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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, 07 August 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, 20 July 2020 07:13
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Paul CJ. et al., 2020: Treatment Setting Influences Treatment Modality for Urinary Stone Disease

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

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

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

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Hans-Göran Tiselius
This article is a “study protocol” with the aim of comparing cost-effectiveness of SWL, fURS and PCNL for removal of stones in the... Read More
Monday, 27 July 2020 08:18
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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, 29 July 2020 08:35
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Dong L. et al., 2020: The efficacy and safety of diuretics on extracorporeal shockwave lithotripsy treatment of urolithiasis: A systematic review and meta analysis

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

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Hans-Göran Tiselius
The popularity of using SWL for treating patients with urolithiasis has decreased during recent years while endoscopic solutions a... Read More
Monday, 20 July 2020 06:46
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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, 10 July 2020 08:30
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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, 03 July 2020 08:24
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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, 26 June 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, 24 June 2020 08:30
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Chen TT. et al., 2020: Burst wave lithotripsy and acoustic manipulation of stones

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

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Peter Alken
A look, not in the kitchen, but in the dining room of the group working on “… an office-based, handheld ultrasound device to targe... Read More
Thursday, 02 July 2020 08:30
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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, 18 June 2020 08:30
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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, 16 June 2020 08:30
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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, 12 June 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, 10 June 2020 08:30
531 Hits
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Musa ZS. et al., 2019: Long-term effectiveness and predictors of success of low-intensity shockwave therapy in phosphodiesterase type 5 inhibitors non-responders

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

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Peter Alken
Type of machine, way of application, drug responders or non-responders, patients’ age and comorbidities, sham vs. no sham, duratio... Read More
Monday, 08 June 2020 08:30
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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, 04 June 2020 08:30
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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
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, 23 June 2020 05:36
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, 02 June 2020 08:25
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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, 28 May 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, 25 May 2020 08:30
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Mains EAA. et al., 2020: Shockwave Lithotripsy Is an Efficacious Treatment Modality for Obese Patients with Upper Ureteral Calculi: Logistic Regression and Matched-Pair Analyses from a Dedicated Center Comparing Treatment Outcomes by Skin-to-Stone Distance

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

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Hans-Göran Tiselius
This an interesting and readable article that shows successful treatment of proximal ureteral stones in obese patients. Stone-free... Read More
Friday, 22 May 2020 08:30
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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, 20 May 2020 08:30
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Hegazy M. et al., 2020: The alternating bidirectional versus the standard approach during shock wave lithotripsy for upper lumbar ureteric stones: a randomized controlled trial

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

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Peter Alken
Clever idea, well done study, impressive difference of results except the low SFR in both groups compared to old data like the ~ 8... Read More
Monday, 18 May 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, 14 May 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, 12 May 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, 07 May 2020 08:15
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Tsai SH. et al., 2020: Comparison of the efficacy and safety of shockwave lithotripsy, retrograde intrarenal surgery, percutaneous nephrolithotomy, and minimally invasive percutaneous nephrolithotomy for lower-pole renal stones: A systematic review and network meta-analysis

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

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

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

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

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

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

Abstract

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

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

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

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

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

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  811 Hits
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Peter Alken
Another very good study in the last quarter of 2019: It’s so good to read the results of a well done study and well written paper ... Read More
Friday, 17 April 2020 08:30
811 Hits
1 Comment

Magalhães L. et al., 2019: Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy

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

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  864 Hits
  1 Comment
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Hans-Göran Tiselius
This article is a case report of a patient who developed subcapsular hematoma after a session of SWL. The bottom-line is that beds... Read More
Tuesday, 14 April 2020 08:30
864 Hits
1 Comment

Alavi Tamaddoni H. et al, 2019: Enhanced shockwave lithotripsy with active cavitation mitigation

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

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  842 Hits
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Othmar Wess
Diverse publications confirm lower shock rates of 30-60 SW/min are more efficient than higher rates of 90-120 SW/min. Since shock ... Read More
Saturday, 11 April 2020 08:30
842 Hits
1 Comment

Han CS et al., 2019: Dual-frequency setting for urinary stone fragmentation during shock wave lithotripsy: an in vitro study

