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Jagtap N. et al., 2020: Extracorporeal Shock Wave Lithotripsy for Pancreaticolithiasis: Do It Now

Jagtap N, Tandan M, Reddy DN.
Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

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Hans-Göran Tiselius
Literature data show that SWL has become increasingly popular among gastroenterologists for treating patients with pancreatic ston... Read More
Monday, March 01 2021 08:30
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Jiang P. et al., 2020: Qualitative Review of Clinical Guidelines for Medical and Surgical Management of Urolithiasis: Consensus and Controversy 2020

Jiang P, Xie L, Arada R, Patel RM, Landman J, Clayman RV.
Department of Urology, University of California, Irvine.

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Hans-Göran Tiselius
No comment available.
Friday, February 26 2021 08:30
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Yuan C. et al., 2020: Efficacy and safety of external physical vibration lithecbole (EPVL) after extracorporeal shock wave lithotripsy (ESWL) or retrograde intrarenal surgery (RIRS) for urinary stone: A systematic review and meta-analysis

Yuan C, Jian Z, Jin X, Ma YC, Li H, Wang KJ.
Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, People's Republic of China.

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Peter Alken
See: Peng L, Wen J, Zhong W, Zeng G.BMC Is physical therapy effective following extracorporeal shockwave lithotripsy and retrograd... Read More
Tuesday, February 23 2021 08:30
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Azal Neto W. et al., 2020: Prediction of stone-free rates following extracorporeal shockwave lithotripsy in a contemporary cohort of patients with stone densities exceeding 1000 HU

Azal Neto W, Reis LO, Pedro RN.
Department of Urology, State University of Campinas, Unicamp, Campinas, Brazil.
Department of UroScience, Pontifical Catholic University of Campinas, PUC-Campinas, Campinas, Brazil.

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Hans-Göran Tiselius
Successful SWL depends on careful selection of patients. For his reason guidelines usually recommend exclusion of patients with la... Read More
Monday, February 22 2021 08:30
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Di Franco CA. et al., 2020: Management of a kidney stone in ectopic pelvic kidney with Extracorporeal Shockwave Litothripsy: Description of a case and revision of literature

Di Franco CA, Burrello M, Guzzardi F, Intagliata E, Oxenius I, Galvagno L, Cordaro C.
Department of Urology, S. Elia Emergency Hospital, Caltanissetta.

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Peter Alken
No comment available.
Friday, February 19 2021 08:30
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Seker KG. et al., 2020: An Unexpected Complication After Extracorporeal Shock Wave Lithotripsy: Emphysematous Pyelitis

Seker KG, Arikan Y, Cetin Seker Y, Ozlu DN, Evren I.
Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TUR.
Emergency Medicine, Muş State Hospital, Muş, TUR.
Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, TUR.

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Hans-Göran Tiselius
The authors describe a case of emphysematous pyelitis after SWL. It is mentioned that the patient had sterile urine test before SW... Read More
Wednesday, February 17 2021 08:30
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Article in Russian: Popov SV. et al., 2020: [Multimodal approach to the treatment of staghorn stones in modern clinic]

Popov SV, Orlov IN, Asfandiyarov FR, Skryabin ON, Suleymanov MM, Sytnik DA.
Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, GBUZ Public Hospital of Saint Luca, Saint Petersburg, Russia.
2Astrakhan State Medicine University, Astrakhan, Russia.

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Lai S. et al., 2020: Optimal management of large proximal ureteral stones (>10 mm): A systematic review and meta-analysis of 12 randomized controlled trials

Lai S, Jiao B, Diao T, Seery S, Hu M, Wang M, Hou H, Wang J, Zhang G, Liu M.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.
Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China; Department of Urology, China-Japan Friendship Hospital, Beijing, 100029, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Peking University Fifth School of Clinical Medicine, China.
School of Humanities and Social Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.
Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China; Department of Urology, China-Japan Friendship Hospital, Beijing, 100029, China.
Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China.

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Hans-Göran Tiselius
Although the title of this report seemed highly interesting, it is of note that the authors only included PCNL, URL and laparoscop... Read More
Tuesday, January 26 2021 06:58
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Yang SW. et al., 2020: Machine learning prediction of stone-free success in patients with urinary stone after treatment of shock wave lithotripsy

Abstract

Background: The aims of this study were to determine the predictive value of decision support analysis for the shock wave lithotripsy (SWL) success rate and to analyze the data obtained from patients who underwent SWL to assess the factors influencing the outcome by using machine learning methods.

