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Mobile extracorporeal shockwave lithotripsy.

V Rajagopal¹, M J Bailey

¹Department of Urology, Epsom District Hospital.

British Journal of Urology

|January 1, 1991

Summary

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Extracorporeal shockwave lithotripsy (ESWL) is a safe and effective treatment for kidney and ureteric stones. This mobile day-case procedure achieved an 86% success rate, offering a cost-effective solution for urolithiasis.

Area of Science:

Urology
Nephrology

Background:

Urolithiasis, or kidney stones, affects a significant portion of the population.
Traditional treatments can be invasive and costly.

Purpose of the Study:

To evaluate the efficacy and cost-effectiveness of mobile extracorporeal shockwave lithotripsy (ESWL) for upper ureteric and renal stones.
To assess the safety and feasibility of ESWL as a day-case procedure in a District General Hospital setting.

Main Methods:

A mobile Dornier HM4 lithotriptor was used to treat 83 patients with upper ureteric and renal stones over 18 months.
Treatment was performed without anesthesia or sedation as a day-case procedure.
Patient outcomes, complications, and costs were recorded.

Main Results:

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An overall success rate of 86% was achieved.
No serious complications were reported; 3 patients required ureteroscopy for obstructing stones.
The average cost per NHS patient was 253 pounds.

Conclusions:

Mobile extracorporeal shockwave lithotripsy is a safe and cost-effective treatment for urolithiasis.
It can be successfully implemented as a day-case procedure in District General Hospitals.
ESWL offers a viable alternative for managing upper urinary tract stones.