SWL literature
SWL Literature

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

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

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

Abstract

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Peter Alken
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Tuesday, September 08 2020 08:37
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Zhong P., 2020: Editorial Comment on: " In Vitro Evaluation of Urinary Stone Comminution with a Clinical Burst Wave Lithotripsy System" by Ramesh et al. (J Endourology [Epub ahead of print]; DOI: 10.1089/end.2019.0873)

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

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Hans-Göran Tiselius
This publication is an editorial comment to the in vitro evaluation of burst wave lithotripsy. The advantage of this this new tech... Read More
Friday, September 04 2020 08:30
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Patel VV. et al., 2020: A Case of Splenic Injury After Shockwave Lithotripsy Presenting as Septic Shock

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

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Hans-Göran Tiselius
The authors describe splenic rupture as complication to SWL. This is indeed a very unusual complication and I have not encountered... Read More
Monday, August 31 2020 08:30
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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
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Friday, September 04 2020 12:50
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Wang X. et al., 2020: Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review

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

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

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

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

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

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

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

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Hans-Göran Tiselius
Interstitial cystitis is a pathological condition associated with intolerable pain and frequency. Clinically, it might be demandin... Read More
Wednesday, August 19 2020 08:30
1301 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
1439 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
2037 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
1427 Hits
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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
1823 Hits
1 Comment

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
1570 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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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
1690 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
1745 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
1727 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
2115 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
2067 Hits
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Kaya C. et al., 2020: The Predictive Role of Abdominal Fat Parameters and Stone Density on SWL Outcomes

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

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Peter Alken
The fat business is going on and may be over. I remember the impressive colour coded pictures in a publication from 2012 (1) demon... Read More
Friday, June 26 2020 08:30
2046 Hits
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Danilovic A., 2020: Editorial Comment: Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up

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

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Peter Alken
This comment refers to a recently published and reviewed article which is freely available at the site of the Journal of Endourolo... Read More
Wednesday, June 24 2020 08:30
1982 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
2080 Hits
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Yayik AM. et al., 2020: Analgesic efficacy of ultrasound-guided quadratus lumborum block during extracorporeal shock wave lithotripsy

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

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Peter Alken
Good paper! QLB can also be used in percutaneous nephrolithotomy. A nice overview on QLB is given by Akerman et al. (1). 1 Akerman... Read More
Thursday, June 18 2020 08:30
2067 Hits
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Rassweiler J. et al., 2020: Extracorporeal shock-wave lithotripsy: is it still valid in the era of robotic endourology? Can it be more efficient?

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

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Hans-Göran Tiselius
The authors of this article pose the important and interesting question on the place of SWL (if any) in future urology. The releva... Read More
Tuesday, June 16 2020 08:30
2048 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
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Veser J. et al., 2020: The effect of focus size and intensity on stone fragmentation in SWL on a piezoelectric lithotripter

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

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

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

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Peter Alken
Type of machine, way of application, drug responders or non-responders, patients’ age and comorbidities, sham vs. no sham, duratio... Read More
Monday, June 08 2020 08:30
1754 Hits
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Thompson E. et al., 2020: A Longitudinal Assessment of the Reporting Quality of Randomized Controlled Trials for Surgical Interventions to Treat Nephrolithiasis Over 16 Years (2002 to 2017)

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

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Hans-Göran Tiselius
Treatment recommendations in urology are currently based on conclusions drawn from randomized controlled trials (RCTs) This is so ... Read More
Thursday, June 04 2020 08:30
2234 Hits
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Ramesh S. et al., 2020: In Vitro Evaluation of Urinary Stone Comminution with a Clinical Burst Wave Lithotripsy System

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

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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
2880 Hits
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Strohmaier WL., 2020: [Current aspects in pediatric urolithiasis treatment].

