graduate School of Medicine/Human Health Science, 53 Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Department of Urology, Okayama Central Hospital, 6-3, Ishima-kita-machi, Kita-ku, Okayama-shi, Okayama, 700-0017, Japan.
Department of Urology, Abiko Toho Hospital, 1851-1, Abiko, Abiko-shi, Chiba-ken, 270-1166, Japan.
Department of Urology, Onomichi Municipal Hospital, 3-1170-177, Shin-Takayama, Onomichi-shi, Hiroshima, 722-8503, Japan.
Department of Urology, Kurashiki Medical Center, 250, Bakuro-cho, Kurashiki-shi, Okayama, 710-8522, Japan.
Department of Urology, Matsuyama Shimin Hospital, 2-6-5, Ohte-machi, Matsuyama-shi, Ehime, 790-0067, Japan.
Department of Urology, Ehime University Graduate School of Medicine, Shizukawa, To-on-shi, Ehime, 791-0295, Japan.
Department of Urology, Dentistry, and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, 2-5-1, Shikata-cho, Kita-ku, Okayama-shi, Okayama, 700-8558, Japan.
Department of Healthcare Epidemiology, Graduate School of Medicine, Kyoto University School of Public Health, Yoshida-Konoe-machi, Sakyo-ku, Kyoto-shi, Kyoto, 606-8501, Japan.

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Hans-Göran Tiselius
It is a dream to be able to predict the outcome of every surgical procedure. This is, however, a difficult task influenced by nume... Read More
Tuesday, May 12 2020 08:15
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Wang Z. et al., 2020: Effects of diuretic administration on outcomes of extracorporeal shockwave lithotripsy: A systematic review and meta-analysis

Wang Z, Bai Y, Wang J.
Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.

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Hans-Göran Tiselius
Early observations indicated that one prerequisite for SWL stone disintegration was the presence of fluid between the stone and th... Read More
Thursday, May 07 2020 08:15
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Tsai SH. et al., 2020: Comparison of the efficacy and safety of shockwave lithotripsy, retrograde intrarenal surgery, percutaneous nephrolithotomy, and minimally invasive percutaneous nephrolithotomy for lower-pole renal stones: A systematic review and network meta-analysis

Tsai SH, Chung HJ, Tseng PT, Wu YC, Tu YK, Hsu CW, Lei WT.
Department of Urology, Cheng Hsin General Hospital.
School of Medicine, National Yang-Ming University.
Department of Urology, Taipei Veterans General Hospital.
WinShine Clinics in Specialty of Psychiatry.
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Linkou, Taoyuan.
Institute of Epidemiology & Preventive Medicine, College of Public Health, National Taiwan University, Taipei.
Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung.
Division of Allergy, Immunology, Rheumatology Disease, Department of Pediatrics, Mackay Memorial Hospital, Hsinchu, Taiwan.

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Hans-Göran Tiselius
In this study the authors compared SWL, RIRS, standard PCNL, mini-PCNL and micro-PCNL by performing a systematic review and meta-a... Read More
Monday, May 04 2020 08:15
1146 Hits
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Li W. et al., 2020: Role of Sexual Intercourse after Shockwave Lithotripsy for Distal Ureteral Stones: A Randomized Controlled Trial

Li W, Mao Y, Lu C, Gu Y, Gu X, Hua B, Pan W.
Department of Urology, the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200011, China.
Department of Urology, the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200011, China.

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Hans-Göran Tiselius
This is an interesting Chinese study supporting previously published observations that frequent intercourse (three times a week) m... Read More
Thursday, April 30 2020 08:15
1209 Hits
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El-Khoury HJ. et al., 2019: Impact of modern media on analgesic requirements during extracorporeal shockwave lithotripsy

El-Khoury HJ, Brookes JDL, Tan B, Shahbaz S, McCahy PJ.
Department of Urology, Casey Hospital, Monash Health, Melbourne, Victoria, Australia.
School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.

