ESWL FOR RENAL AND URETERAL STONES
Objective: To report patient characteristics and results of Huikang HK-V extracorporeal shockwave lithotripsy (ESWL) machine for renal and ureteral stones. Material & methods: We retrospectively analyzed medical records of all patients treated with ESWL using HK-V deviceat Department ofUrology S...
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| Format: | Article |
| Language: | English |
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IKATAN AHLI UROLOGI INDONESIA
2014-01-01
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| Series: | Jurnal Urologi Indonesia |
| Online Access: | http://juri.urologi.or.id/juri/article/view/27 |
| _version_ | 1818492182033596416 |
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| author | Muhammad Ridha Doddy M. Soebadi |
| author_facet | Muhammad Ridha Doddy M. Soebadi |
| author_sort | Muhammad Ridha |
| collection | DOAJ |
| description | Objective: To report patient characteristics and results of Huikang HK-V extracorporeal shockwave lithotripsy (ESWL) machine for renal and ureteral stones. Material & methods: We retrospectively analyzed medical records of all patients treated with ESWL using HK-V deviceat Department ofUrology Soetomo Hospital from May2011 - February 2012. Results: There were 241 selected patients, consisted of 148 men (61.4%) and 93 women (38.6%). Mean age was 47.8 years (range 7-87). ESWL was conducted to 130 single stones and 111 multiple stones, using fluoroscopy as guidance for 166 patients, ultrasound for 31 patients (12.9%) and both for 44 patients (18.3%). Stone location was 109 in lower pole(41%), 69 in middle pole(26%), 41 in proximal ureter (16%), 28 in upper pole (11%), 14 at renal pelvis (5%), 1 at distal ureter(0.3%) and 2 staghorn stone (0.7%).There were 130 patients with stone less than 10 mm (53.9%), 102 with stone 10-20 mm (42.3%), and 9 more than 20 mm (3.7%). There were slightly more left-sided treatment was 141 patients (58.5%). Of 181 patients with hydronephrosis (75%), 104 had DJ stent inserted (43.2%). Overall, we found 158 patients (65.5%) were stone free after treatment, 49 patients (20.3%) with residual stones less than 4 mm and 34 patients (14.1%) had more than 4 mm residuals. Conclusion: ESWL is the treatment of choice for simple renal and ureteral stones less than 20 mm (opaque and non opaque).
Keywords:Extracorporeal Shockwave Lithotripsy, renal stones, ureteral stones. |
| first_indexed | 2024-12-10T17:39:51Z |
| format | Article |
| id | doaj.art-dc283f6ca0614882a0cf8106e0c2cf6a |
| institution | Directory Open Access Journal |
| issn | 0853-442X 2355-1402 |
| language | English |
| last_indexed | 2024-12-10T17:39:51Z |
| publishDate | 2014-01-01 |
| publisher | IKATAN AHLI UROLOGI INDONESIA |
| record_format | Article |
| series | Jurnal Urologi Indonesia |
| spelling | doaj.art-dc283f6ca0614882a0cf8106e0c2cf6a2022-12-22T01:39:24ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022014-01-0121110.32421/juri.v21i1.2727ESWL FOR RENAL AND URETERAL STONESMuhammad Ridha0Doddy M. Soebadi1Department of Urology, Faculty of Medicine/Airlangga University, Soetomo Hospital, Surabaya.Department of Urology, Faculty of Medicine/Airlangga University, Soetomo Hospital, Surabaya.Objective: To report patient characteristics and results of Huikang HK-V extracorporeal shockwave lithotripsy (ESWL) machine for renal and ureteral stones. Material & methods: We retrospectively analyzed medical records of all patients treated with ESWL using HK-V deviceat Department ofUrology Soetomo Hospital from May2011 - February 2012. Results: There were 241 selected patients, consisted of 148 men (61.4%) and 93 women (38.6%). Mean age was 47.8 years (range 7-87). ESWL was conducted to 130 single stones and 111 multiple stones, using fluoroscopy as guidance for 166 patients, ultrasound for 31 patients (12.9%) and both for 44 patients (18.3%). Stone location was 109 in lower pole(41%), 69 in middle pole(26%), 41 in proximal ureter (16%), 28 in upper pole (11%), 14 at renal pelvis (5%), 1 at distal ureter(0.3%) and 2 staghorn stone (0.7%).There were 130 patients with stone less than 10 mm (53.9%), 102 with stone 10-20 mm (42.3%), and 9 more than 20 mm (3.7%). There were slightly more left-sided treatment was 141 patients (58.5%). Of 181 patients with hydronephrosis (75%), 104 had DJ stent inserted (43.2%). Overall, we found 158 patients (65.5%) were stone free after treatment, 49 patients (20.3%) with residual stones less than 4 mm and 34 patients (14.1%) had more than 4 mm residuals. Conclusion: ESWL is the treatment of choice for simple renal and ureteral stones less than 20 mm (opaque and non opaque). Keywords:Extracorporeal Shockwave Lithotripsy, renal stones, ureteral stones.http://juri.urologi.or.id/juri/article/view/27 |
| spellingShingle | Muhammad Ridha Doddy M. Soebadi ESWL FOR RENAL AND URETERAL STONES Jurnal Urologi Indonesia |
| title | ESWL FOR RENAL AND URETERAL STONES |
| title_full | ESWL FOR RENAL AND URETERAL STONES |
| title_fullStr | ESWL FOR RENAL AND URETERAL STONES |
| title_full_unstemmed | ESWL FOR RENAL AND URETERAL STONES |
| title_short | ESWL FOR RENAL AND URETERAL STONES |
| title_sort | eswl for renal and ureteral stones |
| url | http://juri.urologi.or.id/juri/article/view/27 |
| work_keys_str_mv | AT muhammadridha eswlforrenalandureteralstones AT doddymsoebadi eswlforrenalandureteralstones |