The Effects of Extracorporeal Shock Wave Lithotripsy in Urinary Calculi.
- Author:
Joon Woong SOHN
1
;
Soo Eung CHAI
Author Information
1. Kyung Hee University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
ESWL;
urinary stone;
EDAP
- MeSH:
Alkaline Phosphatase;
Amylases;
Calculi;
Colic;
Creatinine;
Female;
Fever;
Hematoma;
Humans;
Ileus;
Kidney Pelvis;
Lithotripsy*;
Male;
Shock*;
Ureter;
Urinary Calculi*
- From:Korean Journal of Urology
1988;29(1):45-50
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extracorporeal shock wave lithotripsy(ESWL) is a newly accepted procedure for noninvasive treatment of urinary calculi. The clinical study was made in 109 patients(118 stones) with urinary stones who underwent ESWL. The results were as follows. 1. Among the 109 patients, 85 patients were male and 24 patients were female and age range of patients was from 18 years to 77 years with average 41.3 years. 2. In 118 stones, calyceal stones were 38 cases(32.2%), renal pelvis stones were 36 cases(30.5%), upper and lower ureter stones were 24 cases(20.3%) and 20 cases(17.0%), Staghorn calculi were 11 case(9.3%). 3. Stone free success rates depend on stone position and stone size. 4. Stones were completely fragmented in 95 cases(80,5%) and partially fragmented in 22 cases(18.6%). 5. Complications developed in 32 patients. There were colic pain in 26 cases, steinstrasse in 10 cases, fever in 6 cases, perirenal hematoma in 1 case and transient ileus in 1 case. 6. After ESWL, there were no significant changes in levels of alkaline phosphatase, amylase, GOT, GPT and creatinine except BUN. Levels of BUN were decreased significantly (p<0.05).