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

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  1009 Hits
  2 Comments
Recent Comments
Othmar Wess
The study is one of several other studies confirming the strategy of slow (60 shocks per min) vs. fast (120 shocks per min) shock ... Read More
Wednesday, 08 April 2020 07:45
Peter Alken
I wonder how the authors developed the hypothesis evaluated in the experiments. I find the theory formulated by them not very conc... Read More
Wednesday, 08 April 2020 06:52
1009 Hits
2 Comments

Gulati G. et al., 2019: Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device

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

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  1048 Hits
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Peter Alken
“As many as 10% of patients suffer pump thrombosis, even with optimal anticoagulation management”. “In LVAD patients undergoing no... Read More
Thursday, 02 April 2020 08:30
1048 Hits
1 Comment

Yadav P. et al., 2019: Technique, complications, and outcomes of pediatric urolithiasis management at a tertiary care hospital: evolving paradigms over the last 15 years

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

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  1111 Hits
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Recent comment in this post
Peter Alken
This is a well done extensive metaanalysis on pediatric urolithiasis management. It is also an example of the typical puzzling wa... Read More
Friday, 27 March 2020 08:25
1111 Hits
1 Comment

He Z. et al., 2019: Does the presence or degree of hydronephrosis affect the stone disintegration efficacy of extracorporeal shock wave lithotripsy? A systematic review and meta-analysis

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

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Hans-Göran Tiselius
The problem dealt with in this systematic review and meta-analysis is to which extent the presence of hydronephrosis (HN) affects ... Read More
Sunday, 15 March 2020 08:35
1014 Hits
1 Comment

Lee SM. et al., 2019: Optimisation of shock wave lithotripsy: a systematic review of technical aspects to improve outcomes

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

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  997 Hits
  1 Comment
Recent comment in this post
Peter Alken
It is somehow refreshing to read the different technical details of shock wave lithotripsy optimization in a systematic review inc... Read More
Monday, 23 March 2020 08:25
997 Hits
1 Comment

Sir E. et al., 2019: The analgesic efficacy of ultrasound guided unilateral transversus abdominis plane block in the pain management of shock wave lithotripsy (Abstract only)

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

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  1070 Hits
  0 Comments
1070 Hits
0 Comments

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

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

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  1058 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
As a prospective randomized comparison between PCNL and SWL this is an interesting study. Although the success after one SWL sessi... Read More
Monday, 16 March 2020 08:35
1058 Hits
1 Comment

Hiller SC. et al., 2020: Frontiers of stone management

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

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  1052 Hits
  1 Comment
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Peter Alken
This is a short, well written overview on the current frontiers of all minimal invasive stone therapy techniques. I recommend read... Read More
Thursday, 12 March 2020 08:30
1052 Hits
1 Comment

Constanti M. et al., 2019: Cost analysis of ureteroscopy (URS) vs extracorporeal shockwave lithotripsy (ESWL) in the management of ureteric stones

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

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  1110 Hits
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Hans-Göran Tiselius
Although judgement of cost analyses between different countries are not without problems, this report from UK deserves attention. ... Read More
Tuesday, 10 March 2020 08:25
1110 Hits
1 Comment

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

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

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  1102 Hits
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Peter Alken
Hmm!? Good conclusion. It is common to present data in a way that they make a good impression The Erection Hardness Score (EHS) (... Read More
Friday, 06 March 2020 08:35
1102 Hits
1 Comment

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

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

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

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

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

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  1022 Hits
  1 Comment
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Hans-Göran Tiselius
The role of diuretics during SWL treatment has remained a matter of debate over time. In a randomized comparative study in my own ... Read More
Wednesday, 04 March 2020 08:35
1022 Hits
1 Comment

Katz JE. et al., 2019: The Basic Physics of Waves, Soundwaves, and Shockwaves for Erectile Dysfunction

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

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  1319 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
This is an educational article on physics of shockwaves delivered by devices aiming at treatment of erectile dysfunction. Differen... Read More
Thursday, 27 February 2020 08:25
1319 Hits
1 Comment

Liu Y. et al., 2019: Colonic hematoma after extracorporeal shock wave lithotripsy for pancreatic stones: a case report

