Initial experience of Extracorporeal shock wave lithotripsy with robotic navigation
Journal Title: Perspectives In Medical Research - Year 2016, Vol 4, Issue 2
Abstract
Aim: The main aim was to retrospectively assess the results of treatment of upper urinary tract stones with the Sonolith vision manufactured by EDAP. Material and Methods: In this study 200 patients who underwent extracorporeal shock wave lithotripsy (ESWL) alone as an initial treatment and could be followed up for at least 3 months were selected who underwent this therapy between January 2015-January 2016. Treatment effect was evaluated by kidney, ureter, and bladder X-ray or renal ultrasonography at 1 and 3 months after treatment. A stone-free status or status of stone fragmentation to 4 mm or smaller was considered to indicate effective treatment. Results: At 3 months after treatment, the stone-free rate was 69% after single sitting while it was 85% after second sitting. Complications of this therapy included renal subcapsular hematoma and pyelonephritis in 2 and 1 case each respectively. Conclusion: ESWL with the Sonolith vision manufactured by EDAP produced a treatment effect equivalent to those achieved with other models of ESWL equipment. ESWL seems to be an effective first-line treatment for patients who do not wish to undergo invasive procedure.
Authors and Affiliations
Naveenchandra Acharya
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