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

El-Tatawy H. et al., 2019: Management of 'forgotten' encrusted JJ stents using extracorporeal shockwave lithotripsy: A single-centre experience

El-Tatawy H, El-Abd AS, Gameel TA, Ramadan AR, Abo Farha MO, Sabaa MA, El-Abd SA.
Department of Urology, Faculty of Medicine, Tanta University, Tanta, Egypt.

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Peter Alken
This is the largest series of forgotten stents I am aware of.
Wednesday, 22 January 2020 08:15
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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, 17 January 2020 08:15
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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, 10 January 2020 08:15
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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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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, 06 January 2020 08:00
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Sultan S. et al., 2019: Update on Surgical Management of Pediatric Urolithiasis.

Sultan S, Aba Umer S, Ahmed B, Naqvi SAA, Rizvi SAH.
Philip G. Ransley Department of Paediatric Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.

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Peter Alken
Pediatric urolithiasis is more frequent in countries like Pakistan than in western countries. This is a very good up-to-date revie... Read More
Tuesday, 31 December 2019 08:15
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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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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, 25 December 2019 08:15
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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, 20 December 2019 08:15
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Yamashita S. et al., 2019: Ureteral wall volume at ureteral stone site is a critical predictor for shock wave lithotripsy outcomes: comparison with ureteral wall thickness and area

Yamashita S, Kohjimoto Y, Iguchi T, Nishizawa S, Kikkawa K, Hara I.
Department of Urology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama, 641-0012, Japan.
Department of Urology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama, 641-0012, Japan.

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Peter Alken
The 49, 3 % success rate of the present series is inexplicably low. In 2015 Sarica K et al. (1) did a very similar study on ESWL t... Read More
Wednesday, 11 December 2019 08:15
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Pietropaolo A. et al., 2019: Endourological management (PCNL, URS, SWL) of stones in solitary kidney - A systematic review from European Association of Urologists (EAU) Young Academic Urologists (YAU) and Uro-Technology (ESUT) groups

Pietropaolo A, Reeves T, Aboumarzouk O, Kallidonis P, Ozsoy M, Skolarikos A, Tailly T, Liatsikos E, Traxer O, Somani BK.
Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom.
Department of Urology, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
Department of Urology, University of Patras, Patras, Greece.
Department of Urology, Medical University of Vienna, Vienna, Austria.
2nd Department of Urology, University of Athens, Sismanoglio Hospital, Athens, Greece.
Department of Urology, University Hospitals Ghent, Ghent, Belgium.
Tenon Hospital, Pierre and Marie Curie University, Paris, France.

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Peter Alken
“With no recommended guidelines on the management of stones in solitary kidney, our aim was to conduct a systematic review of lite... Read More
Thursday, 05 December 2019 08:15
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Yayik AM. et al., 2019: Less painful ESWL with ultrasound-guided quadratus lumborum block: a prospective randomized controlled study

Yayik AM, Ahiskalioglu A, Alici HA, Celik EC, Cesur S, Ahiskalioglu EO, Demirdogen SO, Karaca O, Adanur S.
Department of Anesthesiology, Regional Training and Research Hospital, Erzurum, Turkey.
Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
Department of Urology, Ataturk University School of Medicine, Erzurum, Turkey.
Department of Anesthesiology and Reanimation, Baskent University, Konya, Turkey.

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Peter Alken
The patients in the treatment arm were not asked how much they were bothered by the QLB procedure and there was no control group w... Read More
Tuesday, 03 December 2019 08:15
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Betschart P. et al., 2019: Spoilt for Choice: A Survey of Current Practices of Surgical Urinary Stone Treatment and Adherence to Evidence-Based Guidelines among Swiss Urologists

Betschart P, Zumstein V, Jichlinski P, Herrmann TRW, Knoll T, Engeler DS, Müllhaupt G, Schmid HP, Abt D.
Department of Urology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Department of Urology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Department of Urology, University Hospital of Lausanne, Lausanne, Switzerland.
Department of Urology, Cantonal Hospital Thurgau, Thurgau, Switzerland.
Department of Urology, Sindelfingen-Böblingen Medical Centre, University of Tübingen, Sindelfingen, Germany.

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Peter Alken
SWL is also in retreat in Switzerland. 40% of the participants of this survey had no own SWL device and only 55% of them referred... Read More
Friday, 29 November 2019 08:15
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Zeng T. et al., 2019: Effect of mechanical percussion combined with patient position change on the elimination of upper urinary stones/fragments: a systematic review and meta-analysis

Zeng T, Tiselius HG, Huang J, Deng T, Zeng G, Wu W.
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Guangdong Key Laboratory of Urology, Guangzhou, Guangdong, China.
Division of Urology, Department of Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.

