The Clinical center of Friedrichshafen in Germany offers accurate diagnostics and qualified treatment of urolithiasis in all of its stages as well as other kidney diseases. The urology department under the direction of Prof DM Wilhelm Esser-Bartels focuses mostly on minimally invasive methods of kidney stones treatment.
Urolithiasis is one of the most common among urological diseases in patients who require medical attention and hospital treatment. The urolithiasis patients make up 30-40% of all the contingent of the urological department.
Conservative treatment of urolithiasis is prescribed in the situation when a concrement does not cause abnormalities of urine outflow, without the risk of urinary tracts occlusion during its migration. It includes general health-improving measures, dietary nutrition and drug therapy using modern medicine. It would be enough to add kidney ultrasonic examination for the mentioned category of patients to detect and treat urolithiasis at an early stage. This method is inexpensive and informative if there is a high-quality apparatus and a professional doctor. If small (less than 10 mm) kidney stones are detected, then remote lithotripsy may be performed on the patients after the standard examination in the hospital in Germany. This means lithotripsy, or destruction of the stones, using a non-contact method with further observation in the outpatient setting.
Perhaps, this is the safest method to remove the stones. It is used in the case when ureter stones are located in the lower parts of ureter. Special drugs that favor ureter relaxation and independent stone separation are prescribed for the patient. Currently there are many different new methods which allow to remove kidney stones from the urinary system. The most popular and the least traumatic method is extracorporal shock-wave lithotripsy.
This treatment method was used in the clinical practice in 1986 in Munich. Many patients in Germany have already experienced all the benefits of this method. Destruction of stones occurs as a result of the kidney stone exposure to a shock wave that is formed by spark discharge or piezocrystal excitation. It focuses on the kidney stone due to the parabolic reflector after that. The wave energy reaches its maximum value in the focus point. Along with that, the kidney stone is being deformed and the deformation is greater than the stone strength. There many shock waves that are aimed at the kidney stone - from 1500 to 3500 depending on its composition. These numerous shock waves that are focused on the kidney stone, break it to small fragments. Contact lithotripsy involves destruction the kidney stone with the support of the thinnest instrument which is brought to it from below through the urinary bladder and ureter. Depending on the position of the concrement, its size, chemical composition and other characteristics, destruction can be achieved by using an electrode, laser or device for mechanical destruction of the stones. The procedure is almost painless and doesn't require preliminary anaesthesia. Laser lithotripsy: Destruction of the stones with a laser is a universal method that allows to remove even the biggest concrements located in kidney as well as in ureter. Holmium laser is used during this procedure. It is created on the basis of holmium (rare-earth metal). In most cases, it is possible to perform the treatment procedure without hospitalization and further observation in outpatient conditions.
Another treatment method that is widely used in Germany is pyelolithotomy (laparoscopic operation). It is less traumatic and does not require a long-term period of rehabilitation. Kidney surgery is performed in the retroperitoneal space (on kidney or ureter) after small punctures are made in the abdominal cavity area. Kidney stones are removed using endoscope with small surgical instruments.
Our treatment methods are meant to fully restore your physical efficiency. It will take only several hours after the operation when you will be able to get back to your normal life.