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Referral Guidance for Extracorpeal Shockwave Lithotripsy (ESWL) at Derriford Hospital
Our on-site lithotripter was installed in 2020 and is the Storz SLX-F2 model.
We provide emergency lithotripsy for patients with renal stones (5mm - 15mm) or ureteric stones (5mm – 10mm). We also offer elective lithotripsy for renal stones (4mm – 15mm) and ureteric stones (4mm – 10mm).
Contraindications for lithotripsy:
- Acute UTI or urosepsis
- Poorly controlled hypertension
- Abdominal aortic aneurysm
- Renal insufficiency
- Uncorrected bleeding disorders
- Pregnancy
- Obstruction distal to calculus
- Renal ectopy or malformations
- Complex intra-renal drainage
- Gastrointestinal disorders
If you believe you have a patient who is suitable for lithotripsy, please fill in the referral form on the next page and email it to plh-tr.uhplithotripsy@nhs.net along with a CTKUB (and x-ray if stone not visible on scout). A urinalysis should be obtained and a sample sent if necessary. If a UTI is evident please ensure patient has course of antibiotics prior to referral and listing for ESWL.
If you wish to discuss the referral further then please contact our Endo-Urology Nurse Specialist – 01752 431534 (Monday-Friday 08:00-16:00)
Please find and give all patients the directions to our lithotripter under ‘Advice Sheets’.