Methods: We retrospectively reviewed the medical records of 358 patients who underwent SWL for urinary stone (kidney and upper-ureter stone) between 2015 and 2018 and evaluated the possible prognostic features, including patient population characteristics, urinary stone characteristics on a non-contrast, computed tomographic image. We performed 80% training set and 20% test set for the predictions of success and mainly used decision tree-based machine learning algorithms, such as random forest (RF), extreme gradient boosting trees (XGBoost), and light gradient boosting method (LightGBM).

Results: In machine learning analysis, the prediction accuracies for stone-free were 86.0, 87.5, and 87.9%, and those for one-session success were 78.0, 77.4, and 77.0% using RF, XGBoost, and LightGBM, respectively. In predictions for stone-free, LightGBM yielded the best accuracy and RF yielded the best one in those for one-session success among those methods. The sensitivity and specificity values for machine learning analytics are (0.74 to 0.78 and 0.92 to 0.93) for stone-free and (0.79 to 0.81 and 0.74 to 0.75) for one-session success, respectively. The area under curve (AUC) values for machine learning analytics are (0.84 to 0.85) for stone-free and (0.77 to 0.78) for one-session success and their 95% confidence intervals (CIs) are (0.730 to 0.933) and (0.673 to 0.866) in average of methods, respectively.

Conclusions: We applied a selected machine learning analysis to predict the result after treatment of SWL for urinary stone. About 88% accurate machine learning based predictive model was evaluated. The importance of machine learning algorithm can give matched insights to domain knowledge on effective and influential factors for SWL success outcomes.
BMC Urol. 2020 Jul 3;20(1):88. doi: 10.1186/s12894-020-00662-x. PMID: 32620102. FREE ARTICLE

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Peter Alken
Interesting but either difficult to understand or to believe. Eleven authors are Urologists and three are from the Division of Med... Read More
Monday, February 08 2021 08:30
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Saraogi M. et al., 2020: Role of Complementary Medicine (Music, Acupuncture, Acupressure, TENS and Audio-Visual Distraction) in Shockwave Lithotripsy (SWL): A Systematic Review From EAU Sections of Urolithiasis (EULIS) and Uro-Technology (ESUT)

Saraogi M, Geraghty RM, Hameed B, Rob S, Pietropaolo A, Sarica K, Gozen A, Liatsikos E, Somani BK.
Faculty of Life and Environmental Sciences, University of Southampton, United Kindom.
Department of Urology, University hospital Newcastle, United Kindom.
Department of Urology, Kasturba Medical College Manipal, Manipal Academy of Higher Education (MAHE), Karnataka, India.
Department of Urology, University Hospital Southampton NHS Trust, United Kindom.
Department of Urology, Biruni University Medical School, Istanbul, Turkey.
Department of Urology, Klinikum Heilbronn, Heilbronn, Germany.
Department of Urology, University of Patras, Patras, Greece.
Department of Urology, University Hospital Southampton NHS Trust, United Kindom.

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Hans-Göran Tiselius
Despite the technical development of lithotripter technology, it is important to know that efficient SWL is painful and requires s... Read More
Friday, February 05 2021 08:30
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Raheem OA. et al., 2020: Novel Treatments of Erectile Dysfunction: Review of the Current Literature

Raheem OA, Natale C, Dick B, Reddy AG, Yousif A, Khera M, Baum N.
Tulane University School of Medicine, Department of Urology, New Orleans, LA, USA.
Tulane University School of Medicine, Department of Urology, New Orleans, LA, USA.
Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

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Peter Alken
My first impression was that many original studies on Li-ESWT were not included and I initially thought it might be due to the rig... Read More
Wednesday, February 03 2021 08:30
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Gadelkareem RA. et al., 2020: Is Percutaneous Nephrolithotomy the Modality of Choice Versus Extracorporeal Shockwave Lithotripsy for a 20 to 30 mm Single Renal Pelvic Stone with ≤1000 Hounsfield Unit in Adults? A Prospective Randomized Comparative Study

Gadelkareem RA, Abdelsalam YM, Ibraheim MA, Reda A, Sayed MA, El-Azab AS.J.
Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of Urology, Armed Forces Medical Complex, Cairo, Egypt.

