Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency

Background: The incidence of stone formation in patients with renal insufficiency 17.5%, complete clearance of stone in these patients need least invasive procedure with safety of kid-ney parenchyma and kidney function. Objectives:To analyze outcomes of percutaneous nephrolithotomy (PNL) and shock...

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Main Authors: Mostafa AbdelRazek, Ahmad Abolyosr, Mohammed S. Abdel Kader, Ahmed M. Hassan, Omar Mohammed, Atef Fathy, Ahmed Abdelfattah*, Gamal Alsagheer
Format: Article
Language:English
Published: South Valley University, Faculty of Medicine 2021-01-01
Series:SVU - International Journal of Medical Sciences
Subjects:
Online Access:https://svuijm.journals.ekb.eg/article_111998.html
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author Mostafa AbdelRazek
Ahmad Abolyosr
Mohammed S. Abdel Kader
Ahmed M. Hassan
Omar Mohammed
Atef Fathy
Ahmed Abdelfattah*
Gamal Alsagheer
author_facet Mostafa AbdelRazek
Ahmad Abolyosr
Mohammed S. Abdel Kader
Ahmed M. Hassan
Omar Mohammed
Atef Fathy
Ahmed Abdelfattah*
Gamal Alsagheer
author_sort Mostafa AbdelRazek
collection DOAJ
description Background: The incidence of stone formation in patients with renal insufficiency 17.5%, complete clearance of stone in these patients need least invasive procedure with safety of kid-ney parenchyma and kidney function. Objectives:To analyze outcomes of percutaneous nephrolithotomy (PNL) and shock wave lithotripsy (SWL) and their effect on kidney function for patients with renal insufficiency. Materials and methods: 52 renal insufficiency patients with renal stones presented to our de-partment randomized into two groups group A (25 patients) underwent PNL and group B (27 patients) underwent SWL and all results recorded and analyzed with Statistical Package for Social Science® (SPSS) and Microsoft Excel 2010. Results: Stone free rate was about 84% of patients in group A (25 patients) and about 26.6% of patients in group B with first session, while it`s about 88.9% for all patients in group B (27 patients) with some degree of improvement of kidney function. Conclusion: This study shows that both PNL and SWL are safe on patients with renal insuffi-ciency with improvement of kidney function.
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spelling doaj.art-5d1c8ef35ef045a1919856105a1dd5752022-12-22T02:38:30ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022021-01-0141712https://dx.doi.org/10.21608/svuijm.2021.111998Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal InsufficiencyMostafa AbdelRazek0 Ahmad Abolyosr1 Mohammed S. Abdel Kader2 Ahmed M. Hassan3 Omar Mohammed4Atef Fathy5Ahmed Abdelfattah*6Gamal Alsagheer7Urology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley University.Urology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley UniversityUrology department, Qena university hospital, South Valley UniversityBackground: The incidence of stone formation in patients with renal insufficiency 17.5%, complete clearance of stone in these patients need least invasive procedure with safety of kid-ney parenchyma and kidney function. Objectives:To analyze outcomes of percutaneous nephrolithotomy (PNL) and shock wave lithotripsy (SWL) and their effect on kidney function for patients with renal insufficiency. Materials and methods: 52 renal insufficiency patients with renal stones presented to our de-partment randomized into two groups group A (25 patients) underwent PNL and group B (27 patients) underwent SWL and all results recorded and analyzed with Statistical Package for Social Science® (SPSS) and Microsoft Excel 2010. Results: Stone free rate was about 84% of patients in group A (25 patients) and about 26.6% of patients in group B with first session, while it`s about 88.9% for all patients in group B (27 patients) with some degree of improvement of kidney function. Conclusion: This study shows that both PNL and SWL are safe on patients with renal insuffi-ciency with improvement of kidney function.https://svuijm.journals.ekb.eg/article_111998.htmlrenal insufficiency; pnl; swl; outcome and kidney function
spellingShingle Mostafa AbdelRazek
Ahmad Abolyosr
Mohammed S. Abdel Kader
Ahmed M. Hassan
Omar Mohammed
Atef Fathy
Ahmed Abdelfattah*
Gamal Alsagheer
Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
SVU - International Journal of Medical Sciences
renal insufficiency; pnl; swl; outcome and kidney function
title Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
title_full Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
title_fullStr Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
title_full_unstemmed Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
title_short Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency
title_sort comparative study between outcome of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy in patients with renal insufficiency
topic renal insufficiency; pnl; swl; outcome and kidney function
url https://svuijm.journals.ekb.eg/article_111998.html
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