Abstract
Background:Renalstonediseaseisaverycommonmedicalproblemingeneralpopulation.Aswithinventofnewertherapeuticmodalities,ESWLisalreadylosingitspopularity.Butwebelieveitasaneffectivewayoftreatingrenal stones. ThisstudywasconductedtoevaluateanyimprovementinsuccessrateofESWLtherapyfortreatingrenalstoneswithlatestshockwavelithotripsymachines.Methods:StudyconductedfromJune2016untilNovember2017inAlkhorhospital,HamadMedicalCorporation,Qatar.All patients undergoing ESWL for renal stones in mentioned period were included.Total197patientsunderwentESWLusingnewermachines.Factorsalreadystudiedtoaffectthesuccessratelikestonesize,location,consistency(measuredbyHounsfieldunitsonCT),presenceofstentweretakeninconsideration.Afteraperiodof3monthseithercompletestoneclearanceorstonefragmentssmallerthan4mmwereconsideredasatreatmentsuccess.Theseresultswerecomparedtotheresultsfromliterature.Results:Patientswerefolloweduntil3 monthsaftertreatment.170patients(86.29%)hadcompletestoneclearance.Eleven patients(5.58%)hadresidualstonelessthan4 mm,thusachievinganoverallsuccessof181patients(91.88%).42patients(21.32%)neededrepeatsessionofESWLwithamaximumnumberof3sessions.16patient’s(8.12%)requiredauxiliaryprocedureslikeflexibleureteroscopy.Post-ESWLcomplicationswererecordedin12 patients(6.09%).Successratewasaffectedmainlybystonesizewithnegligibleeffectofstonelocation.Presenceofstentaffectedthe numberofsessionsbuthasnoimpactonstoneclearance.Conclusion:Althoughthestonesizeandtoanegligibleextent,thestonelocationandpresenceofstentmayaffectthestoneclearance,neverthelessasignificantimprovementinsuccessratehasbeenobservedbyuseofnewshockwavelithotripsymachines.
Dr Nadeem Sohail, , Amjad Albodour, Khalid Mohammed Abdelrahman. (2019) IS THERE ANY IMPROVEMENT IN EFFICACY OF EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY THERAPY FOR TREATING RENAL STONES WITH INVENT OF NEW SHOCKWAVE MACHINES?, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 31, Issue 3.
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