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Peter Alken
All patients got the standard medication: ”Our standard pre-treatment analgesia of a non-steroidal anti-inflammatory drug supposit... Read More
Monday, April 27 2020 08:30
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Torricelli FCM. et al, 2019: Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up

Abstract

Introduction: Lower pole kidney stones have been associated with poor shock wave lithotripsy (SWL) outcomes because of its location. However, the real impact of collecting system anatomy on stone clearance after SWL is uncertain. There is a lack of prospective well-controlled studies to determine whether lower pole kidney stones have inferior outcomes than nonlower pole kidney stones when treated with SWL. Methods: We prospectively evaluated patients with a single kidney stone of 5-15 mm undergoing SWL from June 12 through January 19. All patients were subjected to computed tomography before and 3 months after the procedure. Demographic data (age, gender, and body mass index), stone features (stone size, stone area, stone density, and stone-skin distance-SSD), and collecting system anatomy (infundibular length and width, and infundibulopelvic angle) were recorded. Outcomes (fragmentation and stone clearance rates) were compared between lower pole and nonlower pole cases. Then, a multivariate analysis including all variables was performed to determinate which parameters significantly impact on SWL outcomes. Results: One hundred and twenty patients were included in the study. Mean stone size was 8.3 mm and mean stone density was 805 Hounsfield units. Overall stone fragmentation, success, and stone-free rates were 84.1%, 64.1%, and 34.1%, respectively. There were no significant differences in stone fragmentation (76.0% vs 71.4%; p = 0.624), success rate (57.6% vs 53.3%; p = 0.435), and stone-free rate (40.2% vs 35.7%; p = 0.422) in the lower vs nonlower pole groups, respectively. On multivariate analysis, only stone density (p < 0.001) and SSD (p = 0.006) significantly influenced fragmentation. Stone size (p = 0.029), stone density (p = 0.002), and SSD (p = 0.049) significantly influenced kidney stone clearance. Conclusions: Stone size, stone density, and SSD impact on SWL outcomes. Lower pole kidney stones have similar fragmentation and stone clearance compared with nonlower pole kidney stones.
J Endourol. 2020 Jan;34(1):63-67. doi: 10.1089/end.2019.0545. Epub 2019 Nov 21.

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Peter Alken
Good study with a result against common believe. The authors classified two different positive results: Stone-free: absence of ... Read More
Thursday, April 23 2020 08:30
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Assaly R. et al., 2019: Extracorporeal Shock Waves Therapy Delivered by Aries Improves Erectile Dysfunction in Spontaneously Hypertensive Rats Through Penile Tissue Remodeling and Neovascularization

Assaly R, Giuliano F, Clement P, Laurin M, Favier M, Teo P, Bernabe J, Alexandre L, Behr-Roussel D.
Pelvipharm, Montigny-le-Bretonneux, France; UMR1179, Université Versailles Saint Quentin en Yvelines, Montigny-le-Bretonneux, France.
Pelvipharm, Montigny-le-Bretonneux, France; UMR1179, Université Versailles Saint Quentin en Yvelines, Montigny-le-Bretonneux, France; AP-HP, Neuro-Uro-Andrology, Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, Garches, France.
Inserm, U1016, Institut Cochin, Paris, France.
Dornier MedTech GmbH, Wessling, Germany.
Pelvipharm, Montigny-le-Bretonneux, France.
Pelvipharm, Montigny-le-Bretonneux, France; UMR1179, Université Versailles Saint Quentin en Yvelines, Montigny-le-Bretonneux, France.

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Hans-Göran Tiselius
This article describes an animal experiment in hypertensive rats. Li-ESWT was administered to rats with or without simultaneous ad... Read More
Monday, April 20 2020 08:35
1361 Hits
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Cui HW. et al., 2019: Predicting shockwave lithotripsy outcome for urolithiasis using clinical and stone computed tomography texture analysis variables

Cui HW, Silva MD, Mills AW, North BV, Turney BW.
Oxford Stone Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
University of Lisbon, Faculty of Sciences, Lisbon, Portugal.
Exploristics Ltd., Belfast, United Kingdom.
Oxford Stone Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.

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Peter Alken
Another very good study in the last quarter of 2019: It’s so good to read the results of a well done study and well written paper ... Read More
Friday, April 17 2020 08:30
1343 Hits
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Magalhães L. et al., 2019: Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy

Magalhães L, Nogué R.
Hospital da Luz - Arrábida, Praceta de Henrique Moreira 150, 4400-346, Vila Nova de Gaia, Portugal.
Universitat de Lleida, Plaça de Víctor Siurana, 1, 25003, Lleida, Spain.

