Stone-free-rate after Extracorporeal Shockwave Lithotripsy in the Management of Pediatric Renal Stones in Lower Pole and Other Locations - a Comparative Study. | Journal of College of Physicians and Surgeons--Pakistan : JCPSP 2016

Author(s)

Nadeem Iqbal Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad, Pakistan

Shujah Muhammad Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad, Pakistan

Warda Zafar Bahria University Medical and Dental College, Karach, Pakistan

Ravale Tashfeen Bahria University Medical and Dental College, Karachi, Pakistan

Javaria Faiz Bahria University Medical and Dental College, Karach, Pakistan

Aisha Hasan Bahria University Medical and Dental College, Karachi, Pakistan

Ijaz Hussain Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad, Pakistan

Saeed Akhter Department of Urology and Kidney Transplant, Pakistan Kidney Institute (PKI), Shifa International Hospital, Islamabad, Pakistan

Abstract

Objective: To determine a difference in the stone-free-rate among different renal locations in children after extracorporeal shockwave lithotripsy (ESWL). Study Design: A descriptive study. Place and Duration of Study: Urology Department, Shifa International Hospital, Islamabad, Pakistan, from January 2007 to June 2015. Methodology: The study included children who underwent ESWL, divided into three groups based on location of stones in kidney as group A (lower pole stones), group B (upper and mid pole stones) and group C (renal pelvis stone), respectively. ESWL was done by standard technique using Storz Modulith SLX lithotripter 3rd generation. Data was collected by chart review. SPSS version 16 was used for data analysis. Results: Among 76 children with mean age of 7.55 ±4.16 years, 55 (72.4%) were males whereas 21 (27.6%) were females. Mean stone size was 1.08 ±0.59 cm. There were 34, 17 and 25 cases in groups A, B and C, respectively. PostESWL stone-free-rate was 47% in lower pole stones, 70.58% in upper and mid pole stones, and 68% in renal pelvis stones. Hematuria was seen in one patient from each group, sepsis in two patients from each of the mid pole/upper pole and lower pole group, while Steinstrasse in one patient from each group. Conclusion: ESWL is a safe and effective way of treating renal stones in all poles in pediatric population.

Publication Details

Page(s) 908-911

DOI DOI not available

Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 26, Issue: 11, Year: 2016

Keywords

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