A Randomised Prospective Analysis of Effectivness of ESWL vs PCNL in Renal Stone Size 1-2 cm and Review of Literature

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dc.contributor.authorSingh, Rana Pratapen_US
dc.contributor.authorJamal, Arshaden_US
dc.date.accessioned2020-09-24T07:12:29Z
dc.date.available2020-09-24T07:12:29Z
dc.date.issued2020-03
dc.description.abstractIntroduction: Majority of renal stones diagnosed todayare below 2 cm. The preferred treatment of <1cm stone isextracorporeal shockwave lithotripsy (ESWL) while standardof care for renal stone >2 cm is percutaneous nephrolithotomy (PCNL). The procedure of choice for 1-2 cm renalstones is still a subject of debate. This study was undertakento formulate a better understanding of management of renalstones of size 1-2cm in this patient populationMaterial and methods: A prospective study was carried outto evaluate clearance of ESWL vs PCNL in patients with renalstones of size 1-2 cm. Complete follow up data were availablefor 281 patients 140 in PCNL and 141 in ESWL group, 12patients were lost to follow up.Results: Both the groups were well matched with regards toage and sex distribution. 141 patients underwent ESWL and103/141(73%) patients had stone clearance in 1-3 months. 140patients underwent PCNL out of which 133 (95%) patientshad stone clearance. Complications were mostly minor andfound in 9.7% in patients undergoing ESWL while same wereseen in 30% of those undergoing PCNL.Conclusion: The primary objective in stone management istotal stone clearance. Considering this as priority PCNL hasproved superior to ESWL in our study for renal stones 1-2 cmin size. It has also got lower auxiliary and retreatment rates buthas its own share of complications and longer hospital stay areother important factors in PCNL.en_US
dc.identifier.affiliationsAssistant Professor, Department of Urology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhanden_US
dc.identifier.affiliationsAssociate Professor & HOD, Department of Urology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, Indiaen_US
dc.identifier.citationSingh Rana Pratap, Jamal Arshad. A Randomised Prospective Analysis of Effectivness of ESWL vs PCNL in Renal Stone Size 1-2 cm and Review of Literature. International Journal of Contemporary Medical Research . 2020 Mar; 7(3): c1-c6en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202865
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber3en_US
dc.relation.volume7en_US
dc.source.uri​https://dx.doi.org/10.21276/ijcmr.2020.7.3.12en_US
dc.subjectESWLen_US
dc.subjectPCNLen_US
dc.subjectRenal Stoneen_US
dc.titleA Randomised Prospective Analysis of Effectivness of ESWL vs PCNL in Renal Stone Size 1-2 cm and Review of Literatureen_US
dc.typeJournal Articleen_US
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