In the Lithotripsy Room (ESWL), the procedures of fragmentation of kidney stones with an extracorporeal shock wave are performed. For this purpose, we use a Lithostar-Modularis machine.
REFERRAL FOR ESWL PROCEDURE MUST BE ISSUED BY A UROLOGY SPECIALIST
8 a.m. to 2 p.m.
telephone: +48 (32) 602 70 18
BUILDING A - GROUND FLOOR
Indications for an ESWL procedure:
ESWL - Extracorporeal Shock Wave Lithotripsy.
Lithotripsy is the least-invasive method of nephrolithiasis treatment, often preventing the need to perform surgical treatment. Currently, it is the most frequent method of treatment of urinary lithiasis.
The procedure is performed when the patient is lying down, in a position enabling the maximum effect of the shock wave. Subsequently, the concrement to be fragmented is localised with the use of X-ray and ultrasound. Contemporary lithotripters automatically adjust the strength of the shock wave necessary to crush the concrement. The number of shock wave impulses necessary for the concrement to disintegrate depends on the size, hardness and location of the stone. If the ESWL is effective, the concrement is disintegrated - fragmented and then removed by the patient with the urine. Excretion of the fragments may last from several hours to about a dozen weeks.
The procedure is performed by a urologist with the assistance of an experienced nurse. The duration of each procedure is adjusted individually to the size of the stone and its location. All ESWL procedures are performed on fully conscious patients, there is no need for general or conduction anaesthesia. After the procedure, the patient leaves the hospital with recommendations.
After lithotripsy, it is recommended to do exercises facilitating the excretion of the concrement fragments. Recommendations include climbing stairs, jumping and riding a bicycle. Depending on the location of the stone, the urologist may recommend lying on the left/right side, deep forward bends or lying with a raised pelvis.
After ESWL, the patient should be monitored by the urologist in order to assess the degree of concrement disintegration and chances of excreting the fragments on one's own. Follow-up ultrasound and plain kidney and bladder X-rays are obligatory for every patient after ESWL.
On the day before the procedure you can eat and drink normally, but avoid carbonated drinks.
When arriving at an ESWL procedure, please bring:
In the Urodynamic Laboratory, we perform examinations assessing the activity of the lower urinary tract - bladder and urethra.
In our facility, the urodynamic examination is performed by a doctor assisted by an experienced nurse.
It is performed by Wojciech Pawłowski MD, PhD - a physician with great experience and extensive training in the field of urodynamic diagnosis. The examination is performed in a pleasant, stress-free atmosphere and employs a precise diagnostic tool which enables repeatable results and allows the optimal method of treatment for the patient to be chosen.
8 a.m. to 2 p.m.
telephone: +48 (32) 602 70 86
BUILDING A - LEVEL 0
Wojciech Pawłowski MD, PhD
mgr Ewa Marciniak
Indications for urodynamic examinations:
All symptoms related to lower urinary tract:
The examination includes the measurement of the amount of excreted urine, time of urination, pressure in the bladder and the rectum and sphincter activity.
The examination involves the assessment of the urine collection phase and consists in urination into a special device called uroflowmeter. The examination is non-invasive and totally painless. It is performed when the patient strongly needs to urinate.
Cystometry is an invasive part of the urodynamic examination as it requires the insertion of a catheter into the bladder. It is an examination assessing the relationship between the pressure and volume of the bladder while it is being filled. During the urodynamic examination, a thin catheter is inserted to the bladder in order to fill it with saline and register the pressures inside. The moment of catheter insertion is unpleasant and may cause some discomfort. Additionally, the pressure in the rectum is measured with another catheter inserted into it. The activity of sphincter muscles is determined thanks to surface electrodes. After the bladder is filled, the patient urinates through a special device (uroflowmeter) which measures the amount of urine and the speed of urination. During urination, the pressure in the bladder and abdominal cavity as well as sphincter activity are registered. After a comprehensive analysis of the examination results, the patient receives results with conclusions as to further therapy.
1. Directly before the URD examination, the patient must submit:
The doctor may recommend the usage of a glycerin suppository or an enema in the evening of the day preceding the examination day.
When arriving at the URD examination, please bring:
For patients with urinary incontinence or other pelvic dysfunctions, an appropriate solution to problems has been developed.
