Sameer Parmar

Co-founder @endouroacademy and founder @lithoacademy. My views are my own My passion #ESWL Believer in Personalised Stone Approach (PSA) #askmehow2swl

[Sameer Parmar @sameerparmar]

A word of thoughtfulness:
“Are we moving from external scar to internal scar in modern Endourology ?”
@endouroacademy

[Sameer Parmar @sameerparmar]

#AskMeHow2SWL

[Sameer Parmar @sameerparmar]

#AskMeHow2SWL

[LithotripsyAcademy @lithoacademy]

17 years of ESWL experience. ⭐⭐⭐⭐⭐

“Even after 17 years in this field, I found it valuable.”

Thank you, Sijas Chathoth!

SWL is not just about delivering shockwaves. It's about understanding WHY every step matters.

https://t.co/ZQ8eRpkG3b

[Sameer Parmar @sameerparmar]

#AskMeHow2SWL

[LithotripsyAcademy @lithoacademy]

“How SWL in diabetic patients differs is completely new to me.”
— Dr Manu Chiniah on our SWL in the Diabetic Patient module (How to Perform SWL in Diabetic Patient course)
https://t.co/DFkJcCsYFm
#ESWL #Urology

[LithotripsyAcademy @lithoacademy]

One shockwave. Multiple fragmentation mechanisms. 💥

Stone fragmentation is more than energy delivery. Understanding the physics is essential to optimising SWL.

🎓 Learn the science behind SWL.

🌐 https://t.co/Ba9JxQ2Uc7

#LithotripsyAcademy #SWL #Urology

[LithotripsyAcademy @lithoacademy]

3 FREE practical clinical resources. 1 goal. Better SWL. 🎯

📈 Ramping Card
☑️ Pre-ESWL Checklist
📖 Patient Aftercare Handout
3 FREE clinical resources.
🔗 https://t.co/DWIk5XSghw

#ESWL #SWL #Urology

[Sameer Parmar @sameerparmar]

Thanks for wonderful lineup of cases including Transgluteal ESWL for LU Stone, for Visitors this was a big highlight which they saw first time in their life inspite of doing ESWL past two decades
@lithoacademy

[Kemal SARICA @uroksarica]

Great pleasure to have urologists and technicians from Sri Lanka for an intensive  training on SWL with Modulith SLK inline in our endourology unit .Thanks a lot for this kind educational visit and Dr S.Parmar for excellent educational support.Our collaboration will go further.

[LithotripsyAcademy @lithoacademy]

From launch to the international stage in just a few months!

Proud to see Lithotripsy Academy featured in discussions at #ICE2026 Valencia.

Thank you, @MattBultitude and @EndoLuminalEndo for highlighting our work & the value of SWL.

A small beginning. A growing global impact

[Sameer Parmar @sameerparmar]

Making my personal version of simulation of #ESWL this will be for training module and how stone interacts with the shockwave with different density and energy.
Watch out for this space
@EndoLuminalEndo @steffiyuen @uroksarica @lithoacademy @endouroacademy

[LithotripsyAcademy @lithoacademy]

Residual fragments after SWL may need more than fragmentation.

💧 Diuresis
↘️ Inversion
✋ Assisted percussion

A simple strategy that may help lower-pole fragment clearance in selected patients.

Fragmentation matters. Clearance matters too.

[Sameer Parmar @sameerparmar]

You see this ECG pattern developing during ESWL.
The patient is stable. Treatment is underway.
What is your NEXT step?
A. Continue
B. Reduce energy
C. Pause, assess + consider ECG-gated SWL
D. Abandon the session
What would you do?
#AskMeHow2SWL

[LithotripsyAcademy @lithoacademy]

New Course | How to Perform ESWL
Effective ESWL is not just about delivering shockwaves.
Targeting, positioning, technique and treatment strategy all matter.
Explore practical ESWL training at Lithotripsy Academy.
https://t.co/ZQ8eRpk8dD
#ESWL #SWL #Urology #Lithotripsy

