ESWL: A Safe Modality for Treatment of Renal Stones. A Clinical Study at Kidney Center, DHQ Hospital, Faisalabad

Abstract

Introduction: Renal stones have been one of the most commonly encountered diagnosis in patients visiting Urology clinics and Extra-Corporeal Shock Wave Lithotripsy (ESWL) has been an effective method for management of renal stones of certain size (Up to 2.5 cm). Objective: To determine the complication rates in patients undergoing ESWL to look for safety level of the procedure. Duration And Setting: Study was conducted From December 2015-March 2016 in Kidney Center, DHQ Hospital, Faisalabad. Methodology:  First 225 patients undergoing ESWL at Kidney Center, DHQ Hospital, Faisalabad were included in the study and they were observed for short term complications as post procedure pain, hematuria, fever and ureteric obstruction. Results: 225 patients included in the study. Among them 132 (58.7%) were male, 93 (41.3%) were female. Average age of patient was 38.2 years with minimum range as 5 years and maximum as 75 years. Stone size ranged from 7mm to 2.5cm with average size as 1.541cm. Fragmentation was observed in 218 (96.9 %) patients in first two sessions while no fragmentation was observed in 7 (3.1%) patients after two sessions. Out of 225, 37(16.4%) patients developed pain, 19 (8.4%) observed hematuria, 7 (3.11%) have fever and 6 (2.66%) developed ureteric obstruction. Only 3 patients developed two complications simultaneously. No statistical association was found for development of complication after ESWL in our study. Conclusion: Inference drawn from the statistics clearly showed that ESWL is still a very safe and effective modality for renal stone management.