Urolithiasis Treatment in Expert Clinic

Urolithiasis care at Expert Clinic (Expert Hospital Uzhhorod) in Uzhhorod, Ukraine, includes stone testing and several treatment methods. Laser lithotripsy may cost around $800, while ureteral stenting may cost around $400. Dr. Mykhailo Yershov has over 25 years of experience in urology and ultrasound diagnostics.

Urolithiasis tests and 1-hour lab results

The clinic has its own laboratory, with test results available within 1 hour. Diagnostic options include:

• Urologist consultation, cystoscopy, and kidney ultrasound.
• A survey X-ray of the urinary tract and diagnostic urethral bougienage, which can locate a stone.
• Pre-procedure tests: complete blood count with platelets, urinalysis, urine culture, biochemistry, coagulogram, Rh factor, and hepatitis testing.
• Chest X-ray and ECG for patients over 40.

Stone treatment with Modulith SLK

Available procedures range from non-invasive shock waves to endoscopic and surgical stone removal:

• Extracorporeal shock wave lithotripsy (ESWL): The Modulith SLK intellect focuses shock waves on stones under X-ray or ultrasound guidance. The system uses a ZIEHM IMAGING X-ray unit and a Hitachi high-sensitivity ultrasound probe. ESWL can treat kidney stones and stones in any part of the ureter. It is best suited to stones under 1.5–2 cm. Light sedation or IV anesthesia may be used; analgesics alone are available on request. The procedure usually takes under 1 hour, and same-day discharge may be possible. Hard calcium oxalate monohydrate stones may need repeat sessions. Ultrasound and urinary tract X-rays check the stone fragments during and after treatment.
• Laser lithotripsy: An endoscopic procedure that breaks stones with laser energy. It offers a single-session stone-clearance option.
• Ureteral stenting: A minimally invasive procedure that restores urine flow from the kidney or ureter when a stone or fragments cause a blockage.
• Kidney stone removal (pyelolithotomy): Laparoscopic or open surgery removes kidney stones when non-invasive fragmentation is unsuitable.

The clinic has a 30-bed inpatient unit with 24/7 doctor and nurse monitoring, plus its own intensive care unit. Online follow-up is available for 3–6 months after discharge. Patients can request a consultation through Bookimed.