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Hans-Göran Tiselius
This article is a case report of a patient who developed subcapsular hematoma after a session of SWL. The bottom-line is that beds... Read More
Tuesday, April 14 2020 08:30
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Alavi Tamaddoni H. et al, 2019: Enhanced shockwave lithotripsy with active cavitation mitigation

Alavi Tamaddoni H, Roberts WW, Hall TL.
Department of Biomedical Engineering, University of Michigan, 2131 Carl A. Gerstacker Building, 2200 Bonisteel Boulevard, Ann Arbor, Michigan 48109, USA.
Department of Urology, University of Michigan, 4444 Medical Science Building 1, 1301 Catherine Street, Ann Arbor, Michigan 48109, USA.
Department of Biomedical Engineering, University of Michigan, 2107 Carl A. Gerstacker Building, 2200 Bonisteel Boulevard, Ann Arbor, Michigan 48109, USA.

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Othmar Wess
Diverse publications confirm lower shock rates of 30-60 SW/min are more efficient than higher rates of 90-120 SW/min. Since shock ... Read More
Saturday, April 11 2020 08:30
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Han CS et al., 2019: Dual-frequency setting for urinary stone fragmentation during shock wave lithotripsy: an in vitro study

Han CS, Vetter JM, Endicott R, Chevinsky M, Zafar A, Venkatesh R.
Washington University School of Medicine, St. Louis, MO, USA.
Midwest Stone Institute, St. Louis, MO, USA.
Washington University School of Medicine, St. Louis, MO, USA.

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Recent Comments
Peter Alken
I wonder how the authors developed the hypothesis evaluated in the experiments. I find the theory formulated by them not very conc... Read More
Wednesday, April 08 2020 06:52
Othmar Wess
The study is one of several other studies confirming the strategy of slow (60 shocks per min) vs. fast (120 shocks per min) shock ... Read More
Wednesday, April 08 2020 07:45
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Gulati G. et al., 2019: Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device

Gulati G, Kiernan M, Sabe MA.
Cardiovascular Center, Tufts Medical Center, Boston, MA, United States.
Cardiovascular Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.

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Peter Alken
“As many as 10% of patients suffer pump thrombosis, even with optimal anticoagulation management”. “In LVAD patients undergoing no... Read More
Thursday, April 02 2020 08:30
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Yadav P. et al., 2019: Technique, complications, and outcomes of pediatric urolithiasis management at a tertiary care hospital: evolving paradigms over the last 15 years

Yadav P, Madhavan K, Syal S, Farooq A, Srivastava A, Ansari MS.
Division of Pediatric Urology, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, U.P., 226014, India.
Division of Pediatric Urology, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, U.P., 226014, India.

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Peter Alken
This is a well done extensive metaanalysis on pediatric urolithiasis management. It is also an example of the typical puzzling wa... Read More
Friday, March 27 2020 08:25
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He Z. et al., 2019: Does the presence or degree of hydronephrosis affect the stone disintegration efficacy of extracorporeal shock wave lithotripsy? A systematic review and meta-analysis

He Z, Yin S, Duan X, Zeng G.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, Guangdong, China.
Guangzhou Institute of Urology, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, Guangdong, China.
Guangzhou Institute of Urology, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.

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Hans-Göran Tiselius
The problem dealt with in this systematic review and meta-analysis is to which extent the presence of hydronephrosis (HN) affects ... Read More
Sunday, March 15 2020 08:35
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Lee SM. et al., 2019: Optimisation of shock wave lithotripsy: a systematic review of technical aspects to improve outcomes

Lee SM, Collin N, Wiseman H, Philip J.
Bristol Urological Institute, Southmead Hospital, Bristol, UK.
Department of Interventional Radiology, Southmead Hospital, Bristol, UK.

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Peter Alken
It is somehow refreshing to read the different technical details of shock wave lithotripsy optimization in a systematic review inc... Read More
Monday, March 23 2020 08:25
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Sir E. et al., 2019: The analgesic efficacy of ultrasound guided unilateral transversus abdominis plane block in the pain management of shock wave lithotripsy (Abstract only)

Sir E, Eksert S, Zor M, Emin Ince M, Kaya E, Bedir S.
Servicio de Anestesiología. Hospital de Investigación y Formación Gulhane. Ankara Turkey.
Servicio de Urología. Hospital de Investigación y Formación Gulhane. Ankara Turkey.

