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Related Experiment Videos

Extracorporeal shock wave lithotripsy. Is sessional access worthwhile?

J W Ramsay1, R A Miller, J A Whiteway

  • 1Department of Urology, St Bartholomew's Hospital, London.

British Journal of Urology
|December 1, 1987
PubMed
Summary

Extracorporeal shock wave lithotripsy (ESWL) treatment for renal stones yielded results comparable to dedicated centers. This sessional access model effectively increases patient treatment numbers and reduces hospital bed demand.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Technology

Background:

  • Renal stones pose a significant health burden.
  • Access to extracorporeal shock wave lithotripsy (ESWL) can be limited by resource availability.
  • Teaching hospitals often face challenges in providing specialized treatments like ESWL.

Purpose of the Study:

  • To evaluate the efficacy of a sessional extracorporeal shock wave lithotripsy (ESWL) service for renal stones.
  • To assess the feasibility of a collaborative model between hospitals for ESWL treatment.
  • To determine if sessional access impacts treatment outcomes and resource utilization.

Main Methods:

  • One hundred fifty-three patients with renal stones were treated via ESWL.
  • Treatment was delivered through a monthly sessional arrangement with a neighboring lithotripter unit.

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  • Outcomes were assessed three months post-treatment.

    • Main Results:

    • ESWL treatment outcomes were comparable to those reported by dedicated lithotripter centers.
    • The sessional access model facilitated treatment for a substantial number of patients.
    • This arrangement potentially reduces the demand for hospital beds at the lithotripter's primary site.

    Conclusions:

    • Sessional access to extracorporeal shock wave lithotripsy (ESWL) is an effective method for treating renal stones.
    • This collaborative approach can increase patient throughput and optimize resource allocation.
    • The model demonstrates a satisfactory solution for expanding ESWL accessibility.