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Hans-Göran Tiselius
This report is of great interest inasmuch as most guidelines and experts consider patients with stones measuring 20-30 mm as poor ... Read More
Monday, February 01 2021 08:22
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Peng L. et al., 2020: Is physical therapy effective following extracorporeal shockwave lithotripsy and retrograde intrarenal surgery: a meta-analysis and systematic review

Peng L, Wen J, Zhong W, Zeng G.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Medical University, Guangzhou, China.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangdong Key Laboratory of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.
Guangzhou Institute of Urology, Kangda Road 1, Haizhu District, Guangzhou, 510230, China. 

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Peter Alken
I am not aware of a country where the facilitation of stone fragment discharge by physical means after stone therapy gets more att... Read More
Friday, January 29 2021 09:16
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Soliman MG. et al., 2020: Extracorporeal shock wave lithotripsy for distal ureteric stones: which is the ideal approach?

Soliman MG, Gameel T, El-Tatawy H, El-Abd AS.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

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Hans-Göran Tiselius
SWL of distal ureteral stones is usually successful and in my own experience the stone-free rate was 97.8% with an average number ... Read More
Thursday, January 28 2021 08:30
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Palmieri A. et al., 2020: Low intensity shockwave therapy in combination with phosphodiesterase-5 inhibitors is an effective and safe treatment option in patients with vasculogenic ED who are PDE5i non-responders: a multicenter single-arm clinical trial

Palmieri A, Arcaniolo D, Palumbo F, Verze P, Liguori G, Mondaini N, Falcone M, Scroppo FI, Salonia A, Cai T.
Department of Urology, University Federico II, Naples, Italy.
Department of Urology, University Vanvitelli, Naples, Italy.
San Giacomo Hospital, Monopoli, Bari, Italy.
Department of Urology, University of Trieste, Trieste, Italy.
Urology Unit, Nuovo San Giovanni di Dio Hospital, Florence, Italy.
Department of Urology, University of Turin, Turin, Italy.
Urology Unit, Ospedale di Circolo di Varese, Varese, Italy.
Department of Urology, University Vita e Salute, San Raffaele, Milan, Italy.
Department of Urology, Santa Chiara Regional Hospital, Trento, Italy.

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Peter Alken
The many papers on Li-SWT for erectile dysfunction usually have, like the present publication, a positive optimistic introduction,... Read More
Tuesday, January 26 2021 08:53
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Vinay J. et al., 2020: Penile low intensity shock wave treatment for PDE5I refractory erectile dysfunction: a randomized double-blind sham-controlled clinical trial

Vinay J, Moreno D, Rajmil O, Ruiz-Castañe E, Sanchez-Curbelo J.
Andrology Department, Fundació Puigvert/Universidad Autònoma de Barcelona, Carrer de Cartagena, 340-350, 08025, Barcelona, Spain.
Urology Department, University of Chile Clinical Hospital, Santiago, Chile.
Andrology Unit, Shady Grove Fertility, Santiago, Chile.
Andrology Department, Fundació Puigvert/Universidad Autònoma de Barcelona, Carrer de Cartagena, 340-350, 08025, Barcelona, Spain.

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Hans-Göran Tiselius
EAU recently carried out a survey among men and women on erectile dysfunction (ED) and came to the conclusion that there was an al... Read More
Friday, January 22 2021 08:30
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Wang T. et al., 2020: Use of Baidu Index to Track Chinese Online Behavior and Interest in Kidney Stones

Wang T, Xia Q, Chen X, Jin X.
Department of Urology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, People's Republic of China.

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Peter Alken
The “Baidu Index” used by the authors is comparable to “Google trends”. Google is not available in China as they moved out of Chin... Read More
Wednesday, January 20 2021 08:30
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Jaben IL. et al., 2020: Comparison of Urologist- vs Gastroenterologist-Directed Extracorporeal Shock Wave Lithotripsy for Pancreaticolithiasis

Jaben IL, Cote GA, Forster E, Moran RA, Broussard KA, Scott N, Cotton PB, Keane T, Elmunzer BJ.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina; Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.
Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina.
NextMed Management Services, Tucson, Arizona.
Department of Urology, Medical University of South Carolina, Charleston, South Carolina.
Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.

