Comparing the Efficacy and Safety of Percutaneous Nephrolithotomy vs Extracorporeal Shock Wave Lithotripsy for Lower Calyceal Stones 1-2 cm

Nimaa, Montadhar H; Ibraheem, Shahad A.

doi:10.4172/2168-9857.1000209

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“…The rate was significantly higher in PCNL group when compared to ESWL group. This findings has been supported by the study of Montadhar H et al 22 , Elspeth M et al 23 24 Furthermore, mean operation time were significantly higher in PCNL group than ESWL group which is also supported by the study of Kallidonis P 24 and Montadhar H et al 22 The present study showed that the rate of haematuria in PCNL group was significantly higher than ESWL group however in the study of Montadhar H et al 22 and Sheng HanTsai 9 the difference were not significant for rate of haematuria. There were no statistically significant differences between the PCNL and ESWL groups for other post-operative complications such as, blood transfusion, obstruction and fever.…”

Section: Discussionsupporting

confidence: 80%

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A Comparative Study of Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy For The Treatment of Lower Pole Kidney Stone of Size 10-20 mm

Shrestha

2021

J. Nepalgunj Med. College

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Introduction: A renal stone is commonly found at the Lower-pole of the kidney. Studies have reported various opinions about efficacy and safety of Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy for the treatment of lower pole stone of size 10-20 mm. Aims: The present study aimed to compare between Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy for safe and effective treatment of lower pole stone of size 10-20 mm. Methods: It is a prospective study conducted from December 2019 to November 2020 in the Urology Department of Nepalgunj Medical College. Total 66 patients under inclusion criteria were divided into two groups. Group I (32 patients) was allocated for patients who were treated under Percutaneous Nephrolithotripsy while Group II (34 patients) was allocated for patients who were treated with Extracoeporeal Shockwave Lithotripsy. Two groups were compared for stone free rate, retreatment rate, auxiliary treatment (%), operation time, hospital stay, haematuria, blood transfusion, obstruction and fever. Results: The stone free rate was significantly higher in Group I when compared to Group II. While the rate of retreatment and auxiliary treatment were significantly lower in Group I than Group II. However, mean hospital stay, mean operation time and the rate of haematuria was significantly higher in Group I when compared to group II. There were no statistically significant differences between Group I and Group II for post-operative complications such as, blood transfusion, obstruction and fever. Conclusion: Stone free rate was significantly higher in Group I while retreatment rate and auxiliary treatment rate were significantly higher in Group II. Therefore, Percutaneous Nephrolithotripsy is more effective for the treatment of the lower pole stone of size 10-20mm when compared to Extracoeporeal Shockwave Lithotripsy. However, duration of hospital stay and operation time were longer and incidence of haematuria was higher in Percutaneous Nephrolithotripsy than Extracoeporeal Shockwave Lithotripsy.

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Section: Discussionsupporting

confidence: 80%

“…Mean hospital stay was significantly higher in PCNL group than ESWL group. This finding of the present study is supported by study of Montadhar H et.al22 , Elspeth M et al23 , Lingeman JE 28 and Panogiotis.…”

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confidence: 90%

A Comparative Study of Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy For The Treatment of Lower Pole Kidney Stone of Size 10-20 mm

Shrestha

2021

J. Nepalgunj Med. College

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Comparing the Efficacy and Safety of Percutaneous Nephrolithotomy vs Extracorporeal Shock Wave Lithotripsy for Lower Calyceal Stones 1-2 cm

Cited by 1 publication

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A Comparative Study of Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy For The Treatment of Lower Pole Kidney Stone of Size 10-20 mm

A Comparative Study of Percutaneous Nephrolithotripsy and Extracoeporeal Shockwave Lithotripsy For The Treatment of Lower Pole Kidney Stone of Size 10-20 mm

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