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1604 Hits
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Gadelmoula M. et al.,2019: Percutaneous nephrolithotomy versus shock wave lithotripsy for high-density moderate-sized renal stones: A prospective randomized study

Gadelmoula M, Elderwy AA, Abdelkawi IF, Moeen AM, Althamthami G, Abdel-Moneim AM.
Department of Urology, Urology and Nephrology Hospital, Assiut University, Assiut, Egypt.

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Hans-Göran Tiselius
As a prospective randomized comparison between PCNL and SWL this is an interesting study. Although the success after one SWL sessi... Read More
Monday, March 16 2020 08:35
1546 Hits
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Hiller SC. et al., 2020: Frontiers of stone management

Hiller SC, Ghani KR.
Department of Urology, University of Michigan, Ann Arbor, Michigan, USA.

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Peter Alken
This is a short, well written overview on the current frontiers of all minimal invasive stone therapy techniques. I recommend read... Read More
Thursday, March 12 2020 08:30
1575 Hits
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Constanti M. et al., 2019: Cost analysis of ureteroscopy (URS) vs extracorporeal shockwave lithotripsy (ESWL) in the management of ureteric stones

Constanti M, Calvert RC, Thomas K, Dickinson A, Carlisle S.
National Guideline Centre, London, UK.
Department of Urology, Royal Liverpool University Hospital, Liverpool, UK.
Stone Unit, Guys and St Thomas' NHS Foundation Trust, London, UK.
Department of Urology, University Hospitals Plymouth, Plymouth, UK. University of Nottingham, Nottingham, UK.

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Hans-Göran Tiselius
Although judgement of cost analyses between different countries are not without problems, this report from UK deserves attention. ... Read More
Tuesday, March 10 2020 08:25
1634 Hits
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Kim KS. et al., 2019: Electromagnetic Low-Intensity Extracorporeal Shock Wave Therapy in Patients with Erectile Dysfunction: A Sham-Controlled, Double-Blind, Randomized Prospective Study

Kim KS, Jeong HC, Choi SW, Choi YS, Cho HJ, Ha US, Hong SH, Lee JY, Lee SW, Ahn ST, Moon DG, Bae WJ, Kim SW.
Department of Urology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Urology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Hanyang University College of Medicine, Seoul, Korea.
Department of Urology, Korea University College of Medicine, Seoul, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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Peter Alken
Hmm!? Good conclusion. It is common to present data in a way that they make a good impression The Erection Hardness Score (EHS) (... Read More
Friday, March 06 2020 08:35
1577 Hits
1 Comment

Kim KS. et al., 2019: Electromagnetic Low-Intensity Extracorporeal Shock Wave Therapy in Patients with Erectile Dysfunction: A Sham-Controlled, Double-Blind, Randomized Prospective Study

Kim KS, Jeong HC, Choi SW, Choi YS, Cho HJ, Ha US, Hong SH, Lee JY, Lee SW, Ahn ST, Moon DG, Bae WJ, Kim SW.
Department of Urology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Urology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Urology, Hanyang University College of Medicine, Seoul, Korea.
Department of Urology, Korea University College of Medicine, Seoul, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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Peter Alken
Hmm!? Good conclusion. It is common to present data in a way that they make a good impression The Erection Hardness Score (EHS) (... Read More
Friday, March 06 2020 08:30
1460 Hits
1 Comment

Sohu S. et al., 2019: Efficacy of extracorporeal shockwave lithotripsy with furosemide and hydration in renal stone management: A randomised controlled trial

Sohu S, Soomro MH, Mangrio RH, Shaikh AA, Mirani A, Chand K, Jalbani MH.
Department of Urology, Chandka Medical College and Hospital, Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU), Larkana, Pakistan.
Pierre Louis Institute of Epidemiology and Public Health (IPLESP UMRS 1136), Saint-Antoine Medical School, Sorbonne Université and INSERM, Paris, France.
Department of Community Medicine, Al-Nafees Medical College and Hospital, Isra University-Islamabad Campus, Islamabad, Pakistan.
Department of Urology, Jinnah Sindh Medical University, Karachi, Pakistan.