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

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

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

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Peter Alken
“To confirm the results, a longer-term study involving more patients is needed.” This will probably not happen.... Read More
Monday, May 25 2020 08:30
2140 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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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
2180 Hits
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Kallidonis P. et al., 2020: Systematic Review and Meta-analysis Comparing Percutaneous Nephrolithotomy, Retrograde Intrarenal Surgery and Shock Wave Lithotripsy for Lower Pole Renal Stones

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

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Peter Alken
Systematic reviews are needed from time to time to reliably capture and describe the current situation. But the most interesting ... Read More
Wednesday, May 20 2020 08:30
2245 Hits
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Hegazy M. et al., 2020: The alternating bidirectional versus the standard approach during shock wave lithotripsy for upper lumbar ureteric stones: a randomized controlled trial

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

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

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

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

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

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

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

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Hans-Göran Tiselius
Early observations indicated that one prerequisite for SWL stone disintegration was the presence of fluid between the stone and th... Read More
Thursday, May 07 2020 08:15
2061 Hits
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Koo V et al, 2011: Cost-effectiveness and efficiency of shockwave lithotripsy vs flexible ureteroscopic holmium:yttrium-aluminium-garnet laser lithotripsy in the treatment of lower pole renal calculi

Koo V, Young M, Thompson T, Duggan B.
Stone Treatment Centre, Craigavon Area Hospital, Portadown, and Department of Urology, Belfast City Hospital, Belfast, Northern Ireland, UK.

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Hans-Göran Tiselius
In a retrospective analysis then authors have compared the cost of flexible ureteroscopy (FURS) and ESWL for removal of stones loc... Read More
Tuesday, May 31 2011 14:10
11404 Hits
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Gulur DM et al, 2011: Semen quality after extracorporeal shockwave lithotripsy for the management of lower ureteric stones: a review of the literature.

Gulur DM, Philip J.
Department of Urology, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, UK.

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  11090 Hits
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Hans-Göran Tiselius
The effects of shockwaves on semen quality have remained a matter of concern ever since distal ureteral stones were included as an... Read More
Tuesday, May 31 2011 14:23
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Clark DL et al, 2011: Pretreatment with low-energy shock waves reduces the renal oxidative stress and inflammation caused by high-energy shock wave lithotripsy

Clark DL, Connors BA, Handa RK, Evan AP.
Department of Anatomy and Cell Biology, Indiana University School of Medicine, 635 Barnhill Drive, MS 510, Indianapolis, IN, 46202, USA.

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Hans-Göran Tiselius
The authors have carried out an animal experiment in order to elucidate the effects of ESWL on oxidative stress. The significantly... Read More
Saturday, June 04 2011 09:15
10842 Hits
1 Comment

McAdams S et al, 2010: Pediatric extracorporeal shock wave lithotripsy: Predicting successful outcomes

McAdams S, Shukla AR.
Department of Urologic Surgery, University of Minnesota Medical Center and Amplatz Children's Hospital, Minneapolis, MN, USA.

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Hans-Göran Tiselius
Publication currently not available.
Sunday, June 12 2011 08:48
10345 Hits
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Rassweiler JJ et al, 2011: Shock wave technology and application: an update

Rassweiler JJ, Knoll T, Köhrmann KU, McAteer JA, Lingeman JE, Cleveland RO, Bailey MR, Chaussy C.
Department of Urology, Klinikum Heilbronn, SLK Kliniken Heilbronn, University of Heidelberg, Heilbronn, Germany.