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Peter Alken
We have to learn new abbreviations: “Mechanical percussion combined with patient position change (MPPP) includes two intervention ... Read More
Wednesday, 20 November 2019 08:28
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Krieger JR. et al., 2019: Shockwave Therapy in the Treatment of Peyronie's Disease

Krieger JR, Rizk PJ, Kohn TP, Pastuszak A.
Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Department of Urology, University of Miami, Miami, FL, USA.
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.

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Peter Alken
Yes!
Friday, 15 November 2019 08:17
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Elbaset MA. et al., 2019: Optimal non-invasive treatment of 1-2.5 cm radiolucent renal stones: oral dissolution therapy, shock wave lithotripsy or combined treatment-a randomized controlled trial

Elbaset MA, Hashem A, Eraky A, Badawy MA, El-Assmy A, Sheir KZ, Shokeir AA.
Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Urology Department, Mediclin Muritz Hospital, Waren, Germany.
Radiology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

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Peter Alken
This is an important paper because ODT is frequently neglected (because ESWL, PNL or URS get a much better reimbursement than pres... Read More
Monday, 11 November 2019 09:11
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Dai JC. et al., 2019: Innovations in Ultrasound Technology in the Management of Kidney Stones

Dai JC, Bailey MR, Sorensen MD, Harper JD. Department of Urology, University of Washington School of Medicine, University of Washington, 1959 Northeast Pacific Street, Box 356510, Seattle. Center for Industrial and Medical Ultrasound, University of Washington, 1014 NorthEast 40th Street, Seattle, WA 98105, USA; Department of Mechanical Engineering, University of Washington, Stevens Way, Box 352600, Seattle, WA 98195, USA. Puget Sound Veterans Affairs Hospital, 1660 S. Columbian Way, Seattle, WA 98108, USA.

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Peter Alken
A good review for those not yet familiar with sonography.
Friday, 01 November 2019 09:06
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Alexander CE. et al., 2019: Impact of Case Volume on Shock Wave Lithotripsy Outcomes: Data from the National Shock Wave Lithotripsy Database of New Zealand

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

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Peter Alken
It is difficult to comment this statistic based paper. First and single treatment stone cases over a 20-year study period were ev... Read More
Monday, 28 October 2019 08:57
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Rayegani SM. et al., 2019: Extracorporeal Shockwave Therapy Combined with Drug Therapy in Chronic Pelvic Pain Syndrome - A Randomized Clinical Trial

Rayegani SM, Razzaghi MR, Raeissadat SA, Allameh F, Eliaspour D, Abedi AR, Javadi A, Rahavian AH.
Physical Medicine and Rehabilitation Research Center, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Laser Application in Medical Sciences Research Center, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical Development Research Center of Shahid Modarres Hospital, Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Center of Excellence in Training Laser Application in Medicine, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Physical Medicine and Rehabilitation Research Center, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Urology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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Peter Alken
The body of literature on CP/CPPS is ever increasing but the efficacy of the diagnostic and therapeutic armamentarium is not. In t... Read More
Wednesday, 23 October 2019 08:46
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Maxwell AD. et al., 2019: Evaluation of Renal Stone Comminution and Injury by Burst Wave Lithotripsy in a Pig Model

Maxwell AD, Wang YN, Kreider W, Cunitz BW, Starr F, Lee D, Nazari Y, Williams JC Jr, Bailey MR, Sorensen MD. Department of Urology, University of Washington School of Medicine, Seattle, Washington. Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington.
Department of Radiology, University of Washington School of Medicine, Seattle, Washington.
Department of Anatomy and Cell Biology, Indiana University Purdue University at Indianapolis, Indianapolis, Indiana.
Division of Urology, Department of Veterans Affairs Medical Center, Seattle, Washington.

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Peter Alken
GREAT!
Friday, 18 October 2019 08:36
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Yuan P. et al., 2019: Efficacy of low-intensity extracorporeal shock wave therapy for the treatment of chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis

Yuan P, Ma D, Zhang Y, Gao X, Liu Z, Li R, Wang T, Wang S, Liu J, Liu X.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hubei Institute of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

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Peter Alken
There is no “one for all” therapy to treat CP/CPPS. ESWT will only help a certain subset of patients. The advantage is the lack o... Read More
Monday, 14 October 2019 08:36
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Eryilmaz R. et al., 2019: Comparison of focused and unfocused ESWT in treatment of erectile dysfunction

Eryilmaz R, Kaplan Ş, Aslan R, Demir M, Taken K.
Department of Urology , Yuzuncu Yil University, School of Medicine , Van , Turkey. Department of Urology , Van Educational Research Hospital , Van , Turkey.