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Hans-Göran Tiselius
The role of diuretics during SWL treatment has remained a matter of debate over time. In a randomized comparative study in my own ... Read More
Wednesday, March 04 2020 08:35
1436 Hits
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Katz JE. et al., 2019: The Basic Physics of Waves, Soundwaves, and Shockwaves for Erectile Dysfunction

Katz JE, Clavijo RI, Rizk P, Ramasamy R.
Department of Urology, University of Miami, Miami, FL, USA.
Department of Urology, University of California at Davis, Davis, CA, USA.
Department of Urology, University of Miami, Miami, FL, USA.

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Hans-Göran Tiselius
This is an educational article on physics of shockwaves delivered by devices aiming at treatment of erectile dysfunction. Differen... Read More
Thursday, February 27 2020 08:25
1835 Hits
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Liu Y. et al., 2019: Colonic hematoma after extracorporeal shock wave lithotripsy for pancreatic stones: a case report

Liu Y, Hao L, Wang T, Li ZS, Xu ZL, Hu LH.
Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
Department of Gastroenterology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
Department of Gastroenterology, The Second Clinical Medical College (Shenzhen People's Hospital), Jinan University, 1017 North Dongmen Road, Shenzhen, Guangdong, China.
Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.

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Peter Alken
The first case report of a colonic hematoma after EWSL for pancreatic stones. What I find more astonishing are the postprocedural... Read More
Monday, February 24 2020 08:30
1668 Hits
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Schlomer BJ., 2019: Urologic treatment of nephrolithiasis

Schlomer BJ.
University of Texas Southwestern Medical Center, Dallas, Texas, USA.

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Hans-Göran Tiselius
This article is an excellent review on how to manage stone problems in children. For asymptomatic stones observation is recommende... Read More
Thursday, February 20 2020 08:30
1712 Hits
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Sramkova T. et al., 2019: Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

Sramkova T, Motil I, Jarkovsky J, Sramkova K.
Department of Sexology, University Hospital and Department of Traumatology, Masaryk University, Brno, Czechia.
Department of Urology First Faculty of Medicine, Charles University Prague and General University Hospital, Prague, Czechia.
EURED Urology, Andrology Center, Brno, Czechia.
Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czechia.
Department of Urology, St. Anna Hospital, Brno, Czechia.

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Peter Alken
Reading this paper I had from the very start - even before getting to the methods section - the feeling that it will surely show... Read More
Tuesday, February 18 2020 08:30
1706 Hits
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Dauw CA. et al., 2019: Shockwave Lithotripsy Use in the State of Michigan: American Urological Association Guideline Adherence and Clinical Implications

Dauw CA, Swarna K, Qi J, Kim T, Leavitt D, Leese J, Abdelhady M, Witzke K, Hollingsworth JM, Ghani KR.
University of Michigan, Ann Arbor, MI.
University of Michigan, Ann Arbor, MI.
Henry Ford Health System-Vattikuti Urology Institute, Detroit, MI.
IHA-Urology, Ypsilanti, MI.
Detroit Medical Center-Department of Urology, Detroit, MI.
MidMichigan-Division of Urology, Midland, MI.

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Peter Alken
The authors evaluated adherence to the following guideline recommendations: 1 Guideline: “Routine antibiotic prophylaxis is not re... Read More
Friday, February 14 2020 08:30
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Bowen DK. et al., 2019: Retreatment after Ureteroscopy and Shockwave Lithotripsy: A Population-Based Comparative Effectiveness Study

Bowen DK, Song L, Faerber J, Kim J, Scales CD Jr, Tasian GE.
Department of Surgery, Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Duke Clinical Research Institute, Departments of Surgery (Urology) and Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Department of Surgery, Division of Urology; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Biostatistics, Epidemiology, and Informatics Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

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Peter Alken
This is the kind of important publication that turns the focus of clinical reports away from the typical “we have done so many cas... Read More
Wednesday, February 12 2020 08:30
1724 Hits
1 Comment

Sharzehi K., 2019: Management of Pancreatic Duct Stones

Sharzehi K.
Division of Gastroenterology & Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.

