Assessment of the Ideal Time Interval between Repeated Shock Wave Lithotripsy Sessions for Renal Stones | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 18, Volume 88, Issue 1, July 2022, Pages 2394-2399 PDF (663.81 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2022.236117 | ||
| Authors | ||
| Abdulrahman Abubaker Alzubir* ; Aref Mohamed Maarouf; Maged Mohamed Ali; Mahmoud Mohamed Malek | ||
| Abstract | ||
| Background: An extracorporeal shock wave lithotripsy (ESWL) procedure is frequently used to treat upper urinary tract urolithiasis. Objective: Determining the optimal interval between repeated sessions of shock wave lithotripsy for renal stones. Patients and Methods: Between June 2021 and February 2022, three groups of thirty-six patients underwent elective outpatient lithotripsy for renal stones. Patients who required many SWL sessions were studied and classified into 3 groups, 12 patients each. The first group's SWL sessions were separated by three days, while the second group's sessions were separated by one week. Those in the third group, sessions were repeated after two weeks. Three groups were compared on the VAS scores they recorded during and after the ESWL. Results: Stone clearance rates were 83.3%, 75.0%, and 91.7% (P= 0.54) for groups 1, 2, and 3. There was no significant difference between three groups as regard laboratory parameter (B2-microglobulinuria and Microalbuminuria) after 1st session, after 2nd session the laboratory parameter was significantly higher in group 1 with no significant difference between groups 2 and 3. All groups increased after 2nd session then decreased after one month. Steinstrasse was insignificantly associated with group 3 (8.33%, P =0.51). Conclusion: Our findings support the transient effect of ESWL through measurement and follow up the laboratory parameters and possible complications. We concluded using SWL to treat renal stones is safe and effective, and short-interval treatments do not raise the risk of complications. | ||
| Keywords | ||
| Laboratory parameter (B2-microglobulinuria and Microalbuminuria); Renal stones; Repeat sessions; Shock wave lithotripsy | ||
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