English

Abstract

Objectives: Objectives of the study are to evaluate extracorporeal shock waveslithotripsy (ESWL) with and without double-J-ureteric stent in 2-3 cm renal stone. Study Design:Comparative study. Place and Duration of Study: This study was out conducted at LithotripsyCenter, Department of Urology & Renal Transplantation, KEMU/ Mayo Hospital, Lahore, fromJune 2015to May 2016.”Methodology: This study consisted of 60 patients admitted. Allpatients were divided into two equal groups. Thirty patients of kidney stones were included ingroup A, who were treated by ESWL without double-j-ureteric stent. Group B, who were treatedby ESWL with prior double-j-ureteric stent insertion. Detailed History was taken from all thepatients with special regard to the renal stone pain. Detailed Clinical examination of the patientwas done and recorded in proforma. Systemic review was also done to see any co-morbidity.All patients underwent for base line and specific investigations” like Urinalysis Pre-ESWL andat monthly intervals post ESWL, mid-stream urine examination for Gram’s staining; culture andsensitivity were performed in selected patients, renal ultrasonography, Plain X-Ray KUB andintravenous Urography. Inclusion criteria were that all patients from both sexes between theages of 15-45 years suffering from renal stones 2-3cm will be included in the study. In Exclusioncriteria; patients are unfit for general anesthesia, advance cardiac diseases, bleeding disorders,pregnant women, lower ureteral stones, malignancy and severe urinary infection. Results: 60patients, there were 40 males and 20 females, with male to female ratio of 2:1. Minimum of 15year to 45 years in both group. Mean age was 32+ 2.1years. 38(63.33%) of patients has 2.5-3 cm stone and 22(36.66%) patients has 2-2.5cm stone. Commonest location of stone was34(57%) cases were lying in calyces followed by pelvis stones which accounted for 26(43%)stones. The average number of retreatment sessions was 2 to 3 sessions, ranged 1 to 5sessions. The majority 39 (65%) patients needed one & two sessions. Three & four sessionswere used in 17 (28.33%) and in five session 04(06%) cases needed. Stone clearance observed5 to 45days in 2 to 2.5 cm stone. Means clearance were seen 35+4.6 days in without Double-J-Ureteric Stent while 29+3.8 days in with Double-J-Ureteric Stent. Conclusion: In conclusionour study revealed that The extra corporeal shock waves lithotripsy with double-j-ureteric stentis safe, effective and with less complication rate then without double-j-ureteric stent.