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Peter Alken
“Erectile dysfunction (ED) is one of the most common disorders in male” I am always surprised to see that urologists have succeede... Read More
Tuesday, 23 July 2019 09:26
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Talso M. et al., 2019: ESWL state of the art

Talso M, Tefik T, Mantica G, Rodriguez Socarras M, Kartalas Goumas I, Somani BK, Esperto F.
Department of Urology, ASST Vimercate Hospital, Monza Brianza, Italy.
Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy. Department of Urology, ASST Vimercate Hospital, Monza Brianza, Italy. Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK. Department of Urology, Humanitas Gavezzeni, Bergamo, Italy.

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Peter Alken
This is a well done review on very individual historical details of ESWL and its current application. It is a surprise to see that... Read More
Wednesday, 09 October 2019 09:21
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Chi-Fai N. et al., 2019: Effect of stepwise voltage escalation on treatment outcomes following extracorporeal shockwave lithotripsy of renal calculi: a prospective randomized study

Chi-Fai N, Yee CH, Teoh JY, Lau B, Leung SC, Wong CY, Tak WK, Chu WC, Yuen J.
SH Ho Urology Center, Department of Surgery, The Chinese University of Hong Kong , Hong Kong.
Department of Imaging and Intervention Radiology, The Chinese University of Hong Kong , Hong Kong.
School of Nursing, Hong Kong Polytechnic University , Hong Kong.

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Peter Alken
A very well designed and performed study that deserves reading! A few noteworthy details are: “The thickness of haematoma for ramp... Read More
Thursday, 26 September 2019 09:07
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Irer B. et al., 2019: Impact of previous SWL on ureterorenoscopy outcomes and optimal timing for ureterorenoscopy after SWL failure in proximal ureteral stones. Aegean Study Group of the Society of Urological Surgery

Irer B, Sahin MO, Erbatu O, Yildiz A, Ongun S, Cinar O, Cihan A, Sahin M, Sen V, Ucer O, Kizilay F, Bozkurt O.
Departments of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey, Manisa State Hospital, Manisa, Celal Bayar University School of Medicine, Manisa, Dokuz Eylul University School of Medicine, Izmir, Balikesir University School of Medicine, Balıkesir, Bulent Ecevit University School of Medicine, Zonguldak, Nigde Omer Halisdemir University School of Medicine, Nigde,Department of Urology, Ege University School of Medicine, Izmir, Manisa State Hospital, Manisa, Turkey.

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Peter Alken
The authors quote 4 other studies on the same topic (1-4) of which three simple case–control studies (1,3,4) with similar results... Read More
Monday, 30 September 2019 09:10
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Pricop C. et al., 2019: OBESITY: A DELICATE ISSUE CHOOSING THE ESWL TREATMENT FOR PATIENTS WITH KIDNEY AND URETERAL STONES?

Pricop C, Radavoi GD, Puia D, Vechiu C, Jinga V
Gr.T.Popa" University of Medicine and Pharmacy - Urology, Iasi, Romania.
"Dr. C.I. Parhon" Hospital - Department of Urology and Renal Transplantation, Iasi, Romania.
"Prof. Dr. Th. Burghele" Clinical Hospital - Urology, Bucharest, Romania.
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

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Peter Alken
Best results were achieved in patients with pelvic stones. Unfortunately the authors do not communicate in which position the pelv... Read More
Friday, 20 September 2019 09:02
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Yazici O. et al., 2019: Effect of JJ stent on outcomes of extracorporeal shock wave lithotripsy treatment of moderate sized renal pelvic stones: A randomized prospective study

Yazici O, Kafkasli A, Erbin A, Bilal Hamarat M, Cubuk A, Sarilar O, Sarica K.
Department of Urology, Haseki Training and Research Hospital, Estambul, Turquía. Department of Urology, Kucukyali Delta Hospital, Estambul, Turquía. Department of Urology, Konya Training and Research Hospital, Iconio, Turquía.