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

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  1207 Hits
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Peter Alken
The first case report of a colonic hematoma after EWSL for pancreatic stones. What I find more astonishing are the postprocedural... Read More
Monday, 24 February 2020 08:30
1207 Hits
1 Comment

Schlomer BJ., 2019: Urologic treatment of nephrolithiasis

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

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  1253 Hits
  1 Comment
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Hans-Göran Tiselius
This article is an excellent review on how to manage stone problems in children. For asymptomatic stones observation is recommende... Read More
Thursday, 20 February 2020 08:30
1253 Hits
1 Comment

Sramkova T. et al., 2019: Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

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

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  1253 Hits
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Peter Alken
Reading this paper I had from the very start - even before getting to the methods section - the feeling that it will surely show... Read More
Tuesday, 18 February 2020 08:30
1253 Hits
1 Comment

Dauw CA. et al., 2019: Shockwave Lithotripsy Use in the State of Michigan: American Urological Association Guideline Adherence and Clinical Implications

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

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  1296 Hits
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Peter Alken
The authors evaluated adherence to the following guideline recommendations: 1 Guideline: “Routine antibiotic prophylaxis is not re... Read More
Friday, 14 February 2020 08:30
1296 Hits
1 Comment

Bowen DK. et al., 2019: Retreatment after Ureteroscopy and Shockwave Lithotripsy: A Population-Based Comparative Effectiveness Study

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

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  1275 Hits
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Peter Alken
This is the kind of important publication that turns the focus of clinical reports away from the typical “we have done so many cas... Read More
Wednesday, 12 February 2020 08:30
1275 Hits
1 Comment

Sharzehi K., 2019: Management of Pancreatic Duct Stones

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

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  1342 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
SWL treatment of pancreatic stones is considered a first line treatment and inasmuch as urologists in most places are responsible ... Read More
Friday, 07 February 2020 08:35
1342 Hits
1 Comment

He Z. et al., 2019: Energy output modalities of shockwave lithotripsy in the treatment of urinary stones: escalating or fixed voltage? A systematic review and meta-analysis

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

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  1306 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
How should SWL be carried out to be maximally effective and maximally safe? Should shockwaves be delivered at fixed rate or is it ... Read More
Wednesday, 05 February 2020 08:30
1306 Hits
1 Comment

Al-Dessoukey AA. et al., 2019: Ultraslow full-power shock wave lithotripsy versus slow power-ramping shock wave lithotripsy in stones with high attenuation value: A randomized comparative study

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

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  1339 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
A number of factors has been identified for designing the optimal treatment strategy for SWL. Slow rate administration has been su... Read More
Monday, 27 January 2020 09:55
1339 Hits
1 Comment

Sohail N. et al., 2019: Is There Any Improvement In Efficacy Of Xtracorporeal Shockwave Lithotripsy Therapy For Treating Renal Stones With Invent Of New Shockwave Machines?

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

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  1221 Hits
  1 Comment
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Peter Alken
The results are good but there is no serious argument in the publication if and why the results are really better than what we kno... Read More
Friday, 31 January 2020 08:15
1221 Hits
1 Comment

Gokce Mİ. et al., 2019: The role of a novel decision aid to support informed decision making process in patients with a symptomatic non - lower pole renal stone

Gokce Mİ, Akpınar C, Esen B, Solak V, Gülpınar O, Bedük Y.
Department of Urology, Ankara University School of Medicine, Ankara, Turkey.
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  1305 Hits
  1 Comment
Recent comment in this post
Peter Alken
The patient chooses the therapeutic procedure. To be able to do so, he must be well informed and understand his diagnosis, the the... Read More
Tuesday, 28 January 2020 08:15
1305 Hits
1 Comment

Milišić E. et al., 2019: Short-term changes in renal function in children and adolescents undergoing extracorporeal shock wave lithotripsy

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

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  1337 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
Despite more than 30 years of experience with SWL there is limited information on short-term and long-term negative effects on the... Read More
Friday, 24 January 2020 08:15
1337 Hits
1 Comment

Gul A. et al., 2019: Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium

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

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  1336 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
This report shows the interesting result that intracutaneous injection of sterile water was as effective as diclofenac for treatin... Read More
Monday, 20 January 2020 08:15
1336 Hits
1 Comment