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Peter Alken
This is the third publication on the current status of lithotripter technology published by Rassweiler et al. in European Urology ... Read More
Monday, June 20 2011 09:41
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Hatiboglu G et al, 2011: Prognostic variables for shockwave lithotripsy (SWL) treatment success: no impact of body mass index (BMI) using a third generation lithotripter

Hatiboglu G, Popeneciu V, Kurosch M, Huber J, Pahernik S, Pfitzenmaier J, Haferkamp A, Hohenfellner M.
Department for Urology, University of Heidelberg, Heidelberg, Germany

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Peter Alken
An interesting paper that gives a realistic insight into everyday routine of ESWL and what can be expected from the first shock wa... Read More
Wednesday, June 29 2011 13:16
10420 Hits
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Chew BH et al, 2011: Twenty-year prevalence of diabetes mellitus and hypertension in patients receiving shock-wave lithotripsy for urolithiasis

Chew BH, Zavaglia B, Sutton C, Masson RK, Chan SH, Hamidizadeh R, Lee JK, Arsovska O, Rowley VA, Zwirewich C, Afshar K, Paterson RF.
Department of Urologic Sciences, Gordon & Leslie Diamond Health Care Centre, Vancouver UBC Faculty of Medicine, Department of Radiology, University of British Columbia, Vancouver BC, Canada

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Peter Alken
After several conflicting reports on the long term consequences of SWL the paper published by Krambeck AE et al. in 2006 seemed to... Read More
Monday, July 11 2011 13:41
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Duryea AP et al, 2011: In vitro comminution of model renal calculi using histotripsy

Duryea A, Maxwell A, Roberts W, Xu Z, Hall T, Cain C
University of Michigan, Department of Biomedical Engineering, Ann Arbor, MI, USA

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  11932 Hits
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Peter Alken
Cavitation can erode solid material. This is known since hundred years (Silberrad O. Propeller erosion. Engineering 1912 33-35). I... Read More
Wednesday, July 13 2011 13:52
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Tsuzaka Y et al, 2011: Naftopidil vs silodosin in medical expulsive therapy for ureteral stones: A randomized controlled study in Japanese male patients

Tsuzaka Y, Matsushima H, Kaneko T, Yamaguchi T, Homma Y
Department of Urology, Tokyo Metropolitan Police Hospital Department of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

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  10935 Hits
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Peter Alken
This prospective randomized study shows a significantly better expulsion rate (84%) of ureteral stones with the highly selective ... Read More
Monday, August 29 2011 15:27
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Pishchalnikov YA et al, 2011: Bubble proliferation in the cavitation field of a shock wave lithotripter

Pishchalnikov YA, Williams JC, McAteer JA
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN 46202, USA

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  15251 Hits
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Othmar Wess
SWL at low pulse repetition frequency (PRF) (0.5 -1 Hz vs. 2 Hz or higher) turned out to be more effective in clinical routine tre... Read More
Friday, September 02 2011 15:35
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Lee JY et al, 2011: Evaluation of the optimal frequency of and pretreatment with shock waves in patients with renal stones

Lee JY, Moon YT
Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea

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  10875 Hits
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Peter Alken
I have read that paper several times but did not understand it. 48 patients were treated and split into 4 groups with 25, 23 24 a... Read More
Friday, September 30 2011 07:47
10875 Hits
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Nakamura K et al, 2011: Treatment of upper urinary tract stones with extracorporeal shock wave lithotripsy (ESWL) Sonolith vision

Nakamura K, Tobiume M, Narushima M, Yoshizawa T, Nishikawa G, Kato Y, Katsuda R, Zennami K, Aoki S, Yamada Y, Honda N, Sumitomo M
Department of Urology, Aichi Medical University School of Medicine Nagakute, Aichi 480-1195, Japan

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  10525 Hits
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Hans-Göran Tiselius
This is a report on treatment results achieved with the Sonolith lithotripter used in 226 patients, 62 with stones in the kidney a... Read More
Wednesday, October 05 2011 07:56
10525 Hits
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Kreider W et al, 2011: A reduced-order, single-bubble cavitation model with applications to therapeutic ultrasound

Kreider W, Crum LA, Bailey MR, Sapozhnikov OA
Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, 1013 Northeast 40th Street, Seattle, Washington 98105, USA

