Ces Urol 2004, 8(3):42-45 | DOI: 10.48095/cccu2004020

ESWL in treatment of urolithiasis. A two-year experience with the Piesolith 3000 litotriptor

J. Fillo, J. Mardiak, M. Maľa, Š. Szeiff, L. Červenakov, M. Kopečný

urologické oddelenie FN Bratislava, primár MUDr. Juraj Fillo, CSc.

The study aims at evaluation of results obtained by the ESWL treatment of urolithiasis with Piesolith 3000. It concentrates on the efficacy (stone free after treatment), safety and economy of the treatment. Authors carried out 1 444 ESWL operations in 1 118 patients during a period of two years. In all cases the Piesolith 3000 was used. 72.4 % patients remained stone free after a 3-month period. Another ESWL was needed in 28.7 % of patients. The operations proved to be safe, noiseless and of a sufficient pulverisation effectiveness. Concurrantly the cystin stones were pulverized. There was a very low incidence of complication. Only in 3 patients, i.e. 0.26 %, haematoma occured. All of these were treated conservatively with success. The two-year experience with lithotriptor Piesolith 3000 raised high expectations. The online ultrasound focalisation of kidney calculi proved to be very fast and precise. Due to the small focus size, the surrounding tissue is affected less. Because of a large aperture in the piesolith head, the operations are significantly less painful if compared to operations with other lithotriptors. Besides, the Litohtriptor 3000 is noiseless and thus much better accepted by the patients.

Keywords: urolithiasis, ESWL, efficacy, soreness, economy

Published: June 1, 2004