Outcomes of extra corporeal shock wave lithotripsy in renal and ureteral calculi.
نویسندگان
چکیده
BACKGROUND Since the introduction in early 1980s, Extracorporeal Shockwave Lithotripsy (ESWL) became the accepted first line treatment modality for renal and upper ureteric stones. It is simple, safe and effective noninvasive procedure which can be performed without anaesthesia in outpatient basis. The objective of this study was to determine the efficacy of ESWL to achieve complete stone clearance in the patients with different sizes of renal and upper ureteric stones. OBJECTIVE The aim of this study was to assess the outcome, efficacy and complications of ESWL in the treatment for renal and ureteric stones in terms of the site and the size of the stone in the patients presented at Dhulikhel Hospital Kathmandu University Hospital. METHOD In this prospective study a total of 430 (214 renal and 216 ureteric) cases of urinary stone disease in 257 male and 173 female patients treated by ESWL at Dhulikhel Hospital, Kathmandu University Teaching Hospital during time period of May 2010 to June 2012 were included. Data of patients with renal and ureteric stones were evaluated for stone site, size, and number of sessions. Data were analyzed using spss 13.0. RESULT Out of 430 cases, the overall stone free rate in after 1st session was 341 (79.3%) at one month and in three months follow up (3 sessions) it was increased up to 414 (96.3%). In 16 (3.7%) patients treatment was failed. Average size of the stone was 12.24 (SD± 3.65) mm. Stone free rate was 154 (72%) in the case of renal and 187 (86.6%) in the case of ureteric stones in first session. In three months follow up (three sessions) it was 204 (95.4%) and 210 (97.2%) respectively for renal and ureteric stones. In relation to size the stone free rate in <10 mm, 10-15 mm and > 15 mm was 97%, 97% and 90%. CONCLUSION ESWL is the first line preferred choice for renal and upper ureteric stones which provides the maximum stone free rate in the case of stone size smaller than 1.5 cm.
منابع مشابه
Extra-corporeal shock wave lithotripsy.
Extra-corporeal shock wave lithotripsy (ESWL) has proved to be a revolutionary advance in the treatment of renal stone disease. It, itself, is non-invasive but may necessitate or be used as an adjunct to more invasive auxiliary procedures. The basic principles of lithotripsy, the clinical experience thus far and probable future applications are discussed.
متن کاملIs excretory urogram mandatory in patients with up to 20 mm renal and ureteric stones treated by extra corporeal shock wave lithotripsy?
متن کامل
بررسی تغییرات ایجاد شده در آنزیم های کبدی پس از درمان سنگ های کلیوی به وسیله سنگ شکنی خارج اندامی با امواج ضربه ای (گزارش کوتاه)
Background and purpose: Extracorporeal shock wave lithotripsy changed the treatment of renal stones. Beacause the widespread usage of ESWL (extra Corporeal shock wave lithotripsy) in the treatment of the Urinary tract stones, the effects of these waves on the surrounding tissues are not compeletly understood and it is the origin of so many studies. Materials and methods: In this prospectiv...
متن کاملTreatment of large proximal ureteral stones: extra corporeal shock wave lithotripsy versus semi-rigid ureteroscope with lithoclast
PURPOSE Assessment of safety and efficacy of extracorporeal shockwave lithotripsy versus semi-rigid ureteroscope with lithoclast for treatment of large proximal ureteral stones. MATERIALS AND METHODS The study included 147 patients with large upper ureteral stones. SWL and ureteroscopy were performed in 71 and 76 patients respectively. Patients in the SWL group were treated with Siemens: - Mo...
متن کاملEfficacy of Extracorporeal Shock Wave Lithotripsy (ESWL) versus Pneumatic Ureteroscopic Lithotripsy (URSL) for Lower Ureteral Stones Therapy in Asia: A Meta-Analysis
Objective: To assess the efficacy and safety of extracorporeal shock wave lithotripsy or pneumatic ureteroscopic lithotripsy for lower ureteral stones therapy, we sought to identify and summarize randomized controlled trials that were used to treat distal ureteral stone. Methods: Eligible studies were identified from electronic databases. Database search, quality assessment, and data extraction...
متن کاملProspective randomized trial comparing shock wave lithotripsy and ureteroscopy for management of distal ureteral calculi
Study population The study population comprised adult patients with a solitary, radiopaque distal ureteral calculus below the bony pelvis, 15mm or less in diameter. Exclusion criteria were multiple ureteral calculi, solitary kidney, renal insufficiency, ipsilateral ureteral stricture, plan for simultaneous treatment of ipsilateral renal or contra lateral renal or ureteral calculi, active urinar...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Kathmandu University medical journal
دوره 12 45 شماره
صفحات -
تاریخ انتشار 2014