Jeong HC. et al., 2019: Synergistic effects of extracorporeal shockwave therapy and modified Ojayeonjonghwan on erectile dysfunction in an animal model of diabetes

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

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  1286 Hits
  1 Comment
Recent comment in this post
Peter Alken
The herbal formula - KH-204 - used in the experiments is a watery extract of 5 different plants which is also commercially avail... Read More
Friday, 17 January 2020 08:15
1286 Hits
1 Comment

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

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

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  1370 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
It is well recognized ever since SWL was introduced that effective pain treatment is a pre-requisite for successful outcome. Early... Read More
Tuesday, 14 January 2020 08:05
1370 Hits
1 Comment

Donaldson JF. et al., 2019: Treatment of Bladder Stones in Adults and Children: A Systematic Review and Meta-analysis on Behalf of the European Association of Urology Urolithiasis Guideline Panel

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

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  1497 Hits
  1 Comment
Recent comment in this post
Peter Alken
I do not agree with the first sentence of this review: “Despite constituting only approximately 5% of all urinary tract stones, bl... Read More
Friday, 10 January 2020 08:15
1497 Hits
1 Comment

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

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

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  1447 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
The authors describe a very unusual complication of SWL of residual bile duct stones after ERCP. That SWL successfully can be used... Read More
Wednesday, 08 January 2020 08:15
1447 Hits
1 Comment

Marchetti KA. et al., 2019: Extracorporeal shock wave lithotripsy versus ureteroscopy for management of pediatric nephrolithiasis in upper urinary tract stones: multi-institutional outcomes of efficacy and morbidity

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

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  2167 Hits
  1 Comment
Recent comment in this post
Peter Alken
Publications on stone treatment often focus on the narrow part of urological action from diagnosis to treatment and neglect other ... Read More
Monday, 06 January 2020 08:00
2167 Hits
1 Comment

Kocatürk H. et al., 2019: Evaluation of the urinary podocalyxin and nephrin excretion levels to determine a safe time interval between two sessions of SWL for renal stones: a non randomized exploratory study

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

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  1309 Hits
  1 Comment
Recent comment in this post
Hans-Göran Tiselius
A number of variables analysed in urine have been shown to reflect how the kidney is affected by shock wave power. In this article... Read More
Friday, 03 January 2020 08:15
1309 Hits
1 Comment

Mucong L. et al., 2019: Simultaneous Photoacoustic Imaging and Cavitation Mapping in Shockwave Lithotripsy

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

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Othmar Wess
Shock wave lithotripsy is a non-invasive and gentle treatment procedure for kidney stones. Nevertheless, mild haematuria up to sev... Read More
Friday, 27 December 2019 08:00
1599 Hits
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Jeon SH. et al., 2019: Extracorporeal shock wave therapy decreases COX-2 by inhibiting TLR4-NFκB pathway in a prostatitis rat model

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

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Peter Alken
Shock waves exhibit a surprising variety of positive effects in different situations like e.g. in the treatment of the chronic pro... Read More
Wednesday, 25 December 2019 08:15
1501 Hits
1 Comment

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

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

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Hans-Göran Tiselius
Publications not available in English.
Monday, 23 December 2019 08:15
1544 Hits
1 Comment

Spivak L. et al., 2019: Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction in Diabetic Patients

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

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Peter Alken
The conclusion is simple and straight forward: ”LI-ESWT is safe and effective for the treatment of ED in PDE5I-R and PDE5I-NR grou... Read More
Friday, 20 December 2019 08:15
1574 Hits
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Rezaee ME. et al., 2019: Regional Variation in Shock Wave Lithotripsy Utilization Among Medicare Patients with Nephrolithiasis

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

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Hans-Göran Tiselius
This is an interesting report on how SWL and URS have been utilized in USA during the period 2006-2014. The 13.9 % decrease in SWL... Read More
Wednesday, 18 December 2019 08:15
1511 Hits
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S. Cao et al., 2019: Shock-Induced Damage and Dynamic Fracture in Cylindrical Bodies Submerged in Liquid

