Pre- and post-operative data of the patients included Age Sex Pre-operative Stone Preoperative ESWL
localization DJS Patient 1 58 Female No Pelvis Yes Patient 2 50 Male Yes Lower calyx No Patient 3 58 Female No Lower calyx No Patient 4 49 Male Yes Pelvis No Patient 5 33 Male No Lower calyx No Patient 6 19 Male No Pelvis No Stone Stone-free Intraoperative Post-operative size (mm) complications complications Patient 1 22 No No No Patient 2 10 No No No Patient 3 13 No No No Patient 4 15 No No No Patient 5 12 Yes No No Patient 6 15 Yes No No ESWL
: Extracorporeal shock wave lithotripsy, DJS: Double-J stent
Even if there is not apparent encrustation, by reducing the potential stent-mucosal adhesion, ESWL
can prevent mucosal injury during stent extraction (14).
7] Only 94 proximal ureteral stone sufferers gave informed written consent to participate in the study, but we round them to 30 in each treatment group (PCNL, ESWL
and URSL) for easy analysis.
Gunumuzde yastan bagimsiz olarak tas hastaliginin tedavi endikasyonlarina baktigimizda; alt kaliks disindaki lokalizasyonlarda tas boyutu > 2cm ise PNL ilk tercih olmakla birlikte, 2 cm'den kucuk boyutlu taslarda ise ESWL
ilk onerilen tedavi yontemidir.
4,5) While Joseph et al (6) observed that the best results of ESWL
were obtained with stone densities less than 1000 HU measured by NCCT, Gupta et al (7) recommended ESWL
as the first choice for fragmentation of stones with density less than 750 HU.
Inclusion criteria were 2 to 5 cm sized calculi, moderate to severe dilatation of pelvicalyceal system, willingness of the patients to accept conversion into open surgical procedure in case of difficulty in achieving stone clearance with PCNL and acceptance by the patients to undergo subsequent ESWL
with or without JJ stenting.
under continuous ultrasound imaging was performed as an outpatient procedure.
Patients who had previously not been treated with ESWL
and those with non-opaque calculi were excluded.
While in 1997 the American Urological Association (AUA) guidelines recommended ESWL
for lithiasis of the lumbar ureter with a stone size below 1 cm as the first line treatment, and for stones of the distal ureter either URS or ESWL
, 10 years later the AUA and EAU guidelines suggested the superiority of ureteroscopy for all types of lithiasis regardless of the size or position, except for lumbar ureteral stone size below 1 cm.
22%) patients had residual fragments, 10-12 mm in size, which were treated with ESWL
about one month after the operation.
Success rate with ESWL
in stones of over 8mm size in distal ureter varies from 49.
(extracorporeal shock wave lithotripsy) has many side effects, including local bruising and damage to blood vessels of the kidney.