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Hans-Göran Tiselius
When it was shown that SWL was an excellent energy source for disintegration of pancreas stones, a collaboration between urologist... Read More
Monday, January 18 2021 08:30
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Manzoor H. et al., 2020: Renal Extracorporeal Lithotripsy

Manzoor H, Saikali SW.
Mayo Hospital Lahore
Clemenceau Medical Center

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Peter Alken
No comment available.
Thursday, January 14 2021 08:30
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Grivas N. et al., 2020: Imaging modalities and treatment of paediatric upper tract urolithiasis: A systematic review and update on behalf of the EAU urolithiasis guidelines panel

Grivas N, Thomas K, Drake T, Donaldson J, Neisius A, Petřík A, Ruhayel Y, Seitz C, Türk C, Skolarikos A.
Department of Urology, G.Hatzikosta General Hospital, Ioannina, Greece; Department of Urology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands.
Department of Urology, Guy's and St Thomas' NHS Foundation Trust, The Stone Unit, London, UK.
Department of Urology, Southmead Hospital, Bristol, UK.
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
Department of Urology, Hospital of the Brothers of Mercy Trier, Johannes Gutenberg University Mainz, Trier, Germany.
Department of Urology, Region Hospital, Ceske Budejovice, Czech Republic; Dept. of Urology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Department of Urology, Skåne University Hospital, Malmö, Sweden.
Department of Urology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Department of Urology, Hospital of the Sisters of Charity, Vienna, Austria; Urologische Praxis Mit Steinzentrum, Vienna, Austria.
Second Department of Urology, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece.

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van Huijgevoort NCM. et al., 2020: Success of extracorporeal shock wave lithotripsy and ERCP in symptomatic pancreatic duct stones: a systematic review and meta-analysis

van Huijgevoort NCM, Veld JV, Fockens P, Besselink MG, Boermeester MA, Arvanitakis M, van Hooft JE.
Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Department of Surgery, Amsterdam Gastroenterology and Metabolism, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Department of Gastroenterology and Hepatology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

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Peter Alken
A look at the conclusion in the text shows that SWL and Endotechniques have taken a different lead in Urology and Gastroenterology... Read More
Friday, January 08 2021 08:30
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Randad A. et al., 2020: Design, fabrication, and characterization of broad beam transducers for fragmenting large renal calculi with burst wave lithotripsy

Randad A, Ghanem MA, Bailey MR, Maxwell AD.
Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, 1606 San Juan Road, Seattle, Washington 98195, USA.

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Hans-Göran Tiselius
This is an article with advanced physical considerations beyond the horizon of the average urologist. The bottom-line of the in-vi... Read More
Wednesday, January 06 2021 08:30
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Kalatharan V. et al., 2020: Efficacy and Safety of Surgical Kidney Stone Interventions in Autosomal Dominant Polycystic Kidney Disease: A Systematic Review

Kalatharan V, Jandoc R, Grewal G, Nash DM, Welk B, Sarma S, Pei Y, Garg AX.
Department of Epidemiology & Biostatistics, Western University, London, ON, Canada.
ICES, London, ON, Canada.
Division of Nephrology, University Health Network and University of Toronto, ON, Canada.
Division of Nephrology, Department of Medicine, Western University, London, ON, Canada.

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Peter Alken
Even if all available data are collected, assembled and compared, it can be impossible to come to a proper conclusion. “Of the 25 ... Read More
Monday, January 04 2021 08:30
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Cassell A 3rd. et al., 2020: Surgical Management of Urolithiasis of the Upper Tract - Current Trend of Endourology in Africa

Cassell A 3rd, Jalloh M, Ndoye M, Mbodji M, Gaye O, Thiam NM, Diallo A, Labou I, Niang L, Gueye S.
Department of Urology and Andrology, Hospital General De Grand Yoff, Dakar, Senegal.
2Department of Surgery, Liberia College of Physicians and Surgeons, Monrovia, Liberia.

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Hans-Göran Tiselius
In most parts this article is a summary of current principles of stone removal. Different principles are presented in all aspects ... Read More
Wednesday, December 30 2020 08:30
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Golan R. et al., 2020: Management of Small, Non-obstructing Renal Stones in Adults With Recurrent Urinary Tract Infections

Golan R, Cooper KL, Shah O.
Department of Urology, Columbia University Medical Center-NewYork-Presbyterian New York, NY.