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

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Othmar Wess
This is another paper investigating the mechanism of fragmentation of brittle material, such as kidney stones, by shock waves. Und... Read More
Tuesday, 17 December 2019 08:15
2302 Hits
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Brad AB. et al., 2019: Particularities and Efficacy of Extracorporeal Shock Wave Lithotripsy in Children

Brad AB., Ferro M., Vartolomei MD., Tătaru S., Anton-Păduraru DT., Simion C., Martha O., Pricop C., Porreca A., Negru I..
Clinic of Urology, Mureş County Clinical Hospital, Târgu Mureș, Romania.
University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureș, Romania.
University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureș, Romania.
Division of Urology, European Institute of Oncology, Milan, Italy.
"Gr.T.Popa" University of Medicine and Pharmacy, Iaşi, Romania.
3rd Clinic of Pediatrics, "Sf.Maria" Children's Emergency Hospital, Iaşi, Romania.
Clinic of Urology, "Dr.C.I.Parhon" Clinical Hospital, Iaşi, Romania.
Department of Robotic Urological Surgery, Abano Terme Hospital, Abano Terme, Italy.

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Hans-Göran Tiselius
SWL is an excellent treatment for children with stones and this method also commonly is recommended in guidelines. The surprising ... Read More
Friday, 13 December 2019 08:15
1760 Hits
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Yamashita S. et al., 2019: Ureteral wall volume at ureteral stone site is a critical predictor for shock wave lithotripsy outcomes: comparison with ureteral wall thickness and area

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

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Peter Alken
The 49, 3 % success rate of the present series is inexplicably low. In 2015 Sarica K et al. (1) did a very similar study on ESWL t... Read More
Wednesday, 11 December 2019 08:15
1582 Hits
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Al-Naemi RSM. et al., 2019: By-products of lithotripsy: Are they related to abdominal fat and wave characteristics?

Al-Naemi RSM, Aldosky HYY, Shukri BSA.
College of Medicine, University of Duhok, Kurdistan Region, Iraq.
Department of Physics, College of Science, University of Duhok, Iraq.

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Hans-Göran Tiselius
The authors measured the effects of SWL on the production of free radicals and oxidative stress in terms of urinary excretion of m... Read More
Monday, 09 December 2019 08:15
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Pietropaolo A. et al., 2019: Endourological management (PCNL, URS, SWL) of stones in solitary kidney - A systematic review from European Association of Urologists (EAU) Young Academic Urologists (YAU) and Uro-Technology (ESUT) groups

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

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Peter Alken
“With no recommended guidelines on the management of stones in solitary kidney, our aim was to conduct a systematic review of lite... Read More
Thursday, 05 December 2019 08:15
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Tandan M. et al., 2019: ESWL for large pancreatic calculi: Report of over 5000 patients

Tandan M, Nageshwar Reddy D, Talukdar R, Vinod K, Kiran SVVS, Santosh D, Gupta R, Ramchandani M, Lakhtakia S, Rakesh K, Manohar Reddy P, Basha J, Nabi Z, Jagtap N, Rao GV.
Asian Institute of Gastroenterology, Hyderabad, India.
Asian Institute of Gastroenterology, Hyderabad, India.

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Hans-Göran Tiselius
The authors report an impressive number of patients with pancreatic stones treated with SWL. A total of 5124 patients were treated... Read More
Wednesday, 04 December 2019 08:15
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Yayik AM. et al., 2019: Less painful ESWL with ultrasound-guided quadratus lumborum block: a prospective randomized controlled study

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

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

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

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Peter Alken
SWL is also in retreat in Switzerland. 40% of the participants of this survey had no own SWL device and only 55% of them referred... Read More
Friday, 29 November 2019 08:15
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El-Tatawy H. et al., 2019: Management of 'forgotten' encrusted JJ stents using extracorporeal shockwave lithotripsy: A single-centre experience

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

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Peter Alken
This is the largest series of forgotten stents I am aware of.
Wednesday, 22 January 2020 08:15
1221 Hits
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Sultan S. et al., 2019: Update on Surgical Management of Pediatric Urolithiasis.

