::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

EFFICIENCY OF ESWL WITH OR WITHOUT DOUBLE J-URETERIC STENT

AUTHORS:

Naveed Ahmed Sheikh, Muhammad Ali Suhail, Mujeebu ur Rehman, Aijaz Hussain Memon , Sarmad Jamal Siddiqui, Amir Ghani

ABSTRACT:

Objective: To evaluate role of extracorporeal shock waves lithotripsy (ESWL) in patients having 15-35mm renal stones with and without double-j-ureteric stent. Design & duration: This is a comparative interventional study completed in 12 months duration Setting: Patients & methods: Patients admitted to urology ward of study hospital carrying renal stones of 15-35mm were included in the study. These cases were divided into two groups, in one group patients were treated with ESWL without double-j ureteric stent and in other group ESWL was done with prior insertion of double-j ureteric stent. Detailed history was taken from all cases about signs and symptoms of renal stones. Thorough examination was done as well. Baseline and specific laboratory investigations were done, renal stone was diagnosed on plain X-ray and ultrasonography of KUB and intravenous urography. Patients of either sex or age between 15-55 years having renal stone of 10-30mm were included in the study. A performa was designed in which important findings on history, examination and investigations were documented. Patients having co-morbid conditions, unfit for general anesthesia were excluded from the study. Results: Total 90 cases were studied including 57.8% male and 42.2% female cases. Mean age of cases was 34.2±8.6 years. In 18.9% cases stone size was 10-20mm and in 81.1% cases stone size was 20-30mm. In 50% cases D.J stent was inserted, while in other 50% D.J stent was inserted prior to ESWL. After ESWL, main complications were pain in 31% cases and urinary retention in 26.7% cases. Stones location was upper calyx in 17.8% cases, middle calyx in 25.5% cases, lower calyx in 12.2% cases and pelvis in 44.4% cases. Conclusion: It is concluded that ESWL with double-J ureteric stent is much effective and safe having less complications as compared to ESWL without double-J ureteric stent. Key words: Extracorporeal shock waves Lithotripsy, Renal stones, Double-J ureteric stent