Case selection
Not every stone is an ideal SWL stone. Size, location, density, anatomy, infection status and patient factors must be considered.
Personal SWL mastery hub
SWL is not just a machine. It is a method.
AskMeHow2SWL is the personal teaching and engagement platform of Dr. Sameer Parmar, created to help clinicians, SWL teams and patients understand the practical details that influence shock wave lithotripsy outcomes.
A conversation-first website that sends deeper learning to Lithotripsy Academy instead of competing with it.
20k+SWL patients treated through practical experience
275+urologists and technicians trained
1999continuous SWL journey
1clear question: how can we do SWL better?
Interactive starter
Can this stone be discussed for SWL?
A simplified educational checker to guide discussion, not to make a medical decision.
SWL success formula
Better outcomes come from the chain, not one isolated step.
Click each factor to see how it contributes to treatment quality.
Selection: Stone size, site, density, anatomy and patient factors decide whether SWL is a strong option, a cautious option or a poor option.
Why this website exists
Because SWL success is in the details.
Shock wave lithotripsy is often discussed as a technology, but in daily practice the outcome depends on much more than the device.
Targeting
Accurate targeting is not a one-time step. It requires image confirmation, patient positioning, respiratory awareness and continuous attention.
Coupling
Small setup errors can affect energy transfer. Good coupling is one of the simplest and most overlooked quality steps in SWL.
Ramping
Energy escalation should be thoughtful. Personalized ramping supports comfort, safety and controlled fragmentation.
Team workflow
Good SWL is a team procedure. Urologists, radiographers, nurses, technicians and biomedical teams all influence quality.
Follow-up
Fragment passage, imaging, prevention advice and patient communication complete the SWL pathway.
Mini-game concept
Find the failure point.
A small quiz keeps visitors engaged while teaching the most important message: SWL failure is often a chain of decisions.
Case puzzle
Why might this SWL case struggle?
11 mm lower pole stone1050 HUnarrow infundibulumpoor couplingfast ramping
From conversation to structured learning.
AskMeHow2SWL opens discussion and makes SWL thinking more accessible. For structured courses, scientific articles, calculators, certification programs and deeper educational content, visitors are directed to Lithotripsy Academy.