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

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Peter Alken
Pediatric urolithiasis is more frequent in countries like Pakistan than in western countries. This is a very good up-to-date revie... Read More
Tuesday, 31 December 2019 08:15
1436 Hits
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Lamacchia GB. et al., 2019: A large series of extracorporeal shockwave lithotripsy in the very elderly

Lamacchia GB, Korkes F, Baccaglini W, de Mello LGM, Szwarc M, Tobias-Machado M.
Discipline of Urology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Department of Urology, Hospital São Luiz Jabaquara, São Paulo, SP, Brazil.

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Hans-Göran Tiselius
During 17 years 33 938 patients in Brazil were treated with SWL. Of these patients 371 (~1%) were older than 75 years. In the latt... Read More
Wednesday, 27 November 2019 08:10
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Takahashi T. et al., 2019: [A Case of Long-Term Treatment with Extracorporeal Shock Wave Lithotripsy and Follow-Up for Cystine Calculi by Cystinuria] (original article only available in Japanese)

Takahashi T, Kanno T, Okada T, Higashi Y, Yamada H.
The Department of Urology, Ijinkai Takeda General Hospital.

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Hans-Göran Tiselius
Publication not available in English.
Monday, 25 November 2019 08:10
1678 Hits
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Ferraro PM. et al., 2019: A preliminary survey of practice patterns across several European kidney stone centers and a call for action in developing shared practice

Ferraro PM, Arrabal-Polo MÁ, Capasso G, Croppi E, Cupisti A, Ernandez T, Fuster DG, Galan JA, Grases F, Hoorn EJ, Knauf F, Letavernier E, Mohebbi N, Moochhala S, Petkova K, Pozdzik A, Sayer J, Seitz C, Strazzullo P, Trinchieri A, Vezzoli G, Vitale C, Vogt L, Unwin RJ, Bonny O, Gambaro G.
U.O.C. Nefrologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Via G. Moscati 31, 00168, Roma, Italy.Università Cattolica del Sacro Cuore, Roma, Italy. Lithotripsy and Endourology Unit, Department of Urology, San Cecilio University Hospital, Granada, Spain.Division of Nephrology, Department of Cardio-thoracic and Respiratory Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.USL Toscana Centro, Florence, Italy.Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.Service of Nephrology, University hospital of Geneva, Geneva, Switzerland.Department of Nephrology and Hypertension, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.Urolithiasis and Endourology Unit, General University Hospital, Alicante, Spain.Laboratory of Renal Lithiasis Research, University Institute of Health Sciences Research, Palma de Mallorca, Spain.Department of Internal Medicine, Division of Nephrology and Transplantation, Erasmus medical center, Rotterdam, The Netherlands.Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany.Sorbonne Universités, UPMC Univ Paris 06, UMR Division of Nephrology, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.Kidney and Urology Centre, Royal Free Hospital, London, UK.
Department of Urology and Nephrology, Military Medical Academy, Sofia, Bulgaria.
Nephrology Clinic, Hôpital Brugmann, Kidney Stones Clinic, Centre Hospitalier Universitaire, Université Libre de Bruxelles, Brussels, Belgium.Newcastle upon Tyne Hospitals NHS Foundation Trust, NE7 7DN, Newcastle, UK.Institute of Genetic Medicine, Newcastle University, Central Parkway, NE1 3BZ, Newcastle, UK.NIHR Newcastle Biomedical Research Centre, Campus for Ageing and Vitality, Newcastle, NE4 5PL, UK.Department of Urology, Medical University of Vienna, Währinger Gurtel 18-20 in, 1090, Vienna, Austria. Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy. Urology Unit, Ospedale Manzoni, Lecco, Italy.Nephrology and Dialysis Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. Nephrology and Dialysis Unit, AO Ordine Mauriziano, Torino, Italy. Amsterdam Cardiovascular Sciences, Dept of Internal Medicine, section Nephrology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands. Service of Nephrology, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland. U.O.C. Nefrologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Via G. Moscati 31, 00168, Roma, Italy; Università Cattolica del Sacro Cuore, Roma, Italy.