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Othmar Wess
This paper digs into details of bubble dynamics. Cavitation is considered an important mechanism of stone fragmentation. However, ... Read More
Tuesday, October 18 2011 08:27
16008 Hits
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Satkunasivam R et al, 2011: Renal colic and urolithiasis practice patterns in Canada: a survey of Canadian Urological Association members

Satkunasivam R, Keays M, Pace KT
Division of Urology, St. Michael's Hospital, Keenan Research Institute, University of Toronto, Toronto, ON

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  10145 Hits
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Hans-Göran Tiselius
Canadian report of routines for management of patients with renal colic. The results showed for instance that for distal ureteral ... Read More
Thursday, October 27 2011 09:16
10145 Hits
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Sugihara T et al, 2012: Renal haemorrhage risk after extracorporeal shockwave lithotripsy: Results from the Japanese Diagnosis Procedure Combination Database

Sugihara T, Yasunaga H, Horiguchi H, Nishimatsu H, Hirano Y, Matsuda S, Homma Y
Department of Urology, Shintoshi Hospital, Iwata Department of Urology Department of Health Management and Policy, Graduate School of Medicine, The University of Tokyo Department of Urology, The Fraternity Memorial Hospital, Tokyo Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Fukuoka, Japan

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  10389 Hits
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Hans-Göran Tiselius
Identification of risk-factors for development of renal bleeding complications associated with ESWL is hampered by the small numbe... Read More
Monday, November 21 2011 08:40
10389 Hits
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Ouzaid I et al, 2012: A 970 Hounsfield units (HU) threshold of kidney stone density on non-contrast computed tomography (NCCT) improves patients' selection for extracorporeal shockwave lithotripsy (...)

Ouzaid I, Al-Qahtani S, Dominique S, Hupertan V, Fernandez P, Hermieu JF, Delmas V, Ravery V
Departments of Urology Radiology, Bichat Claude Bernard Hospital, Paris Diderot University Medical School, Paris, France

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  10380 Hits
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Hans-Göran Tiselius
Analysis of treatment outcome of one ESWL session was carried out. The conclusion was that for an HU-value above 970 the stone-fre... Read More
Friday, November 25 2011 06:32
10380 Hits
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El-Nahas AR et al, 2012: Flexible ureterorenoscopy versus extracorporeal shock wave lithotripsy for treatment of lower pole stones of 10-20 mm

El-Nahas AR, Ibrahim HM, Youssef RF, Sheir KZ
Urology Department, Urology and Nephrology Center, Mansoura University Urology Department, Fayoum University, Egypt

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  11186 Hits
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Peter Alken
Statistics! This paper on the treatment of lower pole stones is heavily biased: 708 patients were treated with ESWL and 47with fl... Read More
Monday, November 28 2011 06:36
11186 Hits
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Baishya R et al, 2012: Management of nephrolithiasis in autosomal dominant polycystic kidney disease - A single center experience

Baishya R, Dhawan DR, Kurien A, Ganpule A, Sabnis RB, Desai MR
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

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  10628 Hits
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Peter Alken
There were 2 failures in the 3 patients treated with ESWL. But only 1500 shocks per session and energy below 13kV were used to pre... Read More
Friday, December 02 2011 06:44
10628 Hits
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Park BH et al, 2012: Analyzing the effect of distance from skin to stone by computed tomography scan on the extracorporeal shock wave lithotripsy stone-free rate of renal stones

Park BH, Choi H, Kim JB, Chang YS
Department of Urology, Konyang University College of Medicine, Daejeon, Korea

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  10185 Hits
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Peter Alken
It is all statistics. My old boss Hohenfellner used to say: “% is a part of 100”. The selection criteria that led to an exclusion... Read More
Monday, January 02 2012 06:49
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Childs MA et al, 2012: Factors Influencing Urologist Treatment Preference in Surgical Management of Stone Disease

Childs MA, Rangel LJ, Lingeman JE, Krambeck AE
Department of Urology, Mayo Clinic, Rochester, Minnesota