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Peter Alken
SWL is only marginally mentioned among the diagnostic procedures and non-conservative treatment options. Peter Alken... Read More
Monday, December 28 2020 08:30
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Browne C. et al., 2020: Strategies to maximise patient comfort during extracorporeal shockwave lithotripsy - A randomised controlled trial

Browne C, Redmond E, Kelly T, Rogers E, O'Malley P, Nusrat N, Jaffry S, Durkan G, Walsh K, Dowling C, D'Arcy FT.
Department of Urology, University College Hospital Galway, Newcastle Road, Galway, Ireland.
Department of Urology, University College Hospital Galway, Newcastle Road, Galway, Ireland.

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Hans-Göran Tiselius
The question analyzed in this study was whether distraction methods during SWL increased patients’ comfort. In addition to adminis... Read More
Wednesday, December 23 2020 08:30
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Türer ÖB. et al., 2020: Extracorporeal shock wave lithotripsy in the management of a 14-year-old girl with chronic calcific pancreatitis

Türer ÖB, Soyer T, Parlak E, Özcan HN, Bilen CY, Tanyel FC. Turk J.
Departments of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Gastroenterology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Departments of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

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Peter Alken
I was surprised to read, “The stones greater than 5 mm, multiple in number and distal location cannot be removed by ERCP.” This r... Read More
Monday, December 21 2020 08:30
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Destro F. et al, 2020: Minimally Invasive Approaches in Pediatric Urolithiasis. The Experience of Two Italian Centers of Pediatric Surgery

Abstract

Background: Over the last 30 years, the incidence of pediatric urolithiasis (PU) has been increasing and the surgical management has evolved toward a minimally invasive approach (MIA). We reported the experience of two Centers of Pediatric Surgery in the management of PU, focusing on MIA as first choice in treatment.

Methods: Data were retrospectively analyzed from October 2009 to October 2019 in children with urolithiasis who were admitted to two referral Italian Centers of Pediatric Surgery. Demographic and clinical data of the patients, features of the urolithiasis, type of surgery were considered.

Results: Seventy patients (7.3 ± 5.0 years) with normal renal function were treated for calculi in the pyelocaliceal system (45.7%), ureter (34.3%), bladder (4.3%), urethra (1.4%), and multiple locations (14.3%). Size of calculi was >10 mm in 55.7% of cases (kidney>bladder/urethra>multiple>ureter, p = 0.01). Symptoms were present in 75.7% of patients. Family history was positive in 16.9% of cases. MIA was performed in 59 patients (84.3%): 11.8% shockwave lithotripsy (kidney>ureter>multiple); 32.2% ureteral retrograde surgery (ureteral>other localizations); 30.5% retrograde intrarenal surgery (kidney>other localizations); and 25.4% other procedures including percutaneous nephrolithotomy, cystoscopic bladder stone removal or laser cystolithotripsy (kidney>bladder>multiple). Preoperative stenting was necessary in 52.8% of cases. Four MIA procedures (6.9%, kidney>ureter/multiple) were converted to open surgery. Open surgery was required as first approach in 15.7% of patients (kidney>ureter>multiple) who needed urgent surgery or had associated congenital renal anomalies. In 18/70 of children (25.7%), with prevalence of stones in kidney and multiple location (p < 0.01), a second procedure completed the treatment (88.8% MIA). Intraoperative difficulties were recorded in 8.5% of cases, without difference between location and size of calculi. Late complications (5.7%) were related to displacement and infection of the ureteral stent.

Conclusions: MIA resulted to be feasible in more than 75% of primary surgery and in more than 85% of cases requiring a second procedure. Preoperative stent was mandatory in more than 50% of children. The technological evolution allowed to overcome many of the technical difficulties related to the approach to the papilla and lower calyxes. Open surgery is reserved for selected cases and endoscopic surgery represents the best choice of treatment for PU.
Front Pediatr. 2020 Jul 24;8:377. doi: 10.3389/fped.2020.00377. eCollection 2020. PMID: 32793523. FREE ARTICLE

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Hans-Göran Tiselius
This is a report of results of minimally invasive stone removal in pediatric patients. The results are based on 10 years of experi... Read More
Thursday, December 17 2020 08:30
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Ang AJS. et al., 2020: Nephrolithiais: Approach to Diagnosis and Management

Ang AJS, Sharma AA, Sharma A.
Yong Loo Lin School of Medicine, Singapore, Singapore.
Johns Hopkins University, Baltimore, USA.
Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

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Peter Alken
This review of paediatric nephrolithiasis only briefly mentions ESWL as one of the treatment options. Peter Alken ... Read More
Tuesday, December 15 2020 08:30
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Chen JX. et al., 2020: [Clinical study on the treatment of calculous renal colic through external physical vibration lithecbole under different position]

Chen JX, Wang CY.
Department of Urology, Jiangshan People's Hospital/Jiangshan Branch of Sir Run Run Shaw Hospital of Zhejiang University, Jiangshan 324100, China.

