Extracorporeal shock wave lithotripsy.
OBJECTIVE
To determine the outcome of patients undergoing extracorporeal shock wave lithotripsy (ESWL) for treatment of upper urinary tract calculi (renal and ureteric), and to note role of double-J (DJ) stents in these patients.


METHODS
A cross-sectional analytical study.


METHODS
Department of Urology, Rawalpindi General Hospital, Rawalpindi, from February 1999 to July 2001.


METHODS
Record of patients who underwent ESWL for renal and ureteric stones was retrieved and analyzed using statistical program, SPSS version-10 and Epi-Info 2000. In some patients pre-ESWL DJ stents were placed because of various reasons like solitary kidney, large stone volume etc. Patients were divided in two groups, Group I, in whom DJ stents were not placed, and Group II, in whom DJ stents were placed. ESWL was performed in each subject in standard way employing piezoelectric lithotripter E.D.A.P. LT 02X. Patients were evaluated for stone clearance fortnightly with X-ray or ultrasound.


RESULTS
Four hundred and thirty-two patients, 68.8% male and 31.2% female, underwent ESWL. Mean age of patients was 37.7 +/- 13.1 years. Majority of patients (78.47%, n = 339) had renal, while rest had ureteric stones. Group I and II included 408 (94.4%) and 24 (5.6%) patients respectively. Renal stones were present in 78% (n=318) of Group I and 87.5% [n = 21] of Group II patients. Mean size of stones in Group I and II patients was 10.91 +/- 4.6, and 10.4 +/- 4.7mm. Stone clearance was 96.3% and 100% in Group I and Group II patients respectively. Significantly more ESWL sessions were required for stone clearance in Group II (p-value 0.03); in addition Group II patients had significantly more complications (p-value 0.01).


CONCLUSIONS
ESWL is an effective procedure. Pre-ESWL stenting is associated with increased numbers of ESWL sessions and more complications.
Butt
Amar-ul-Ala
AU
Department of Urology, Rawalpindi General Hospital/Rawalpindi Medical College, Rawalpindi.
Khurram
Muhammad
M
Ahmed
Ashfaq
A
Hasan
Zubair
Z
Rehman
Ahmed
A
Farooqi
M A
MA
D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D019233:Retreatment; D015607:Stents; D014514:Ureteral Calculi / Q000628:therapy*; D055815:Young Adult