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Peter Alken
Currently no comment available.
Monday, 16 September 2019 08:58
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Nazarov TK. et al., 2019: [Role of biomarkers of acute kidney damage during lithotripsy of high-density stones] (original article only in Russian)

Nazarov TK, Komyakov BK, Rychkov IV, Trubnikova KE, Tursunov AI.
FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

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Peter Alken
Currently no comment available.
Wednesday, 11 September 2019 08:49
787 Hits
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Sugiyama M. et al., 2019: Repeated spontaneous migration of ureteral stent in hemiplegia patient during ureteral stone treatment

Sugiyama M, Fujimura M, Nakamori H, Nishikawa R, Sakamoto S, Sekita N, Suzuki H, Mikami K, Ichikawa T.
Department of Urology, Chibaken Saiseikai Narashino Hospital
Department of Urology, Chiba University, 1-8-1, Inohana, Japan
Department of Urology, Funabashi Central Hospital, Japan.
Department of Urology, Toho University Medical Center Sakura Hospital, Japan.

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Peter Alken
Currently no comment available.
Thursday, 05 September 2019 08:28
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Khanna A. et al., 2019: Ureteral Stent Placement during Shockwave Lithotripsy: Characterizing Guideline Discordant Practice

Khanna A, Monga M, Sun D, Gao T, Schold J, Abouassaly R. Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, OH.
Quantitative Health Science, Cleveland Clinic, Cleveland, OH.

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Peter Alken
Guidelines published in 1997 (1), 2007 (2) and 2016 (3) discouraged the use of stents together with ESWL because of lack of outcom... Read More
Thursday, 29 August 2019 08:30
966 Hits
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Özsoy M. et al., 2019: Sex differences in the therapy of kidney and ureteral stones

Özsoy M, Somani B, Seitz C, Veser J, Kallidonis P.
Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna General Hospital.
Urology and Andrology, Karl Landsteiner Society, Vienna, Austria.
University Hospital Southampton NHS Trust.
University of Southampton, Southampton, UK.
Department of Urology, University of Patras, Patras, Greece

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Peter Alken
This is an interesting collection of references on male/female differences but also an easy mixture of casual and causal relations... Read More
Friday, 23 August 2019 08:34
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Scotland K. et al., 2019: Total Surface Area Influences Stone Free Outcomes in Extracorporeal Shock Wave Lithotripsy for Distal Ureteral Calculi

Scotland K, Safaee Ardekani G, Chan J, Paterson R, Chew BH.

Department of Urologic Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada.

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Peter Alken
It is nice to read that ESWL is regarded and proved to be an excellent and unjustly forgotten treatment modality. The abstract som... Read More
Monday, 19 August 2019 08:26
841 Hits
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Kaydu A. et al., 2019: Frequency of anxiety and depression in patients of urtolithiasis undergoing Extracorporeal Shock Wave Lithotripsy in Diyarbakir, Turkey

Kaydu A, Gokcek E.
Department of Anesthesiology, Diyarbakir State Hospital, Diyarbakir, Turkey.

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Peter Alken
The first sentence is another typical confusion of causal and casual relations: “Extracorporeal shock wave lithotripsy (ESWL) can ... Read More
Wednesday, 14 August 2019 08:20
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Ichiyanagi O. et al., 2019: Reinforcement of the Triple D score with simple addition of the intrarenal location for the prediction of the stone-free rate after shockwave lithotripsy for renal stones 10-20 mm in diameter

Ichiyanagi O, Fukuhara H, Kurokawa M, Izumi T, Suzuki H, Naito S, Nishida H, Kato T, Tsuchiya N.
Department of Urology, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata, 998-9585, Japan. Department of Urology, Yamagata Prefectural Kahoku Hospital, 111 Aza-Gassando, Yachi, Kahoku, 999-3511, Department of Urology, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata, 998-9585, Japan.
Department of Urology, Nihonkai General Hospital, 30 Akiho-cho, Sakata, 998-8501, Japan.
Department of Urology, South Miyagi Medical Center, 38-1 Aza-nishi, Ogawara, Miyagi, 989-1253, Japan.
Department of Urology, Yamagata City Hospital Saiseikan, 1-3-26 Nanoka-mahi, Yamagata, 990-8533, Japan.