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  11545 Hits
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Hans-Göran Tiselius
What determines the urologist’s choice of treatment modality for active removal of renal and ureteral stones is indeed highly inte... Read More
Monday, January 16 2012 07:10
11545 Hits
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Cicerello E et al, 2012: Management of Clinically Insignificant Residual Fragments following Shock Wave Lithotripsy

Cicerello E, Merlo F, Maccatrozzo L
Unità Complessa di Urologia, Ospedale Regionale Ca'Foncello, Treviso, Italy

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Peter Alken
52 references accompany this review which collects what is known about the topic. It would have been more informative for the read... Read More
Friday, February 03 2012 07:28
10751 Hits
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Matlaga BR et al, 2012: Economic Outcomes of Treatment for Ureteral and Renal Stones: A Systematic Literature Review

Matlaga BR, Jansen JP, Meckley LM, Byrne TW, Lingeman JE
James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland

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Peter Alken
The issue of costs becomes increasingly important and seems to influence the choice between alternative procedures. But the basis ... Read More
Friday, February 17 2012 07:32
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Onal B et al, 2012: Nomogram and scoring system for predicting stone-free status after extracorporeal shock wave lithotripsy in children with urolithiasis

Onal B, Tansu N, Demirkesen O, Yalcin V, Huang L, Nguyen HT, Cilento BG, Erozenci A
Department of Urology, Children's Hospital Boston, Harvard Medical School, Boston, USA
Department of Urology, University of Istanbul Cerrahpasa Medical Faculty, Istanbul, Turkey.

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Hans-Göran Tiselius
The authors have developed a scoring system with the aim of predicting the stone-free rates in children treated with ESWL. Not une... Read More
Wednesday, February 22 2012 07:45
10186 Hits
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Askari A et al, 2012: Patient information leaflets for extracorporeal shock wave lithotripsy: questionnaire survey

Askari A, Shergill I
Department of Urology, Colchester Hospital University NHS Foundation Trust , Colchester C04 5JL, Essex , UK

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Peter Alken
Obviously there were not a lot of lawsuits because of ESWL treatments in England. The quality of informed consent material for th... Read More
Thursday, February 23 2012 07:47
11559 Hits
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Yoo DE et al, 2012: Removal of kidney stones by extracorporeal shock wave lithotripsy is associated with delayed progression of chronic kidney disease

Yoo DE, Han SH, Oh HJ, Kim SJ, Shin DH, Lee MJ, Yoo TH, Kang SW, Choi KH
Division of Nephrology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea

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  10164 Hits
  1 Comment
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Hans-Göran Tiselius
In this selected group of patients with chronic kidney disease (CKD) it was shown that the deterioration of GFR was retarded follo... Read More
Friday, February 24 2012 07:49
10164 Hits
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Skinner TA et al, 2012: Variables influencing the likelihood of cardiac dysrhythmias during extracorporeal shock wave lithotripsy

Skinner TA, Norman RW
Department of Urology, Dalhousie University, Halifax, NS

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  9978 Hits
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Peter Alken
Nothing new. Peter Alken
Friday, March 02 2012 07:52
9978 Hits
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Handa RK et al, 2012: Optimising an escalating shockwave amplitude treatment strategy to protect the kidney from injury during shockwave lithotripsy

Handa RK, McAteer JA, Connors BA, Liu Z, Lingeman JE, Evan AP
Departments of Anatomy and Cell Biology Biostatistics, Indiana University School of Medicine Methodist Hospital Institute for Kidney Stone Disease, Indianapolis, IN, USA

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  11228 Hits
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Peter Alken
Since many years this group continuously works on the positive and negative effects of shock waves. It is a pity that they concent... Read More
Wednesday, March 07 2012 07:57
11228 Hits
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Younesi Rostami M et al, 2012: Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants

Younesi Rostami M, Taghipour-Gorgikolai M, Sharifian R
Department of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari 4813894393, Iran

