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"CALCULI OBSTRUCTIVE UROPATHY, A UROLOGICAL CHALLENGE"

Introduction

The cases of Obstructive Uropathy vary from childhood to adulthood to geriatric age group, but calculus disease remains one of the commonest causes in all.

One centre being a kidney stone centre caters to various stone diseases. Selection of the modality of treatment depends upon the severity, size and degree of obstruction. But Percutaneous nephrostomy remains the first line of treatment in almost all cases.  

Material and Methods

With the advent of ESWL the treatment of genitourinary stones is revolutionized. Most of these stones are now totally and safely treatable avoiding major surgical options. We have presented our work form Varanasi which caters to the whole of Eastern UP, neighbouring Bihar and MP.

Material & Method         

120 cases of different varieties of kidney and ureteric stones have been treated by ESWL and analyzed. Treatment by PCNL, URS and open surgery are not included.

Introduction

Effects of ESWL on kidney/ureter and the surrounding tissues had been observed in 10 cases of failed ESWL on an indigenous lithotripter.

Materials and Methods

Between February '96 and August '97; a total of 550 cases underwent ESWL at this centre on an indigenously built lithotripter Vulcan VL-10. Six cases of stag horn renal calculi and 4 cases of ureteric stones had to be later explored for non-fragmentation and complications. Each of these patients had received a minimum of 6000 shock-waves (electro-hydraulic) in two sittings at 19-21KV settings.

This book contains some Academic Credentials for Lithotripters. Suggestions, recommendations', Abstracts have been submitted at the Urological societies, congresses or at CME's. There have been satisfied users of our Lithotripters and some of them have floated papers and written down recommendations for others to know. We have uploaded this material to this site. So please browse through the content and see if it interests you.

TMC Europa Ltd. have been selling and maintaining ESWL machines for more then 22 years, over a million treatments have been carried out on our systems till date. Our machines are working and treating patients all over the world with very high efficiency and efficacy some of the machines are 22 years old and are still in service.

Accounting approximately for 15 to 20 percent of all urinary calculi, infection stones occur most frequently in women (the ratio of effected females to male is 2:1). Infection stones occur with increased frequency with patients with external urinary diversions or in-dwelling urinary catheters that have been used in a long term basis. Although all infection stones are associated with infection of the urinary tract with urea-splitting organisms, approximately one-half of them originate from an underlying, readily identifiable anatomic or metabolic defect.

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TMC Europa Ltd. is a manufacturer specializing in Therapeutic medical equipments, "Extracorporeal Shockwave Lithotripters"(ESWL) with a brand name of ™, "External Counter Pulsation"(ECP) for treatment of Cardiac diseases with a brand name of IECP, "Hematological Ionization Unit" and many more. Our aim is to provide the most advanced therapeutic modalities available worldwide through by development of innovative and state-of-the-art Medical Equipments.

Most of the information you could find on this site is relative to ESWL. In case you need information on ECP please click here...There are a few downloads below that you could download on to your computer. How ever these are not all the downloads that are offered at this time. In case you need more information please click here that could take you to a different loaction. 

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