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Larrazabal RJB. et al., 2020: Resistant hypertension after shockwave lithotripsy: the rude awakening of an adrenal incidentaloma

Larrazabal RJB, Chiu HHC, Sandoval MAS.
Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.
Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.
Division of Endocrinology, Diabetes and Metabolism, Department of Physiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, National Capital Region, Philippines.

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Peter Alken
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Wednesday, December 09 2020 08:20
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Yoshioka T. et al., 2020: Preoperative Use of Alpha-1 Receptor Blockers in Male Patients Undergoing Extracorporeal Shock Wave Lithotripsy for a Ureteral Calculus.

Yoshioka T, Omae K, Kawada T, Inoue Y, Sugimoto M, Oeda T, Uehara S, Araki M, Fukuhara S.
1Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima 960-1295, Japan.
2Department of Healthcare Epidemiology, Kyoto University School of Public Health in the Graduate School of Medicine, Kyoto 606-8501, Japan.
3Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University, Fukushima 960-1295, Japan.
4Department of Urology, Onomichi Municipal Hospital, Hiroshima 722-8503, Japan.
5Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima 730-8519, Japan.
6Department of Urology, Kawasaki Medical School General Medical Center, Okayama 700-8505, Japan.
7Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

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Hans-Göran Tiselius
The results of SWL were evaluated with regard to pre-treatment with alpha-receptor antagonists. The surprising conclusion was that... Read More
Monday, December 07 2020 08:30
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Prosyannikov MY. et al., 2020: An influence of herbal plant based on the combination of natural terpenes, vitamin and essential oil on the spontaneous stone passage after extracorporeal shock-wave lithotripsy]

Prosyannikov MY, Zolotuhin OV, Madykin YY, Konstantinova OV, Voytko DA, Anokhin NV, Sivkov AV.
Department of urolithiasis of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation, Moscow, Russia.
Voronezh regional hospital 1, chief urologist of the Voronezh region, Voronezh, Russia.
VGMU of. N. N. Burdenko, Voronezh, Russia.

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386 Hits
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Gul A. et al., 2020: 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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Peter Alken
I was surprised to see this report on a practically unknown technique of pain management during ESWL. During many years, I have sp... Read More
Wednesday, December 02 2020 08:30
520 Hits
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Kırlı EA. et al., 2020: Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

Kırlı EA, Türegün FA, Selçuk B, Gültekin MH, Tansu N, Erözenci A, Önal B.
Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

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Hans-Göran Tiselius
The question formulated by the authors was if children previously subjected to open surgery had a less successful outcome of SWL. ... Read More
Tuesday, December 01 2020 08:30
380 Hits
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Friedlander DF. et al., 2020: Real-world comparative effectiveness of shockwave lithotripsy versus ureterorenoscopy for the treatment of urinary stones

Friedlander DF, Brant A, McClure TD, Del Pizzo J, Nowels MA, Trinh QD, Sedrakyan A, Chughtai B.
Brigham and Women's Hospital, Division of Urological Surgery, Harvard Medical School, Boston, MA, USA.
Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Urology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY, USA.
Department of Urology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY, USA.

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Peter Alken
This publication offers a refreshingly unbiased view on the two most frequent urological procedures. One feels a relief reading it... Read More
Friday, November 27 2020 08:30
536 Hits
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Grabsky AM et al., 2020: [Characteristics and efficiency of extracorporeal shock wave lithotripsy in children using ultrasound guidance]

Grabsky AM, Minasyan GM, Khachatryan YA, Martirosyan SA, Toqmajyan MG, Tadevosyan GG, Shadyan GG, Qocharyan AA, Shindyan IM.
Urological Clinic of Izmirlian Medical Center, Yerevan, Armenia.

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428 Hits
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Belmir H. et al., 2020: Pseudoaneurysm of external iliac artery after extracorporeal shock wave lithotripsy revealing Behçet disease

Belmir H, Azghari A, Sedki N.J.
Department of Vascular Surgery, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Department of Vascular Surgery, Mohammed V University, Rabat, Morocco.
Department of Vascular Surgery, Cheikh Zaid Hospital, Rabat, Morocco.