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  9850 Hits
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Peter Alken
A 100% stone free rate! The authors do not indicate why they used a Double-J Stent in stones > 1,3 cm. This paper can be compared... Read More
Monday, March 19 2012 08:19
9850 Hits
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Connors BA et al, 2012: Evaluation of shock wave lithotripsy injury in the pig using a narrow focal zone lithotriptor

Connors BA, McAteer JA, Evan AP, Blomgren PM, Handa RK, Johnson CD, Gao S, Pishchalnikov YA, Lingeman JE
Departments of Anatomy and Cell Biology Biostatistics, Indiana University School of Medicine Methodist Hospital Institute for Kidney Stone Disease, Indianapolis, IN, USA

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  11781 Hits
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Hans-Göran Tiselius
This experimental study on pigs aimed at illustrating the effects of the narrow shockwave focus in modern lithotripters on renal t... Read More
Tuesday, March 27 2012 08:41
11781 Hits
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D'Addessi A et al, 2012: Complications of extracorporeal shock wave lithotripsy for urinary stones: to know and to manage them-a review

D'Addessi A, Vittori M, Racioppi M, Pinto F, Sacco E, Bassi P
Department of Urology, Catholic University School of Medicine, Policlinico "A. Gemelli", Largo F. Vito, 00168 Rome, Italy

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  11283 Hits
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Hans-Göran Tiselius
This is a review of complications seen after ESWL for urinary tract stones. It is a summary of what is already well covered in the... Read More
Friday, March 30 2012 06:20
11283 Hits
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Sorensen MD et al, 2012: Quantitative Assessment of Shockwave Lithotripsy Accuracy and the Effect of Respiratory Motion

Sorensen MD, Bailey MR, Shah AR, Hsi RS, Paun M, Harper JD
Department of Urology, University of Washington School of Medicine , Seattle, Washington

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  18724 Hits
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Peter Alken
A nice paper adds some precision to a well-known problem. "To our knowledge, this is the first study to quantify accurate shockwav... Read More
Tuesday, April 03 2012 06:23
18724 Hits
1 Comment

Zhou Y et al, 2012: Characteristics of the secondary bubble cluster produced by an electrohydraulic shock wave lithotripter

Zhou Y, Qin J, Zhong P
School of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore

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  22348 Hits
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Othmar Wess
From a physical point of view the paper of Zhou, Qin and Zhong is very interesting since it investigates for the first time a uniq... Read More
Thursday, April 05 2012 06:28
22348 Hits
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Vaidyanathan S et al, 2012: Are urological procedures in tetraplegic patients safely performed without anesthesia? a report of three cases

Vaidyanathan S, Soni B, Selmi F, Singh G, Esanu C, Hughes P, Oo T, Pulya K
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport PR8 6PN, UK

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  10013 Hits
  1 Comment
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Hans-Göran Tiselius
The authors report three tetraplegic patients who developed autonomic dysreflexia during cystoscopy. The information is of interes... Read More
Tuesday, April 10 2012 06:37
10013 Hits
1 Comment

Resorlu B et al, 2012: Flexible ureterorenoscopy versus extracorporeal shockwave lithotripsy for treatment of lower pole stones of 10-20 mm

Resorlu B, Unsal A
Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey

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  9753 Hits
  1 Comment
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Hans-Göran Tiselius
Publication's currently not available.
Wednesday, April 18 2012 14:58
9753 Hits
1 Comment

Yoshimura K, 2012: Editorial Comment to Extracorporeal shock wave lithotripsy for distal ureteral calculi: Improved efficacy using low frequency

Yoshimura K.
Department of Urology, Kinki University Faculty of Medicine, Osaka-sayama, Osaka, Japan

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  9642 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
With reference to a meta-analysis this comment emphasizes the benefit of low-frequency ESWL. Unfortunately the author states that ... Read More
Tuesday, April 24 2012 07:00
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