Hypertension is one of the most common comorbidities encountered in patients undergoing shockwave lithotripsy (SWL). For the operator, it introduces a critical question: how to perform effective stone fragmentation while minimizing renal injury and procedural risk.
This course provides a practical, operator-focused approach to performing SWL safely in hypertensive patients. Rather than focusing purely on theory, it translates current evidence and clinical experience into clear, reproducible techniques that can be applied in daily practice.
You will begin with a concise review of the evidence surrounding hypertension and SWL, including the real-world risk of renal hematoma and the ongoing debate regarding SWL-induced hypertension. The course then shifts its focus to what matters most — technical execution.
Through a structured framework, you will learn how to:
- Optimize patients before treatment
- Modify shockwave delivery parameters
- Apply controlled and stepwise ramping strategies
- Reduce renal injury while maintaining fragmentation efficiency
- Monitor and manage patients during and after the procedure
Special emphasis is placed on operator discipline, including shockwave rate control, energy limitation, coupling quality, and intraoperative blood pressure monitoring.
Importantly, this course also clarifies the difference between imaging-detected and clinically significant complications, helping you interpret risk correctly and avoid unnecessary concern.
Designed for lithotripsy technicians and junior urologists, this course equips you with the knowledge and confidence to treat hypertensive patients with precision, safety, and control.
Topics of Course
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Pre treatment protocol
00:54
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Intro procedure protocol
02:02
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Post procedure protocol
00:27
Your Instructor
Lithotripsy Academy is a dedicated educational platform focused on advancing knowledge and clinical practice in shockwave lithotripsy and urolithiasis management.
All courses on this platform are conceptualized, structured, and designed by Dr. Sameer Parmar, with over two decades of experience in shockwave lithotripsy. His work is centered on translating clinical experience, scientific evidence, and real-world practice into structured, practical learning.
Select courses are further enriched through collaboration with invited international faculty, bringing diverse clinical perspectives and global expertise into the learning experience.
Each course reflects a carefully curated blend of evidence-based guidelines and expert clinical insight, ensuring that learners gain not only knowledge, but also a deeper understanding of decision-making in real-world practice.