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Peter Alken
The Triple D score - composed of SSD, stone density, and stone volume - was introduced in 2015 (1) and was revalidated and conf... Read More
Friday, 09 August 2019 09:12
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Kirshenbaum EJ. et al., 2019: Socioeconomic Disparities in the Acute Management of Stone Disease in the United States

Kirshenbaum EJ, Doshi C, Dornbier R, Blackwell RH, Bajic P, Gupta GN, Gorbonos A, Turk TMT, Flanigan RC, Baldea KG
Loyola University Medical Center, Department of Urology, Maywood, Illinois.
Southern Illinois University School of Medicine, Division of Urology, Springfield, Illinois

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Peter Alken
Papers from the USA on health policy and systems research have the unique advantage to get access to the data of very large number... Read More
Monday, 05 August 2019 09:04
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Chung KJ. et al., 2019: Changing Trends in the Treatment of Nephrolithiasis in the Real World

Chung KJ, Kim JH, Min GE, Park HK, Li S, Del Giudice F, Han DH, Chung BI.
Department of Urology, Stanford University Medical Center, Stanford, California.
Department of Urology, Gil Medical Center, Gachon University School of Medicine, Incheon, Republic of Korea. Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

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Recent comment in this post
Peter Alken
8 Urologists from Korea, Italy and the USA contributed to this paper and the way they discuss the different procedures and circums... Read More
Wednesday, 31 July 2019 08:55
1084 Hits
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Hassanpour N. et al., 2019: Study on Radiation Dose Received by Patients during Extracorporeal Shock Wave Lithotripsy

Hassanpour N, Panahi F, Naserpour F, Karami V, Fatahi Asl J, Gholami M. A
Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Radiology Technology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Medical Physics, Lorestan University of Medical Sciences, Khorramabad, Iran.

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Peter Alken
The oblique position may be chosen in case obese patients have to be treated with a short focal depth machine. I remember the revi... Read More
Friday, 26 July 2019 08:49
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Sokolakis I. et al., 2019: Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials

Sokolakis I, Hatzichristodoulou G.
Department of Urology and Paediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.

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Peter Alken
A positive aspect of this meta-analysis is the detailed analysis of the drawbacks of previous meta-analyses; this is a prerequisit... Read More
Monday, 22 July 2019 08:37
1211 Hits
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Liu T. et al., 2019: Cellular signaling pathways modulated by low-intensity extracorporeal shock wave therapy

Liu T, Shindel AW, Lin G, Lue TF.
Knuppe Molecular Urology Laboratory, Department of Urology, School of Medicine, University of California, San Francisco, CA, 94143, USA.
Department of Urology, Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, China.

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Peter Alken
This is an extensive overview on the action of shock waves on soft tissue. Treatment of ED is just one aspect and basic research i... Read More
Wednesday, 17 July 2019 08:29
1146 Hits
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Nomikos M. et al., 2019: Retroperitoneal Abscess Formation Extending to the Lumbar Area After Extracorporeal Shock Wave Lithotripsy

Nomikos M, Tsalavoutas A, Kalpaxi A, Athanasopoulos G.
Department of Urology, Thriassion General Hospital, Athens, Greece.
Department of Radiology, Thriassion General Hospital, Athens, Greece.

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Peter Alken
What could have been done different? A look at the CT-images at admission and 4 days later showed that the 7 Fr. Double-J stent di... Read More
Friday, 12 July 2019 09:14
1200 Hits
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González-Pombo M et al., 2019: M, Márquez-Rivas J. Extracorporeal Shockwave Lithotripsy Procedure in Children With Intrathecal Baclofen Pump

González-Pombo M, Márquez-Rivas J.
Neurosurgery Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Neuroscience Applied Group, Instituto de Biomedicina de Sevilla, Sevilla, Spain.

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Peter Alken
3 similar published cases of stone treatment in patients with intrathecal drug delivery devices are collected by the authors. Medt... Read More
Friday, 12 July 2019 08:07
1269 Hits
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Assaf E. et al., 2019: Perinephric Hematoma with Active Arterial Hemorrhage following Extracorporeal Shockwave Lithotripsy

Assaf E, Abou Zahr R, Ghabi E, Ghantous I.
Urology Department, St George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.
Faculty of Medicine and Medical Sciences, St George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.

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Peter Alken
Currently no comment available.
Wednesday, 03 July 2019 09:00
1344 Hits
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Hevia M. et al., 2019: [Design and validation of a satisfaction questionnaire in patients with urolithiasis treated by extracorporeal shock wave lithotripsy (ESWL).] (Original Article only in Spanish)

Hevia M, Robles JE, Chiva S, Doménech P, García Á, Ancizu FJ, Velis JM, Díez-Caballero F, Rosell D, Guillén F, Pascual JI.
Departamento de Urología. Clínica Universidad de Navarra. Pamplona. España.
Unidad de Medicina Preventiva. Clínica Universidad de Navarra. Pamplona.

