Extracorporeal Shock-Wave Lithotripsy in Renal and Ureteric Calculi: Role in Resource Poor Developing Countries in Modern Era

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dc.contributor.authorIqbal, Muzzainen_US
dc.contributor.authorWani, Mohammad Saleemen_US
dc.contributor.authorHamid, Arifen_US
dc.contributor.authorKhawaja, Abdul Roufen_US
dc.contributor.authorMalik, Sajad Ahmaden_US
dc.date.accessioned2020-09-24T07:12:04Z
dc.date.available2020-09-24T07:12:04Z
dc.date.issued2020-02
dc.description.abstractIntroduction: Extracorporeal shock-wave lithotripsy (ESWL)is an established non-invasive treatment modality for renaland ureteric stones. However, treatment outcome and efficacydepends on multiple factors like stone size, location and typeof machine used. We aimed to assess efficacy of ESWL asa primary treatment modality in renal and ureteric stones ina busy hospital setting having significant renal stone diseaseburden.Material and methods:1187 patients who underwent ESWLbetween January 2015 to December 2016 in our departmentwere included in the study. Patients with nephrolithiasis andureterolithiasis having functional kidney, without any absolutecontraindication to ESWL were included. Dornier Med TechCompact Delta 2 machines were used for all the patients.Stone localization was done using both fluoroscopic andultrasound- guided methods by same expert.Results: Out of 1187 patients,887 patients had solitary renalstones,170 had solitary ureteral calculus and 130 patients hadmultiple renal calculi. Stone size ranged from 8mm–20mm.Renal pelvic stones, upper calycial stones and proximalureteric stones had stone free rate of 84%,86% and 82.5%respectively. 89% and 84% of patients were stone free whensize of stone was between 8-12mm, it decreased to 77% and73% when size increased between 13-16mm for kidney andureteric stones respectively.Conclusions: ESWL is an effective primary treatmentmodality for appropriately selected patients with stone sizeless than 2 cm in favorable location with a normal functioningkidney. Use of both fluoroscopic and ultrasound imagingimproves localization of stones thus improving success. Itis an important modality in hands of urologist treating hugevolume of urolithiasis patients in busy hospitals with longwaiting list and with limited resources.en_US
dc.identifier.affiliationsSenior Resident, Department of Urology, Sher-e-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmiren_US
dc.identifier.affiliationsAssociate Professor, Department of Urology, Sher-e-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmiren_US
dc.identifier.affiliationsProfessor and HOD, Department of Urology, Sher-e-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmiren_US
dc.identifier.affiliationsProfessor, Department of Urology, Sher-e-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmiren_US
dc.identifier.affiliationsAssistant Professor, Department of Urology, Sher-e-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, Indiaen_US
dc.identifier.citationIqbal Muzzain, Wani Mohammad Saleem, Hamid Arif, Khawaja Abdul Rouf, Malik Sajad Ahmad. Extracorporeal Shock-Wave Lithotripsy in Renal and Ureteric Calculi: Role in Resource Poor Developing Countries in Modern Era . International Journal of Contemporary Medical Research . 2020 Feb; 7(2): b1-b4en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202842
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber2en_US
dc.relation.volume7en_US
dc.source.uri​https://dx.doi.org/10.21276/ijcmr.2020.7.2.45en_US
dc.subjectExtracorporeal Shock-Wave Lithotripsyen_US
dc.subjectRenal and Ureteric Calculien_US
dc.subjectResource Poor Developing Countriesen_US
dc.titleExtracorporeal Shock-Wave Lithotripsy in Renal and Ureteric Calculi: Role in Resource Poor Developing Countries in Modern Eraen_US
dc.typeJournal Articleen_US
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