Skip to main content
★ Flagship Module · UrologyAR/VR Consent Module

Shock Wave Lithotripsy (SWL)

SWL is the flagship Surgassists research module. Prospective outcomes studies at Southampton University Hospital led by Professor Bhaskar Somani demonstrate significantly improved patient understanding compared to standard information leaflets.

Request Clinical Demo
SWL AR module
Augmented Reality

Launch the AR Experience

Send this directly to your patient. They can scan the QR code or tap the link to explore life-size SWL anatomy on their own device — no app required.

AR Experience Ready
Enter your email to unlock

Enter your email address to reveal the QR code and shareable link.

Your email is used to log access. We will never share it with third parties.

How the patient uses it
1

Open on their smartphone

Scan the QR code or tap the link — opens in the browser, no app install needed.

2

Allow camera access

The browser requests camera permission to overlay 3D anatomy into their environment.

3

Place the model

Point at a flat surface and tap — life-size anatomy appears in front of them.

4

Follow guided narration

Audio narration walks through each scene. Takes 2–5 minutes to complete.

The Problem

Systemic Gaps in the Informed Consent Pathway

Procedural Understanding

Patients undergoing SWL frequently demonstrate incomplete understanding despite written information leaflets. Cognitive overload, complex terminology, and absence of spatial anatomical visualisation mean leaflets alone are insufficient for genuine comprehension.

Montgomery Compliance Risk

Under the Montgomery standard, clinicians must ensure patients understand all material risks. When information is delivered solely through leaflets or time pressured verbal explanations, comprehension is assumed rather than verified, creating medico legal exposure.

Procedural Anxiety

Anxiety about SWL is common, driven by uncertainty about how shock waves feel, fear of pain, and misunderstanding of success rates. Heightened anxiety reduces information retention and can influence pain perception.

Language Barriers

Even translated leaflets fail to guarantee conceptual understanding. Variations in health literacy and limited interpreter access in busy clinics mean reliance on written materials alone may fail to ensure true understanding.

Surgassists Approach

Replacing static information with immersive understanding

Surgassists replaces static information with a fully immersive, clinician authored mixed reality experience delivered in 2 to 5 minutes, at the point of care or at home.

AR mode
From Your Phone

Augmented Reality Overlay

AR projects life size anatomical structures into the consultation room via tablet or AR glasses, allowing the clinician and patient to explore anatomy together. No headset required.

VR mode
From Your Headset

Virtual Reality Mode

Using a standalone VR headset, patients are transported into a calm, 3D clinical environment with life size anatomical structures and narrated guidance through every stage of the procedure.

Patient Experience

What Patients Experience

A guided journey through four immersive scenes from entering the clinic to understanding risks and recovery.

Enter The Clinic
Scene 1

Enter The Clinic

Patients see the real SWL environment before they arrive.

Life Size Anatomy
Scene 2

Life Size Anatomy

The kidney, stone location, and urinary tract shown in accurate anatomical scale.

Procedure Explained
Scene 3

Procedure Explained

Patients watch the shockwave mechanism target and fragment the stone in real time.

Risks and Complications
Scene 4

Risks and Complications

Patients are presented with potential complications and what to expect after the procedure.

Module Features

Designed for the Real Clinical World

7 Languages

Spanish, Italian, Polish, Punjabi, English, Romanian, and Arabic.

2 to 5 Minute Sessions

Designed to fit within a standard outpatient appointment or viewed at home.

Evidence Based

Developed in collaboration with NHS Hospitals and peer reviewed research.

Life Size Anatomy

Anatomically accurate, immersive structures that improve spatial comprehension.

Montgomery Compliant

Supports the legal standard for informed consent set out in Montgomery v Lanarkshire.

Improved Outcomes

Better informed patients make better decisions and have improved procedural tolerance.

Research

Research Publications

01
Enhanced consent and patient counselling using virtual reality glasses for patients undergoing shockwave lithotripsy: Prospective outcomes from a university teaching hospital
Bamerni D, Tear L, Davis T, Reynolds P, Pietropaolo A, Somani B
02
Role of virtual reality in enhanced consent for endourological procedures: Clinician and patient perspective
Somani B, Reynolds P
03
Improving Patient Information and Enhanced Consent in Urology: The Impact of Simulation and Multimedia Tools
Nedbal C, Juliebo-Jones P, Rogers E, N'Dow J, Ribal M, Rassweiler J, Liatsikos E, Van Poppel H, Somani BK
04
Urology Malpractice Litigation and Complaints Referred to the General Medical Council: A UK based analysis over the Last Two Decades
Tiwari A, Lane J, Somani BK

See the SWL Module in Action

Request a clinical demonstration and see how Surgassists transforms patient consent for Shock Wave Lithotripsy.

Request Clinical Demo
✓ Link copied to clipboard