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Peter Alken
Currently no comment available.
Friday, 28 June 2019 08:53
1298 Hits
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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 ... Read More
Monday, 24 June 2019 08:31
1437 Hits
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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 ... Read More
Friday, 21 June 2019 08:21
1459 Hits
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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... Read More
Wednesday, 19 June 2019 09:00
1582 Hits
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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... Read More
Thursday, 13 June 2019 08:54
1544 Hits
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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... Read More
Thursday, 06 June 2019 08:47
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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.
Tuesday, 04 June 2019 08:39
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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 ... Read More
Friday, 31 May 2019 08:30
2009 Hits
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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.
Wednesday, 29 May 2019 08:41
1932 Hits
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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... Read More
Monday, 27 May 2019 08:37
1870 Hits
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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... Read More
Friday, 24 May 2019 08:30
2060 Hits
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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... Read More
Monday, 20 May 2019 08:15
1892 Hits
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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 ... Read More
Friday, 17 May 2019 08:15
2069 Hits
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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... Read More
Wednesday, 15 May 2019 08:40
2041 Hits
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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... Read More
Monday, 13 May 2019 08:31
2100 Hits
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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... Read More
Thursday, 09 May 2019 08:25
2094 Hits
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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.
Monday, 06 May 2019 08:20
2187 Hits
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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... Read More
Friday, 03 May 2019 10:43
2073 Hits
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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.
Thursday, 02 May 2019 08:30
2273 Hits
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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.... Read More
Monday, 29 April 2019 10:00
2511 Hits
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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... Read More
Thursday, 25 April 2019 08:40
2808 Hits
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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... Read More
Tuesday, 23 April 2019 08:32
2317 Hits
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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... Read More
Wednesday, 09 January 2019 15:29
4284 Hits
1 Comment

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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  4515 Hits
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Recent Comments
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... Read More
Thursday, 28 March 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... Read More
Monday, 07 January 2019 15:25
4515 Hits
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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, 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... Read More
Friday, 04 January 2019 15:22
4061 Hits
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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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  3859 Hits
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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... Read More
Wednesday, 02 January 2019 15:19
3859 Hits
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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... Read More
Monday, 31 December 2018 15:15
4381 Hits
1 Comment

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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  4209 Hits
  1 Comment
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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.... Read More
Thursday, 27 December 2018 15:11
4209 Hits
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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... Read More
Friday, 21 December 2018 15:07
4256 Hits
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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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  4604 Hits
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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... Read More
Wednesday, 19 December 2018 14:59
4604 Hits
1 Comment

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... Read More
Monday, 17 December 2018 14:56
3984 Hits
1 Comment

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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  3927 Hits
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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... Read More
Tuesday, 11 December 2018 14:51
3927 Hits
1 Comment

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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  4106 Hits
  1 Comment
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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... Read More
Thursday, 06 December 2018 14:48
4106 Hits
1 Comment

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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  5822 Hits
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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... Read More
Tuesday, 27 November 2018 14:37
5822 Hits
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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
Thursday, 22 November 2018 14:44
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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.
Tuesday, 20 November 2018 14:32
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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.
Thursday, 15 November 2018 11:59
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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... Read More
Friday, 09 November 2018 11:55
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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... Read More
Tuesday, 06 November 2018 12:04
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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... Read More
Friday, 02 November 2018 11:58
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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... Read More
Wednesday, 31 October 2018 11:46
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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... Read More
Monday, 29 October 2018 11:42
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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. ... Read More
Friday, 26 October 2018 11:37
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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 ... Read More
Wednesday, 24 October 2018 11:04
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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... Read More
Monday, 22 October 2018 10:58
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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... Read More
Friday, 19 October 2018 10:51
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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.
Wednesday, 26 September 2018 09:09
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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.
Friday, 21 September 2018 09:05
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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.
Friday, 07 September 2018 09:01
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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... Read More
Thursday, 16 August 2018 09:13
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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... Read More
Friday, 10 August 2018 09:08
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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... Read More
Friday, 03 August 2018 09:03
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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,... Read More
Tuesday, 31 July 2018 08:59
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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... Read More
Monday, 23 July 2018 08:51
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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 ... Read More
Monday, 16 July 2018 08:23
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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... Read More
Friday, 13 July 2018 08:18
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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... Read More
Friday, 06 July 2018 12:13
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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.
Monday, 02 July 2018 08:06
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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... Read More
Thursday, 21 June 2018 08:01
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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... Read More
Thursday, 14 June 2018 07:57
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