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Hans-Göran Tiselius
This article is a survey of how stone patients currently are treated over Europe. With a dominance of nephrologists in the establi... Read More
Friday, 22 November 2019 09:23
1918 Hits
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Zeng T. et al., 2019: Effect of mechanical percussion combined with patient position change on the elimination of upper urinary stones/fragments: a systematic review and meta-analysis

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

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Peter Alken
We have to learn new abbreviations: “Mechanical percussion combined with patient position change (MPPP) includes two intervention ... Read More
Wednesday, 20 November 2019 08:28
1750 Hits
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Krieger JR. et al., 2019: Shockwave Therapy in the Treatment of Peyronie's Disease

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

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Peter Alken
Yes!
Friday, 15 November 2019 08:17
2072 Hits
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Di Mauro M. et al., 2019: Extracorporeal Shock Wave Therapy in Peyronie's Disease: Clinical Efficacy and Safety from a Single-Arm Observational Study

di Mauro M, Russo GI, Della Camera PA, di Maida F, Cito G, Mondaini N, Capece M, Falcone M, Sessa F, Mari A, Campi R, Sabini C, Serni S, Gacci M, Minervini A, Carini M, Cimino S, Morelli G, Cocci A. Urology Section, Department of Surgery, University of Catania, Catania, Italy. Department of Urology, University of Florence, Florence, Italy. Andrology Center, Villa Donatello Hospital, Florence, Italy. Department of Urology, University of Naples, Naples, Italy.
Department of Urology, Molinette Hospital, University of Turin, Turin, Italy. Department of Urology, University of Pisa, Pisa, Italy.

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Hans-Göran Tiselius
The authors emphasize the common occurrence of Peyronies´s disease (PD). The prevalence of 13% is higher than I personally was awa... Read More
Wednesday, 13 November 2019 08:06
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Elbaset MA. et al., 2019: Optimal non-invasive treatment of 1-2.5 cm radiolucent renal stones: oral dissolution therapy, shock wave lithotripsy or combined treatment-a randomized controlled trial

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

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Peter Alken
This is an important paper because ODT is frequently neglected (because ESWL, PNL or URS get a much better reimbursement than pres... Read More
Monday, 11 November 2019 09:11
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Guu SJ. et al., 2019: The 12-month follow-up of the low-intensity extracorporeal shockwave therapy in the treatment of patients with chronic pelvic pain syndrome refractory to 3-As medications

Guu SJ, Liu CC, Juan YS, Li CC, Tsai CC.
Department of Urology , Kaohsiung Medical University Hospital, Kaohsiung Medical University , Kaohsiung , Taiwan. Department of Urology , Pingtung Hospital, Ministry of Health and Welfare , Pingtung , Taiwan.
Department of Urology, Faculty of Medicine , College of Medicine, Kaohsiung Medical University , Kaohsiung ,Taiwan. Department of Urology , Kaohsiung Municipal Ta-Tung Hospital , Kaohsiung , Taiwan.

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Hans-Göran Tiselius
During my whole urological career, patients with chronic pelvic pain syndrome (CPPS) have remained a therapeutic challenge. What t... Read More
Friday, 08 November 2019 08:00
1785 Hits
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Large T. et al., 2019: Emerging Technologies in Lithotripsy

Large T, Krambeck AE.
Department of Urology, Indiana University, Methodist Hospital, 1801 Senate Boulevard, Suite 220, Indianapolis, IN 46202, USA.

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Hans-Göran Tiselius
There are essentially two factors that are responsible for the increased popularity of endourological procedures compared with SWL... Read More
Monday, 04 November 2019 08:55
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Dai JC. et al., 2019: Innovations in Ultrasound Technology in the Management of Kidney Stones

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

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Peter Alken
A good review for those not yet familiar with sonography.
Friday, 01 November 2019 09:06
1826 Hits
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Bayne DB. et al., 2019: Assessing Cost-Effectiveness of New Technologies in Stone Management

Bayne DB, Chi TL.
Urology, University of California San Francisco, San Francisco, CA, USA.

