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Related Experiment Videos

The mobile lithotriptor: an answer for the smaller centre

A J Dickinson1, D Cranston, A Doble

  • 1Department of Urology, Churchill Hospital, Oxford.

British Journal of Urology
|April 1, 1993
PubMed
Summary
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A mobile lithotriptor offers extracorporeal shock wave lithotripsy (ESWL) to smaller urological centers. This cost-effective method achieved an 87% success rate with no serious complications in 135 patients.

Area of Science:

  • Urology
  • Medical Technology
  • Nephrology

Background:

  • Extracorporeal shock wave lithotripsy (ESWL) is a common treatment for kidney stones.
  • Smaller urological centers often lack direct access to ESWL services.
  • Mobile lithotripsy units aim to improve accessibility to this treatment modality.

Purpose of the Study:

  • To evaluate the efficacy and safety of a mobile lithotriptor unit for providing ESWL.
  • To assess the cost-effectiveness of mobile ESWL in smaller urological centers.
  • To compare the outcomes of mobile ESWL with those from larger treatment facilities.

Main Methods:

  • A mobile unit containing a Dornier HM4 lithotriptor was deployed in two urological centers.
  • A total of 135 patients underwent 168 ESWL treatments using the mobile unit.

Related Experiment Videos

  • Patient outcomes, including success rates, morbidity, and mortality, were recorded.

    • Main Results:

    • The mobile lithotriptor achieved an overall success rate of 87%.
    • No serious morbidity or mortality was reported among the treated patients.
    • Treatment outcomes were comparable to those achieved in larger urological centers.

    Conclusions:

    • Mobile lithotripsy is an effective and safe method for delivering ESWL to smaller urological centers.
    • The system demonstrates cost-effectiveness, making ESWL more accessible.
    • This approach represents a viable solution for improving urological care in underserved areas.