Efficacy and Outcome of Extra Corporeal Shockwave Lithotripsy in the Treatment of Kidney and Upper Uretericstone: A Single Centre Experience

ABSTRACT

Introduction: Although shockwave lithotripsy is introduced3 decades ago still it is the first line surgical managementto meet huge burden of urinary stones worldwide, despiteavailability of other newer modalities of effective treatment.For developing countries like India, it is very helpful andpromising to meet demand of huge burden of patients withless number of urologist. Our aim was to study the efficacyand outcome of this procedure in our institute and how it isinfluencing the guidelines.Materials and methods: A prospective study over a periodof two years was conducted in the department of urology inVIMSAR, Burla with patients 15 -60 years age having singlesolitary stone of below 2cm size in the kidney and below1 cm size for upper ureteric stone. Efficacy and outcomewere calculated as rate of stone clearance, percentage ofcomplications. Statistical analysis was performed.Results: A statistically significant 85.3% of patients getcleared and labelled stone free. Whereas 14.7% of patientshaving incomplete clearance switched over to other modalityof treatment. A 20.6% of patients reported transient pain andother complication treated with appropriate medication whichgradually subsided in follow-up.Conclusion: ESWL is the first line of management for renaland upper ureteric calculus in properly selected patients asit is non-invasive, economical, efficacious with minimalcomplication and can be done as day care procedure.