Extracorporeal Shock Wave Lithotripsy and Ureterorenoscopy Procedures of Ureteric Stone Disease in Patients with a Solitary Kidney in Aden

Author(s):  
Ali Ahmed Salem Hatroom
2014 ◽  
Vol 43 (2) ◽  
pp. 72-78
Author(s):  
Mohammed Mizanur Rahman ◽  
Isteaq Ahmed Shamim ◽  
Uttom Kormokar ◽  
Shafiqul Alam Chowdhury ◽  
Sudip Das Gupta

Urinary stone disease is a major problem due to its high prevalence and incidence and recurrence. The present study aimed to determine the outcome of in situ Extracorporeal Shock-Wave Lithotripsy (ESWL) for mid-ureteric stone in terms of stone clearance, per operative and post operative complications involving 30 patients with mid ureteric stone with less than 10 mm in diameter in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka between September 2011 and August 2012. Seventeen (56.7%) patients had stone in the right ureter and 13(43.3%) had stone in the left ureter. Mean of stone size was 8.07 mm with a range of 6-10 mm. Most of the patients (96.7%) had post procedure pain, 15(50.0%) had haematuria and 9(30.0%) had fever. Final outcome of treatment showed that complete stone clearance was seen in 83.3% patients after one month. Mid ureteric stone clearance with ESWL was more than eighty percent with a very low rate of complications. ESWL may be recommended as safe and first line therapy for mid ureteric stones. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21386 Bangladesh Med J. 2014 May; 43 (2): 72-78


2015 ◽  
Vol 22 (2) ◽  
pp. 136-143
Author(s):  
Mohammad Mizanur Rahman ◽  
Md Shafiqul Alam Chowdhury ◽  
Uttam Karmakar ◽  
Ujjal Borua ◽  
Lutfa Begum Lipi ◽  
...  

Background: In the last 20 years, the management of ureteric stones has changed dramatically from an open operative procedure to endoscopic,minimally invasive and non invasive methods. Urinary stone disease is a major problem due to its high prevalence and incidence and recurrence. The present study aimed to determine the outcome of in situ Extracorporeal Shock-Wave Lithotripsy (ESWL) in mid-ureteric stone in terms of stone clearance, per operative and post operative complications. Methods: This prospective study was conducted in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, between September 2011 and August 2012. Total 30 patients with mid ureteric stone sized less than 10 mm were selected purposively. They were evaluated preoperatively by history, physical examination and relevant investigations. ESWL monotherapy with Siemens Lithoscope (3rd generation) lithotripter was used to treat mid ureteric stone. Statistical analysis was done by using SPSS version 13,0. Results: Mean age of the patients was 36.73±8.03 years with a range of 20–51 years. Among the patients 18 (60.0%) were male and 12 (40.0%) were female. Seventeen (56.7%) patients had stone in the right ureter and 13(43.3%) had stone in the left ureter. Mean stone size was 8.07±1.32 mm with a range of 6.00–10.00 mm. Most of the patients (96.7%) had post procedure pain, 15 (50.0%) had haematuria and 9 (30.0%) had fever. Final outcome of treatment showed that complete stone clearance was 83.3% after one month. Conclusion: Mid ureteric stone clearance with ESWL is more than eighty percent in with a very low rate of complications. So ESWL may be recommended as safe and first line therapy for mid ureteric stones. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21523 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 136-143


2020 ◽  
Vol 11 (2) ◽  
pp. 21-24
Author(s):  
Dr. Mudassar Saeed Pansota

BACKGROUND & OBJECTIVE: There is disagreement in the use of ureteral double-J stent before the extracorporeal shock wave lithotripsy (ESWL), although most of the urologists suggest using stent in shock wave lithotripsy technique for stones bigger than 20mm, for preventing the risk of developing steinstrasse. To compare the success of ESWL with and without DJ stenting in proximal ureteric stone. METHODOLOGY: A total of 60 patients form both genders, between 15 to 55 years of age, with a single proximal ureteric stone, were included. Patients with solitary functioning kidney, multiple stones, pregnancy, pyonephrosis and sepsis were excluded. In Group-A, ESWL without DJ stenting was completed while in Group-B, ESWL with DJ stent placement was done. In all patients, at least 4 sessions were done fortnightly. Patients were followed regularly and final success was noted after one month of completion of ESWL sessions. RESULTS: The mean age was 36.85 ± 8.61 years. From 60 patients, 29 (48.33%) were men and 231 (51.67%) were women.Mean body mass index (BMI) was 28.30±2.20 kg/m . The average size of the stone was 12.47 ± 2.57 mm. Success (according to stone removal) of Group-A (ESWL without DJS) was seen in 26 (86.67%) patients while in Group-B (ESWL with DJS) was seen in 16 (53.33%) patients with P-value of 0.005. CONCLUSION: This study concluded that success (in terms of stone clearance) of extracorporeal shock wave lithotripsy (ESWL) without DJ stenting is higher compared to with DJ stenting in upper ureteric stone.


1991 ◽  
Vol 82 (9) ◽  
pp. 1466-1472
Author(s):  
Tokumi Ishii ◽  
Masaaki Imanishi ◽  
Kenjiro Kohri ◽  
Takashi Kurita ◽  
Nobuo Nagai

1992 ◽  
Vol 59 (3) ◽  
pp. 7-8
Author(s):  
F. Pisetta

The author reports some general considerations about urinary stone disease and about therapeutical approaches, and the results of 18 months experience in the Urology Department of Bolzano Hospital in the treatment of urinary stone disease, particularly through ESWL.


2021 ◽  
Vol 8 (6) ◽  
pp. 1820
Author(s):  
Suhail M. Khan ◽  
Azhar A. Khan ◽  
Anzeen N. Kanth ◽  
Aymen M. Khan ◽  
Irtifa N. Kanth

Background: The aim of this study is to review 10 years of extracorporeal shock wave lithotripsy (ESWL) experience in paediatric urolithiasis patients.Methods: Data from a cohort of paediatric urolithiasis patients who underwent shock wave lithotripsy between 2012 and 2019 at department of urology, Indraprastha Apollo, New Delhi were used in a single-centre, retrospective comparative study. During a seven-year period, 250 paediatric patients (Male/female: 134/116, mean age: 10.22 years, range: 1-18) had 284 shock wave sessions in our hospital, with 208 having primary and 42 having recurrent urolithiasis. A total of 328 stones were discovered, with 192 (58.5%) in boys and 136 (41.5%) in girls. For ample stone fragmentation, one session of 200 to 3000 shockwave impulses was required, though some patients required more than 8000 impulses over 4 sessions. However, in most patients, low-energy shockwaves with a frequency of 1-2 were used to fragment the stones.Results: Younger age was associated with quicker stone clearance in our study, which was likely due to shorter urinary tracts and a smaller "barrier" between the device and the stone. Furthermore, children who had renal colic prior to lithotripsy had a considerably lower chance of removing stones within two days than those who did not. This can be explained by the colic's underlying mechanism, which evolves against the backdrop of ureteric wall spasm. Mild macrohematuria and "steinstrasse" were identified in almost all patients during the first post-lithotripsy days, as predicted during the post-op course. There were no major obstructive, infectious, or other severe complications.Conclusions: Extracorporeal shock wave lithotripsy proved to be a safe and highly effective minimally invasive treatment of children with kidney stone disease.


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