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Hans-Göran Tiselius
SWL treatment of pancreatic stones is considered a first line treatment and inasmuch as urologists in most places are responsible ... Read More
Friday, February 07 2020 08:35
1806 Hits
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He Z. et al., 2019: Energy output modalities of shockwave lithotripsy in the treatment of urinary stones: escalating or fixed voltage? A systematic review and meta-analysis

He Z, Deng T, Yin S, Xu Z, Duan H, Chen Y, Duan X, Zeng G.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, Guangdong, China.
Guangzhou Institute of Urology, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, Guangdong, China.
Guangzhou Institute of Urology, Guangzhou, China.
Guangdong Key Laboratory of Urology, Guangzhou, China.

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Hans-Göran Tiselius
How should SWL be carried out to be maximally effective and maximally safe? Should shockwaves be delivered at fixed rate or is it ... Read More
Wednesday, February 05 2020 08:30
1742 Hits
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Al-Dessoukey AA. et al., 2019: Ultraslow full-power shock wave lithotripsy versus slow power-ramping shock wave lithotripsy in stones with high attenuation value: A randomized comparative study

Al-Dessoukey AA, Abdallah M, Moussa AS, Sayed O, Abdelbary AM, Abdallah R, Massoud AM, Abdelhamid MH, Elmarakbi AA, Ragheb AM, ElSheemy MS, Ghoneima W.
Department of Urology, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt.
Urology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

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Recent comment in this post
Hans-Göran Tiselius
A number of factors has been identified for designing the optimal treatment strategy for SWL. Slow rate administration has been su... Read More
Monday, January 27 2020 09:55
1763 Hits
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Sohail N. et al., 2019: Is There Any Improvement In Efficacy Of Xtracorporeal Shockwave Lithotripsy Therapy For Treating Renal Stones With Invent Of New Shockwave Machines?

Sohail N, Albodour A, Abdelrahman KM.
Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.

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Peter Alken
The results are good but there is no serious argument in the publication if and why the results are really better than what we kno... Read More
Friday, January 31 2020 08:15
1583 Hits
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Gokce Mİ. et al., 2019: The role of a novel decision aid to support informed decision making process in patients with a symptomatic non - lower pole renal stone

Gokce Mİ, Akpınar C, Esen B, Solak V, Gülpınar O, Bedük Y.
Department of Urology, Ankara University School of Medicine, Ankara, Turkey.
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Peter Alken
The patient chooses the therapeutic procedure. To be able to do so, he must be well informed and understand his diagnosis, the the... Read More
Tuesday, January 28 2020 08:15
1655 Hits
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Milišić E. et al., 2019: Short-term changes in renal function in children and adolescents undergoing extracorporeal shock wave lithotripsy

Milišić E, Zvizdić Z, Jonuzi A, Begić E, Milišić L, Mešić A.
Clinic of Paediatric Surgery, Clinical Centre University of Sarajevo, Bosnia and Herzegovina.
Department of Surgery, School of Medicine, Sarajevo School of Science and Technology, Bosnia and Herzegovina.
Department of Cardiology, General Hospital "Prim.dr. Abdulah Nakaš", Sarajevo, Bosnia and Herzegovina.
Department of Pharmacology, School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina.
Clinic of Radiology, Clinical Centre of the University of Sarajevo, Bosnia and Herzegovina.
Clinic of Anaesthesiology, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

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Hans-Göran Tiselius
Despite more than 30 years of experience with SWL there is limited information on short-term and long-term negative effects on the... Read More
Friday, January 24 2020 08:15
1720 Hits
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Gul A. et al., 2019: Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium

Gul A, Gul M.
Department of Urology, University of Health Science, Bursa Yuksek Ihtisas Training and Research Hospital, 16100, Bursa, Turkey.
Department of Urology, Aksaray University School of Medicine, 68100, Aksaray, Turkey.
Laboratory of Reproductive Biology, Section 5701, Copenhagen University Hospital Rigshospitalet, University of Copenhagen, 2100, Copenhagen, Denmark.