[LithotripsyAcademy @lithoacademy]

What is the Golden Rule of successful ESWL?
@DrPNMaheshwari shares a key principle every lithotripsy team should remember.
🎥 Watch and tell us: What is your golden rule for successful ESWL?
@uroksarica @EndoLuminalEndo @steffiyuen @sameerparmar @endouroacademy

[Sameer Parmar @sameerparmar]

Honoured to speak at prestigious #UAA2026 #PUA
On one of my favourite topic
AI in ESWL
Thanks to my mentors
@uroksarica @DrPNMaheshwari @EndoLuminalEndo

[LithotripsyAcademy @lithoacademy]

“What would you say to a urologist who thinks ESWL is outdated?”
It is a provocative question, but also an important one.
In this short Lithotripsy Academy Expert Voices video, @EndoLuminalEndo shares his perspective on how ESWL should be viewed in modern stone management.

[Sameer Parmar @sameerparmar]

4 stages are important for communication while training and to personalise treatment
Stages are what modified in personalisation
@EndoLuminalEndo @uroksarica @DrPNMaheshwari @steffiyuen

[LithotripsyAcademy @lithoacademy]

The 4 Stages of ESWL: Personalised Ramping
A structured approach to SWL:
-Renal Safety
-Stone Sensing
-Fragmentation
-Dusting

https://t.co/fENNVlvMjs

@EndoLuminalEndo @uroksarica @sameerparmar @steffiyuen @DrPNMaheshwari @endouroacademy

[Daron Smith @EndoLuminalEndo]

My Dusting vs Fragmenting post from 2017…

Now back to 2026 / the future: same thoughts for SWL. Watch this nice (and short) video from @lithoacademy to explain

@uroksarica @DrPNMaheshwari @sameerparmar @steffiyuen

@DrJohnDenstedt @therealcchaussy

https://t.co/CXAWrYeoT9

[LithotripsyAcademy @lithoacademy]

SWL patient education, now in 7 languages. 🌍

Physicians and SWL teams can share the Lithotripsy Academy Patient Section with patients to help them understand kidney stones, SWL treatment, preparation, recovery and follow-up.

🔗 https://t.co/5Ruen9Q1dr

[Sameer Parmar @sameerparmar]

#AskMeHow2SWL

[LithotripsyAcademy @lithoacademy]

𝐅𝐫𝐞𝐞 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐚𝐥 𝐫𝐞𝐬𝐨𝐮𝐫𝐜𝐞𝐬 𝐟𝐨𝐫 𝐒𝐖𝐋 𝐭𝐞𝐚𝐦𝐬.

📈 Ramping Card
✅ Pre-SWL Checklist
📘 Patient Aftercare Handout

Created to support safer, more structured and practical shock wave lithotripsy care.

https://t.co/DWIk5XSghw

[Sameer Parmar @sameerparmar]

A small moment of satisfaction and pride.

When I developed the Personalised Shock Wave Lithotripsy course, the aim was not simply to create another educational programme. I wanted to share a way of thinking about SWL that I have believed in for years

[LithotripsyAcademy @lithoacademy]

Our first learner testimonial!

On our Personalised Shock Wave Lithotripsy course:

“Completing this course completely shifted my perspective… there is no one-size-fits-all setting.”
https://t.co/Ba9JxQ2mmz
@uroksarica @EndoLuminalEndo @sameerparmar @steffiyuen @DrPNMaheshwari

[Sameer Parmar @sameerparmar]

@uroksarica @EndoLuminalEndo @DrPNMaheshwari @steffiyuen
#AskMeHow2SWL

[LithotripsyAcademy @lithoacademy]

Learn SWL systematically with Lithotripsy Academy. Expert courses, clinical tips & resources for urologists, urotechnologists & learners. https://t.co/sLkW0P8NOE #SWL #Urology #LithotripsyAcademy