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Peter Alken
The story is a bit weird. “Symptoms arose 2 years ago with repeated attacks of right renal colic caused by ureteral lithiasis. The... Read More
Monday, November 23 2020 08:30
404 Hits
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Zhao FZ. et al., 2020: Comparison of efficacy and safety of minimally invasive procedures for 10-20 mm pediatric renal Stones-A bayesian network meta-analysis

Zhao FZ, Li J, Tang L, Li CM, Zhang Y, Wang WY, Chen N, Tian Y.J .
Department of Urology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, 100050, PR China.

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Hans-Göran Tiselius
This article is a summary of reports in the literature and a meta-analysis was carried out to determine the efficacy and safety of... Read More
Friday, November 20 2020 00:00
539 Hits
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Sonmez G. et al., 2020: Comparison of the effects of four treatment techniques commonly used in ureteral stone treatment on patients' daily physical functioning: An observational, randomized, controlled study

Sonmez G, Demir F, Keske M, Karadag MA, Demirtaş A.J.
Department of Urology, Erciyes University, Kayseri, Turkey.
Department of Urology, Kayseri City Hospital, Kayseri, Turkey.

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Peter Alken
An interesting study, which is important because it looks at outcome from a patients view. The randomisation seems to be skewed. H... Read More
Tuesday, November 17 2020 08:30
453 Hits
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Yang B. et al., 2020: Artificial intelligence in the diagnosis, treatment and prevention of urinary stones

Yang B, Veneziano D, Somani BK.
Royal Hampshire Hospital, Winchester, UK.
Department of Urology and Kidney Transplant, GOM, Reggio Calabria, Italy.
University Hospital Southampton NHS Trust, UK.

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Peter Alken
This small review touches several aspects of urolithiasis. The authors focus on the most recently published 12 papers in the last ... Read More
Friday, November 13 2020 08:35
530 Hits
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Cui HW. et al., 2020: The utility of automated volume analysis of renal stones before and after shockwave lithotripsy treatment

Cui HW, Tan TK, Christiansen FE, Osther PJS, Turney BW.
Oxford Stone Group, University of Oxford, Oxford, UK.
Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK.
Department of Urology, Urological Research Center, Lillebaelt Hospital, University of Southern Denmark, Vejle, Denmark.
Oxford Stone Group, University of Oxford, Oxford, UK.

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Hans-Göran Tiselius
It is well recognized that correct interpretation of the outcome of stone removing procedures must relate to the initial stone bur... Read More
Wednesday, November 11 2020 08:30
473 Hits
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Harper JD. et al., 2020: First In-Human Burst Wave Lithotripsy (BWL) for Kidney Stone Comminution: Initial 2 case studies

Harper JD, Metzler I, Hall MK, Chen TT, Maxwell AD, Cunitz BW, Dunmire B, Thiel J, Williams JC Jr, Bailey MR, Sorensen MDJ.
University of Washington, Department of Urology, 1959 NE Pacific Street, Box 356510, Seattle, Washington, United States.
University of Washington School of Medicine, 12353, Department of Urology, Seattle, Washington, United States.
University of Washington School of Medicine, 12353, Department of Emergency Medicine, Seattle, Washington, United States.
University of Washington, Urology, 1959 NE Pacific St., BB-1121, Box 356510, Seattle, Washington, United States.
Duke University Medical Center, Urology, DUMC 3167, Durham, North Carolina, United States.
University of Washington School of Medicine, 12353, Department of Urology, 1013 NE 40th St, Seattle, Washington, United States.
7University of Washington Applied Physics Lab, Center for Industrial and Medical Ultrasound, 1013 NE 40th ave, Seattle, Washington, United States.
University of Washington, Applied Physics Lab, 1013 NE 40th St, Seattle, Washington, United States.
University of Washington School of Medicine, Radiology, Seattle, Washington, United States.
Indiana Univ Sch Med, Anatomy & Cell Biology, 635 Barnhill Dr MS5035, Department of Anatomy & Cell Biology, Indianapolis, Indiana, United States.
University of Washington, Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, 1013 NE 40th St., Seattle, Washington, United States.
University of Washington, Department of Urology, 1959 NE Pacific Street, Box 356510, Seattle, Washington, United States

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Hans-Göran Tiselius
During recent years we had followed the technical achievements with burst wave lithotripsy (BWL) and it is now of great interest a... Read More
Monday, November 09 2020 08:45
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Liao B. et al., 2020: [Extracorporeal shock wave therapy for chronic prostatitis / chronic pelvic pain syndrome: A meta-analysis]

Liao B, Mou XX, Liu JB, Wu T, Cui S.Zhonghua Nan Ke Xue.
Department of Urology, The Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China.

