Course Content
Disclaimer
This course is designed for educational purposes only. It focuses on the concepts and clinical understanding of shockwave lithotripsy. All energy settings, system limits, and device-specific protocols must be followed as per the manufacturer’s recommendations. Lithotripsy Academy does not replace hands-on training or clinical judgment. Users are responsible for applying their own expertise and adhering to local guidelines and safety standards.
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Disclaimer
01:11
Introduction
Understand why hypertension matters in SWL and how it impacts risk, decision-making, and technique.
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Introduction
00:45
Evidence over view
A concise review of the evidence on hypertension, renal hematoma risk, and the debated link between SWL and long-term blood pressure changes.
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Evidences
03:29
Pre treatment protocol
A structured pre-treatment approach to assess, optimize, and safely prepare hypertensive patients for SWL.
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Pre treatment protocol
00:54
Intra procedure protocol
Master controlled shockwave delivery, ramping strategy, and real-time monitoring for safe SWL in hypertensive patients.
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Intro procedure protocol
02:02
Post procedure protocol
Learn how to monitor, detect complications early, and safely follow up hypertensive patients after SWL.
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Post procedure protocol
00:27
Contraindications
dentify absolute and relative contraindications to ensure safe patient selection in hypertensive SWL cases.
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Contraindications
00:17
Quiz
Test your knowledge
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Hypertension
00:15:00
Final take away
Key principles to safely perform SWL in hypertensive patients with confidence and control.
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Final Takeaway
00:32
SWL in the Hypertensive Patient
About Lesson

Hypertension is one of the most frequently encountered comorbidities in patients undergoing shockwave lithotripsy (SWL). For the operator, it introduces a layer of complexity that goes beyond routine stone treatment. The question is no longer just how to fragment the stone, but how to do so safely, consistently, and with minimal renal injury.

In clinical practice, hypertensive patients are not the exception — they are the norm. Yet, uncertainty still exists regarding risk, particularly related to renal hematoma and long-term effects on blood pressure. This often leads to variability in decision-making, ranging from unnecessary caution to overly aggressive treatment.

This course takes a balanced and practical approach. It begins by clarifying the real clinical risks associated with hypertension in SWL, distinguishing between theoretical concerns, imaging findings, and true clinical complications. It then shifts focus to what truly defines outcomes — operator technique.

You will be guided through a structured understanding of how hypertension affects renal tissue, why controlled energy delivery is essential, and how small adjustments in technique can significantly improve safety.

The aim is simple:
To replace uncertainty with clarity, and variability with a controlled, reproducible approach to SWL in hypertensive patients.

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