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Hans-Göran Tiselius
This report shows the interesting result that intracutaneous injection of sterile water was as effective as diclofenac for treatin... Read More
Monday, January 20 2020 08:15
1731 Hits
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Jeong HC. et al., 2019: Synergistic effects of extracorporeal shockwave therapy and modified Ojayeonjonghwan on erectile dysfunction in an animal model of diabetes

Jeong HC, Bae WJ, Zhu GQ, Jeon SH, Choi SW, Kim SJ, Cho HJ, Hong SH, Lee JY, Hwang SY, Kim SW.
Department of Urology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.
KEMIMEDI, Seoul, Korea.

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Peter Alken
The herbal formula - KH-204 - used in the experiments is a watery extract of 5 different plants which is also commercially avail... Read More
Friday, January 17 2020 08:15
1642 Hits
1 Comment

Hashem A. et al., 2019: Efficacy of pethidine, ketorolac, and lidocaine gel as analgesics for pain control in shockwave lithotripsy: A single-blinded randomized controlled trial.

Hashem A, Ghobrial FK, Elbaset MA, Atwa AM, Fadallah M, Laymon M, El-Assmy A, Sheir KZ, Abol-Enein H.
Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Recent comment in this post
Hans-Göran Tiselius
It is well recognized ever since SWL was introduced that effective pain treatment is a pre-requisite for successful outcome. Early... Read More
Tuesday, January 14 2020 08:05
1734 Hits
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Donaldson JF. et al., 2019: Treatment of Bladder Stones in Adults and Children: A Systematic Review and Meta-analysis on Behalf of the European Association of Urology Urolithiasis Guideline Panel

Donaldson JF, Ruhayel Y, Skolarikos A, MacLennan S, Yuan Y, Shepherd R, Thomas K, Seitz C, Petrik A, Türk C, Neisius A.
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
Department of Urology, Skåne University Hospital, Malmö, Sweden.
Second Department of Urology, Sismanoglio Hospital, Athens Medical School, Athens, Greece.
Academic Urology Unit, University of Aberdeen, Scotland, UK.
Division of Gastroenterology & Cochrane UGPD Group, Department of Medicine, Health Sciences Centre, McMaster University, Hamilton, Canada.
European Association of Urology Guidelines Office, Arnhem, The Netherlands.
Department of Urology, Guy's Hospital, London, UK.
Department of Urology, Medical University of Vienna, General Hospital of Vienna, Vienna, Austria.
Department of Urology, Charles University, First Faculty of Medicine, Prague, Czech Republic.
Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria; Urologische Praxis mit Steinzentrum, Vienna, Austria.
Department of Urology, Hospital of the Brothers of Mercy Trier, Johannes Gutenberg University Mainz, Trier, Germany.

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Peter Alken
I do not agree with the first sentence of this review: “Despite constituting only approximately 5% of all urinary tract stones, bl... Read More
Friday, January 10 2020 08:15
1852 Hits
1 Comment

Wei Y. et al., 2019: A rare adverse event after extracorporeal shock wave lithotripsy for biliary stones

Wei Y, Jin Z, Hu W.
Department of Critical Care Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

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Hans-Göran Tiselius
The authors describe a very unusual complication of SWL of residual bile duct stones after ERCP. That SWL successfully can be used... Read More
Wednesday, January 08 2020 08:15
1860 Hits
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Marchetti KA. et al., 2019: Extracorporeal shock wave lithotripsy versus ureteroscopy for management of pediatric nephrolithiasis in upper urinary tract stones: multi-institutional outcomes of efficacy and morbidity

Marchetti KA, Lee T, Raja N, Corona L, Kraft KH, Wan J, Ellison JS.
Department of Urology, University of Michigan, Ann Arbor, MI, USA.
Department of Urology, University of Michigan, Ann Arbor, MI, USA.
University of Michigan Medical School, Ann Arbor, MI, USA.
Division of Pediatric Urology, Department of Urology, University of Michigan, Ann Arbor, MI, USA.
5Division of Pediatric Urology, Children's Hospital of Wisconsin & Medical College of Wisconsin, Milwaukee, WI, USA.