In the Urinary Incontinence Laboratory, patients will be able to benefit from physiotherapy and therapeutic program.
In ELECTROSTIMULATION TREATMENTS, SPECIAL VAGINAL OR RECTAL ELECTRODES ARE USED (INFORMATION PROVIDED BY PHYSIOTHERAPIST).
Thusday - 8a.m. yo last patient
tel. (32) 602 71 71
tel. +48 691 951 906
BUILDING A - 1st LEVEL
The X-ray Facility is divided into two parts:
X-RAY EXAMINATIONS ARE PERFORMED ONLY ON THE BASIS OF CORRECTLY COMPLETED REFERRALS
7.30 a.m. - 9 p.m.
telephone: +48 (32) 602 70 82
BUILDING A - LEVEL 0
In the diagnostic part, the patients are diagnosed before procedures and often the scans done there have a direct impact on the type of the performed procedure.
In the diagnostic part of the X-ray facility, we perform, among others, the following examinations:
In the procedure part, the patients undergo the procedures of fragmentation and removal of ureteral or kidney stones, kidney decompression in the case of urinary obstruction, laser treatment of uretero-pelvic junction stricture. Female patients at a reproductive age are admitted to the aforementioned procedure after prior exclusion of pregnancy in the form of blood pregnancy test.
Computed Tomography is an imaging technique using X radiation which can penetrate the human body. An X-ray lamp rotates around the patient and emits radiation, which enables the formation of a range of cross-sections. The computer system joins the cross-sections in one fully 3D image of the scanned organs.
Each structure of the body absorbs radiation in a different way and this feature makes it possible to obtain the image of organs, tissues and pathological lesions on the screen.
Thanks to absorption differences, a radiologist may also assess whether there are pathological changes in the examined organ.
Many CT scans involve the administration of a contrast agent which enables more precise imaging of the scanned area.
RADIOGRAPHIC EXAMINATIONS ARE PERFORMED ONLY ON THE BASIS OF CORRECTLY COMPLETED REFERRALS
7.30 a.m. to 9 p.m.
telephone: +48 (32) 602 70 82
BUILDING B - GROUND FLOOR
Method of imaging with the use of X radiation.
Diagnostic imaging enables the visualisation of such pathological lesions as:
The patient lies on the mobile table of the CT machine which enables a position change during the scan. The patient is in continuous contact with the medical staff for the duration of the procedure. The procedure may be uncomfortable because during the scan the patient must remain constantly in the same position. The patient should cooperate with the medical staff and follow their instructions.
During registration for a given date, you will be asked for the following information:
NAME AND SURNAME TELEPHONE NUMBER TYPE OF SCAN.
|HEAD CT||CT OF ANOTHER ANATOMICAL REGION||CT ANGIOGRAPHY|
|BRAIN CT||CT OF SOFT TISSUES OF THE NECK||CT ANGIOGRAPHY OF THORACIC AORTA|
|ORBITS CT||CHEST CT||CT ANGIOGRAPHY OF WHOLE AORTA|
|CT OF THE PARANASAL SINUSES||ABDOMINAL CT||CT ANGIOGRAPHY - CIRCLE OF WILLIS|
|CT OF THE VISCEROCRANIUM||SMALL PELVIS CT||CT ANGIOGRAPHY - ILIAC, FEMORAL AND POPLITEAL ARTERIES|
|ORBITS CT||LIMBS CT (BONES AND JOINTS)||CT ANGIOGRAPHY - CEPHALAD ARTERIES|
|SPINE CT||CT ANGIOGRAPHY - KIDNEYS AND RENAL ARTERIES|
Pregnant patients must inform the technicians and doctors performing the CT scan about the pregnancy. Breast-feeding patients should not breast feed for 24 hours after the scan.
In the Non-Public Healthcare Centre, E. Michałowski Specialist Hospital we use a Brilliance CT 16 computed tomography machine. It is a 16-slice machine which can make 16 layers per one rotation in order to obtain a high number of thin cross-sections. Its wide application makes it useful in all branches of medicine. It is also very useful in the diagnosis of the diseases of kidneys and the urinary tract.
Brilliance CT 16 tomograph is a fully functional and highly efficient CT machine, ideal for typical diagnostic scans and CT angiography, as well as advanced imaging of organs in motion, such as CT colonography or imaging of the lungs.
Its main features include: