Comparison of Shockwave Lithotripsy and Microperc for Treatment of Kidney Stones in Children

Objective: To evaluate the stone free rates of kidney and ureter stone patients managed by Extracorporeal Shockwave Lithotripsy (ESWL), and the ureter stone free rate managed by ureterolithotripsy. Material & method: We reviewed the medical records of kidney and ureter stone patients managed by ESWL and ureter stone patients managed by ureterolithotripsy in Arifin Achmad Regional General Hospital Pekanbaru Riau Province, Indonesia, from January 2010 - December 2016. ESWL and ureterolithotripsy stone free rates were examined by the control of KUB röngents. Results: There were 891 kidney and ureter stone patients consisting of 325 (36.5%) were kidney stone patients and 566 (63.5%) were ureter stone patients. The pyelum stones were the most (78.2%) in kidney stones and the lower ureter stones were the most (57.2%) in ureter stones. There were more male patients than the female ones in which most of the patients were in the group age of 49-59 years. The amount of patients increased each year. The kidney stone free rate managed by ESWL was lower (71.7%) than ureter stone free rate (84.1%) by ESWL, while the stone free rate of ureter stone patients managed by ureterolithotripsy was 100%. Conclusion: The ESWL stone free rate of the kidney stone patients was lower than the one in ureter stone patients while the ureterolithotripsy stone free rate was 100%.

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Re: The Impact of Dust and Confinement on Fragmentation of Kidney Stones by Shockwave Lithotripsy in Tissue Phantoms

The Journal of Urology ◽

10.1097/01.ju.0000554110.01873.5d ◽

2019 ◽

Vol 201 (5) ◽

pp. 854-854

Author(s):

Dean G. Assimos

Keyword(s):

Kidney Stones ◽

Shockwave Lithotripsy ◽

Tissue Phantoms ◽

The Impact

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PUrE: percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones

http://isrctn.com/ ◽

10.1186/isrctn98970319 ◽

2015 ◽

Author(s):

Samuel McClinton

Keyword(s):

Percutaneous Nephrolithotomy ◽

Kidney Stones ◽

Extracorporeal Shockwave Lithotripsy ◽

Shockwave Lithotripsy ◽

Lower Pole ◽

Flexible Ureterorenoscopy ◽

Extracorporeal Shockwave

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Management of Pediatric Urolithiasis

10.2310/uro.11003 ◽

2019 ◽

Author(s):

Brian J. Young ◽

Rohit Tejwani ◽

Michael E. Lipkin ◽

Jonathan C. Routh

Keyword(s):

Urinary Tract ◽

Kidney Stones ◽

Disease Process ◽

Renal Calculi ◽

Shockwave Lithotripsy ◽

Operative Techniques ◽

Economic Implications ◽

Broad Term ◽

Clinical Presentations ◽

Work Up

Urolithiasis, the formation or presence of calculi in the urinary tract, is a broad term covering a multifaceted disease process with wide-ranging clinical and economic implications. Stones, often originating in the renal papillae, may be found from the renal parenchyma through the renal pelvis, ureter, or bladder. Stones can be composed of a multitude of molecules either in pure form or mixtures of several compounds. Historically considered a disease of adults, the prevalence of stones has increased among children. This review highlights pathophysiology of urolithiasis, common clinical presentations, work-up, and surgical and medical management of this increasingly common pediatric condition. The authors review the chemical pathways by which stones form, common stone types, common operative techniques, and epidemiology. This review contains 4 tables, and 59 references. Key Words: extracorporeal shockwave lithotripsy, kidney stones, lithotripsy, nephrolithiasis, percutaneous nephrolithotomy, pediatrics, renal calculi, ureteroscopy, urolithiasis

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Differences in Resistive Index Value Based on Interlobar Arterial Distance from Stone Between Pre and Post Extracorporeal Shockwave Lithotripsy

Journal of Computational and Theoretical Nanoscience ◽

10.1166/jctn.2020.9141 ◽

2020 ◽

Vol 17 (7) ◽

pp. 3092-3096

Author(s):

Anita Widyoningroem ◽

Mohammad Yamin Sunaryo Suwandi ◽

Tri Wulanhandarini ◽

Windhu Purnomo

Keyword(s):

Kidney Stones ◽

Resistive Index ◽

Upper Urinary Tract ◽

Extracorporeal Shockwave Lithotripsy ◽

Shockwave Lithotripsy ◽

Extracorporeal Shockwave ◽

First Line Therapy ◽

Significant Difference ◽

The Difference ◽

Index Value

Extracorporeal shockwave lithotripsy (ESWL) is a commonly used procedure for kidney stones and ureters because it is a non-invasive, effective, and first-line therapy of the upper urinary tract. The presence of side effects is still being evaluated in order to reduce the incidence of both acute and chronic. One of the methods used is the measurement of Resistive Index (RI) in the area of ESWL. To provide a description of the difference in the value of RI in the interlobar artery that is near and distant from the stones at before and after ESWL. There were 15 samples with clinical kidney stones to be performed with ESWL at IIU and fulfilled inclusion criteria from June to September 2012. Paired sample t-test was conducted to assess the difference of RI value based on the distance of interlobar artery from stones between pre and post ESWL. Sex of the samples in this study consisted of 66.7% male and 33.3% female with mean age of 45.9±8.4 years (between 32-59 years old) and the highest percentage was 40% in the age range of 40-49 years old. There was a significant difference between the RI value of the area near the stones at pre-ESWL and an hour post-ESWL. While there was no significant difference between the RI value of the area that was away from the stones at pre and post ESWL. There was a significant difference between RI values based on the distance of interlobaris artery from stones at pre and post ESWL.

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