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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration

Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...

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International Alliance of Urolithiasis Guideline on Shockwave Lithotripsy.

European urology focus·2022
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Paul Van Cangh, MD (August 14, 1943-April 14, 2019).

Journal of endourology·2019
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<i>Editorial Comment on:</i> Total Surface Area Influences Stone Free Outcomes in Extracorporeal Shockwave Lithotripsy for Distal Ureteral Calculi by Scotland et al. (From: Scotland KB, Ardekani GS, Chan JYH, et al. J Endourol 2019;33:661-666; DOI: 10.1089/end.201.0120).

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Optical coupling control: an important step toward better shockwave lithotripsy.

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Related Experiment Video

Updated: May 7, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
03:50

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Extracorporeal shock wave lithotripsy today.

Geert G Tailly1

  • 1Department of Urology, AZ klina, Augustijnslei, Brasschaat, Belgium.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|October 2, 2013
PubMed
Summary
This summary is machine-generated.

Shockwave lithotripsy (SWL) is a minimally invasive treatment for urinary stones, but requires skilled urologists and understanding of shockwave physics for optimal results. Proper training can improve outcomes and minimize side effects.

Keywords:
ESWLextracorporeal shockwavesstone management

Related Experiment Videos

Last Updated: May 7, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
03:50

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Area of Science:

  • Urology
  • Biophysics

Background:

  • Shockwave lithotripsy (SWL) has been a primary treatment for urinary stones since 1980.
  • Despite its widespread use and low complication rates, SWL outcomes and tissue effects remain debated.
  • Advancements in technology have increased SWL accessibility, yet consistent success is not universal.

Purpose of the Study:

  • To address the ongoing discussion and controversy surrounding SWL effectiveness.
  • To highlight the importance of urologist skill and knowledge in SWL procedures.
  • To emphasize the need for understanding shockwave physics to minimize adverse tissue effects.

Main Methods:

  • Review of SWL's history, indications, and outcomes.
  • Analysis of factors influencing SWL efficacy and complications.
  • Discussion of the role of operator training and physics knowledge.

Main Results:

  • SWL is the least invasive option for most urinary stones, with generally low complication rates.
  • Disappointment with SWL results often stems from underestimating the need for urologist expertise and shockwave physics.
  • Adverse tissue effects can be minimized with proper technique and understanding.

Conclusions:

  • SWL remains a valuable first-line treatment for urinary stones.
  • Improved urologist training in SWL techniques and shockwave physics is crucial for better outcomes.
  • Enhanced training can lead to a resurgence of SWL with superior results and fewer adverse effects.