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Updated: Jul 7, 2026

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

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Published on: December 23, 2022

Optimizing the fragmentation and clearance after shock wave lithotripsy.

Nitin S Kekre¹, Santosh Kumar

¹Department of Urology, Christian Medical College, Tamilnadu, India. nitinkekre@hotmail.com

Current Opinion in Urology

|February 28, 2008

Summary

This summary is machine-generated.

Tamsulosin and slow shock wave rates improve stone clearance after shock wave lithotripsy (SWL). Adjunctive techniques like percussion, diuresis, and inversion aid in clearing lower pole stones, enhancing SWL efficacy.

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Last Updated: Jul 7, 2026

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

Treatment Protocol for Rotator Cuff Calcific Tendinitis Using a Single-Crystal Piezoelectric Focused Shock Wave Source

Published on: December 23, 2022

Area of Science:

Urology
Nephrology
Medical Devices

Background:

Shock wave lithotripsy (SWL) is a primary treatment for kidney and upper ureteral stones.
Optimizing stone fragmentation and clearance remains a key focus in SWL therapy.

Purpose of the Study:

To review factors enhancing stone fragmentation and clearance in SWL.
To examine recent advancements in SWL technology and adjunct therapies.

Main Methods:

Review of recent randomized trials and clinical studies.
Analysis of established and emerging techniques for SWL stone clearance.

Main Results:

Tamsulosin demonstrated efficacy in facilitating ureteral fragment clearance post-SWL.
Slow shock wave delivery rates are established to improve SWL safety and effectiveness.
Percussion, diuresis, and inversion techniques show promise for lower calyceal stone clearance.

Conclusions:

Tamsulosin can enhance stone clearance, reduce colic, and decrease analgesic requirements post-SWL.
Slower shock wave rates improve both the safety and efficacy of SWL.
Adjunctive methods like percussion, diuresis, and inversion augment clearance of lower calyceal fragments.