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555 Hits
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Kızılay F. et al., 2020: Factors affecting the success of pediatric extracorporeal shock wave lithotripsy therapy: 26-year experience at a single institution

Kızılay F, Özdemir T, Turna B, Karaca N, Şimşir A, Alper I, Nazlı O.
Departments of Urology, Ege University Faculty of Medicine, İzmir, Turkey.
Departments of Anaesthesiology, Ege University Faculty of Medicine, İzmir, Turkey.

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Peter Alken
This is a large series with a stone free rate of 78,6%. “After a total of 3 ESWL sessions, children without residual fragments wer... Read More
Wednesday, November 04 2020 08:30
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Ermis O. et al., 2020: Definition, treatment and outcome of residual fragments in staghorn stones

Abstract

Technological advances in minimally invasive treatment of stone disease and its integration with concomitant clinical practice are amongst the most important achievements in urology. Despite the wealth of information accumulated over the years and the richness of existing literature, the knowledge about the definition, treatment and outcomes of residual stone fragments after percutaneous nephrolithotomy (PNL) is still insufficient. Due to the high stone load a lot of patients with staghorn stones have residual fragments (RFs) after treatment with PNL, which depends on the size of tract, definition of stone free rate (SFR), timing of evaluation and the imaging used. No consensus exists on the imaging modality or their timing in the evaluation of possible RFs. The treatment of residual stones is apparently different depending on the facilities of the department and the preference of the surgeon, which includes active surveillance, shock wave lithotripsy (SWL), retrograde intrarenal surgery (RIRS) or a second look PNL.
Asian J Urol. 2020 Apr;7(2):116-121. doi: 10.1016/j.ajur.2019.12.013. Epub 2019 Dec 31. PMID: 32257804. FREE ARTICLE

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Peter Alken
This mini-review focusses on the definition treatment and outcome of RF following treatment with PNL for staghorn stones. ESWL is ... Read More
Monday, November 02 2020 08:30
531 Hits
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Aditya I. et al., 2020: Non-conventional therapies for Peyronie's disease: what is the evidence for efficacy?

Aditya I, Kwong JCC, Krakowsky Y, Grober ED.
Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Urology, Department of Surgery, Women's College Hospital & Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

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551 Hits
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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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564 Hits
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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
530 Hits
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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
541 Hits
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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
621 Hits
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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
590 Hits
1 Comment

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
788 Hits
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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
547 Hits
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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
730 Hits
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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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599 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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747 Hits
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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
664 Hits
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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
739 Hits
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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
682 Hits
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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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  686 Hits
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Peter Alken
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Tuesday, September 15 2020 07:07
686 Hits
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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
864 Hits
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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
960 Hits
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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
832 Hits
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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
821 Hits
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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
914 Hits
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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
966 Hits
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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
777 Hits
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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
1117 Hits
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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
888 Hits
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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
972 Hits
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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
1282 Hits
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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
1345 Hits
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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
1091 Hits
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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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  1213 Hits
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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
1213 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
1271 Hits
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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
1247 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
1661 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
1547 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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  1576 Hits
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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
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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
1498 Hits
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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
1566 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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  1542 Hits
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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
1542 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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  1554 Hits
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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
1554 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
1711 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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  1568 Hits
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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
1568 Hits
1 Comment

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
1348 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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  1739 Hits
  1 Comment
Recent comment in this post
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
1739 Hits
1 Comment

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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  2039 Hits
  2 Comments
Recent Comments
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
2039 Hits
2 Comments

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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  1734 Hits
  1 Comment
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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
1734 Hits
1 Comment

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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  1683 Hits
  1 Comment
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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
1683 Hits
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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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  1706 Hits
  1 Comment
Recent comment in this post
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
1706 Hits
1 Comment

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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  1772 Hits
  1 Comment
Recent comment in this post
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
1772 Hits
1 Comment

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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  2122 Hits
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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
2122 Hits
1 Comment

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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Recent comment in this post
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
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