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Recent comment in this post
Peter Alken
Publications on stone treatment often focus on the narrow part of urological action from diagnosis to treatment and neglect other ... Read More
Monday, January 06 2020 08:00
2682 Hits
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Kocatürk H. et al., 2019: Evaluation of the urinary podocalyxin and nephrin excretion levels to determine a safe time interval between two sessions of SWL for renal stones: a non randomized exploratory study

Kocatürk H, Atasoy N, Bedir F, Karabulut İ, Şebin E, Sarica K.
Department of Urology, Health Sciences University, Erzurum Regional Training and Research Hospital, Palandöken, Erzurum, Turkey. 
Department of Urology, Health Sciences University, Erzurum Regional Training and Research Hospital, Palandöken, Erzurum, Turkey.
Department of Biochemistry, Health Sciences University, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Department of Urology, Faculty of Medicine, Biruni University, Istanbul, Turkey.

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Hans-Göran Tiselius
A number of variables analysed in urine have been shown to reflect how the kidney is affected by shock wave power. In this article... Read More
Friday, January 03 2020 08:15
1678 Hits
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Mucong L. et al., 2019: Simultaneous Photoacoustic Imaging and Cavitation Mapping in Shockwave Lithotripsy

Li M, Lan B, Sankin G, Zhou Y, Liu W, Xia J, Wang D, Trahey G, Zhong P, Yao J.

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Othmar Wess
Shock wave lithotripsy is a non-invasive and gentle treatment procedure for kidney stones. Nevertheless, mild haematuria up to sev... Read More
Friday, December 27 2019 08:00
2062 Hits
1 Comment

Jeon SH. et al., 2019: Extracorporeal shock wave therapy decreases COX-2 by inhibiting TLR4-NFκB pathway in a prostatitis rat model

Jeon SH, Zhu GQ, Kwon EB, Lee KW, Cho HJ, Ha US, Hong SH, Lee JY, Bae WJ, Kim SW.
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Catholic Integrative Medicine Research Institute, The Catholic University of Korea, Seoul, Republic of Korea.

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Recent comment in this post
Peter Alken
Shock waves exhibit a surprising variety of positive effects in different situations like e.g. in the treatment of the chronic pro... Read More
Wednesday, December 25 2019 08:15
1868 Hits
1 Comment

Rudenko VI. et al., 2019: Clinical value of herbal terpenes after extracorporeal shock-wave therapy

Rudenko VI, Rapoport LM, Demidko YL, Demidko LS, Inoyatov GS, Allenov SN.
Institute of Urology and Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia.

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Hans-Göran Tiselius
Publications not available in English.
Monday, December 23 2019 08:15
1948 Hits
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Spivak L. et al., 2019: Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction in Diabetic Patients

Spivak L, Shultz T, Appel B, Verze P, Yagudaev D, Vinarov A.
Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia. Electronic address: .
Medispec Ltd., Gaithersburg, Maryland, USA.
Neuro-urology Unit, Rambam Healthcare Campus, Haifa, Israel.
Department of Neurosciences, Sciences of Reproduction and Odontostomatology, Urology Unit, University of Naples "Federico II", Naples, Italy.
Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.

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Peter Alken
The conclusion is simple and straight forward: ”LI-ESWT is safe and effective for the treatment of ED in PDE5I-R and PDE5I-NR grou... Read More
Friday, December 20 2019 08:15
1965 Hits
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Rezaee ME. et al., 2019: Regional Variation in Shock Wave Lithotripsy Utilization Among Medicare Patients with Nephrolithiasis

Rezaee ME., Tundo GN., Goodney PP., Pais VM Jr..
Section of Urology, Department of Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH.
Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH; VA Outcomes Group, Veterans Health Association, VT; The Dartmouth Institute for Health Policy and Clinical Practice, One Medical Center Drive, Lebanon, NH.
Section of Urology, Department of Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH.

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Hans-Göran Tiselius
This is an interesting report on how SWL and URS have been utilized in USA during the period 2006-2014. The 13.9 % decrease in SWL... Read More
Wednesday, December 18 2019 08:15
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S. Cao et al., 2019: Shock-Induced Damage and Dynamic Fracture in Cylindrical Bodies Submerged in Liquid

Cao S, Zhang Y, Liao D, Zhong P, Wang KG.
Department of Aerospace and Ocean Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, United States.
Department of Mechanical Engineering and Materials Science, Duke University, Durham, NC 90271, United States

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Othmar Wess
This is another paper investigating the mechanism of fragmentation of brittle material, such as kidney stones, by shock waves. Und... Read More
Tuesday, December 17 2019 08:15
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