Distal lithotripsy (DLT)

Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive method for breaking up stones in the kidneys, ureters, and urinary bladder using shock waves. The procedure allows stones to be fragmented without surgical intervention, making it one of the safest and most effective treatments for urolithiasis.

When is extracorporeal lithotripsy required?

• In the presence of kidney or ureteral stones up to 2 cm in size.
• If stones cause pain but do not obstruct urine outflow.
• When conservative treatment has been ineffective.
• If invasive surgical methods are contraindicated for the patient.
• When it is important to minimize procedural trauma.

How is the procedure performed?

1. Diagnostics – ultrasound, X-ray, or CT is performed to determine the size and location of the stone.
2. Patient preparation – antispasmodic and analgesic medications may be prescribed if necessary.
3. Shock wave application – the device generates shock waves that pass through the skin and fragment the stone.
4. Elimination of fragments – the crushed stone particles are excreted naturally with urine.
5. Follow-up examination – the physician evaluates the effectiveness of the procedure and provides recommendations to prevent stone recurrence.

Main advantages of extracorporeal lithotripsy in Belarus

• Non-surgical method with no incisions or prolonged recovery.
• Rapid stone fragmentation without hospitalization.
• Minimal risk of complications.
• High effectiveness for small and medium-sized stones.
• Possibility of repeat treatment if required.

The procedure is performed in leading urology clinics in Belarus using modern lithotripters. High-precision diagnostics, minimal invasiveness, and professional medical supervision ensure safe and effective treatment of urolithiasis.