Shockwave lithotripsy is not a one-size-fits-all treatment. The success of every session depends on how well the operator adapts energy delivery to the patient, the stone, and the clinical scenario.
This course introduces a structured and clinically practical approach to Personalised SWL protocols, focusing on how to move beyond generic settings and apply controlled, evidence-informed decision-making during treatment.
You will learn how to design and execute a complete SWL session using defined treatment phases, including renal safety ramping, stone sensing, fragmentation, and optional dusting. The course explains how to safely utilise the full available energy range of your lithotripter and how to adjust parameters based on stone size, density, location, and patient-specific factors such as BMI and age.
Special emphasis is placed on:
- Understanding safe energy boundaries for pediatric and adult patients
- Applying gradual and controlled energy ramping strategies
- Adapting protocols for kidney versus ureteric stones
- Managing complex scenarios such as high-density stones, obese patients, and high-risk populations
- Making real-time intra-procedural decisions based on treatment response
This is not a theoretical course. It is designed from a clinical operator’s perspective, translating years of hands-on experience into a structured, reproducible protocol that can be applied in daily practice.
By the end of this course, you will have a clear framework to personalise your SWL treatments, improve fragmentation efficiency, and enhance patient safety.
Topics of Course
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Personalisation Matrix
01:47
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Lithotripter Energy Steps & Virtual Energy Model
02:39
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Energy Ramping for Small Kidney Stones
04:54
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Energy Ramping for Medium-Sized Kidney Stones
04:27
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Energy Ramping for Large Kidney Stones
04:27
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Logic of Ureteric stone ramping
02:59
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Energy Ramping for Small Ureteric Stones
00:38
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Energy Ramping for Medium sized Ureteric Stones
01:06
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Advanced Protocols (Elderly & Pediatric Patients)
02:21
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Protocol in Elderly and High-Risk Patients
03:27
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Protocol in Pediatric Patients
04:25
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Defining Safe Energy Boundaries for SWL Ramping
05:01
Your Instructors
Clinical Application
Dr. Sameer Parmar is a specialist in Shockwave Lithotripsy (SWL) with more than two decades of experience in urolithiasis, clinical applications, and lithotripsy education.
Throughout his career, he has focused on improving the practical delivery of SWL through better patient selection, imaging, treatment planning, shockwave delivery, personalised treatment protocols, and operator training.
As Founder and Course Director of Lithotripsy Academy, Dr. Parmar leads the development of its educational programs with a clear objective: to bridge the gap between scientific evidence, lithotripter technology, and what actually happens during an SWL treatment.
His particular interests include personalised SWL protocols, ultrasound-guided lithotripsy, optimisation of shockwave delivery, treatment of complex and special patient groups, and the integration of new technologies into modern lithotripsy practice.
He currently serves as Clinical Application Manager at STORZ MEDICAL AG and is actively involved in international education and training in Shockwave Lithotripsy.
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.