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Hans-Göran Tiselius
This article in Urol Clin North Am had the purpose to summarize cost-effectiveness of different methods for stone removal. The aut... Read More
Wednesday, 30 October 2019 08:48
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Alexander CE. et al., 2019: Impact of Case Volume on Shock Wave Lithotripsy Outcomes: Data from the National Shock Wave Lithotripsy Database of New Zealand

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

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Peter Alken
It is difficult to comment this statistic based paper. First and single treatment stone cases over a 20-year study period were ev... Read More
Monday, 28 October 2019 08:57
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Molina GA. et al., 2019: Subcapsular liver hematoma after extracorporeal shock wave lithotripsy, a rare complication

Molina GA, Moyon MA, Moyon FX, Tufiño JF, Guzmán LJ, Mecias RA, Cevallos JM, Serrano DS.
PGY4 Resident General Surgery, P.U.C.E., Quito, Ecuador.
Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador.

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  1793 Hits
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Recent comment in this post
Hans-Göran Tiselius
Whenever a patient presents with unexpected pain shortly after SWL, there is reason for great attention and careful examination. A... Read More
Friday, 25 October 2019 08:44
1793 Hits
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Rayegani SM. et al., 2019: Extracorporeal Shockwave Therapy Combined with Drug Therapy in Chronic Pelvic Pain Syndrome - A Randomized Clinical Trial

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

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Peter Alken
The body of literature on CP/CPPS is ever increasing but the efficacy of the diagnostic and therapeutic armamentarium is not. In t... Read More
Wednesday, 23 October 2019 08:46
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Park HK. et al., 2019: Change of Trends in the Treatment Modality for Pediatric Nephrolithiasis: Retrospective Analysis of a US-Based Insurance Claims Database

Park HK, Kim JH, Min GE, Choi WS, Li S, Chung KJ, Chung BI.
Department of Urology, Stanford University Medical Center, Stanford, California.
Department of Urology, Konkuk University School of Medicine, Seoul, Korea.
Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University Medical College, Seoul, Republic of Korea.
Department of Urology, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
Department of Urology and Dermatology, Stanford University Medical Center, Stanford, California.
Department of Urology, Gil Medical Center, Gachon University School of Medicine, Incheon, Republic of Korea.

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Hans-Göran Tiselius
This article comprises a report of stone removal in children up to the age of 18. The exclusion of ureteral stones limits the epid... Read More
Monday, 21 October 2019 08:39
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Maxwell AD. et al., 2019: Evaluation of Renal Stone Comminution and Injury by Burst Wave Lithotripsy in a Pig Model

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

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Peter Alken
GREAT!
Friday, 18 October 2019 08:36
2388 Hits
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Dong L. et al., 2019: Effect of Low-Intensity Extracorporeal Shock Wave on the Treatment of Erectile Dysfunction: A Systematic Review and Meta-Analysis

Dong L, Chang D, Zhang X, Li J, Yang F, Tan K, Yang Y, Yong S, Yu X.
Department of Andrology, The Reproductive & Women-Children Hospital, Chengdu University of Traditional Chinese Medicine, P.R. China.
Department of Urology and Andrology, Hospital of Chengdu University of Traditional Chinese Medicine, P.R. China.

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  1991 Hits
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Hans-Göran Tiselius
After approximately 10 years use of Li-ESWT for treating men with ED (men who are not responding to common medical treatment), it... Read More
Wednesday, 16 October 2019 08:35
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Yuan P. et al., 2019: Efficacy of low-intensity extracorporeal shock wave therapy for the treatment of chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis

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

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Recent comment in this post
Peter Alken
There is no “one for all” therapy to treat CP/CPPS. ESWT will only help a certain subset of patients. The advantage is the lack o... Read More
Monday, 14 October 2019 08:36
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Milisic E. et al., 2019: Variations in Nitric Oxide and Endothelin Serum Levels in Extracorporeal Shock Wave Lithotripsy-Treated Patients

Milisic E, Hiros M, Begic E.
Department for Pediatric Surgery, Clinic of Pediatric Surgery, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.
Department for Urology, Clinic of Urology, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.
Department of Cardiology, General Hospital "Prim. Dr. Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.
Department of Pharmacology, School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina.

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Hans-Göran Tiselius
The authors studied the effect of SWL on two vasoactive factors: ET and NO. The first one causes vasoconstriction and the other on... Read More
Friday, 11 October 2019 09:28
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Eryilmaz R. et al., 2019: Comparison of focused and unfocused ESWT in treatment of erectile dysfunction

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

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