Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2017  |  Volume : 30  |  Issue : 2  |  Page : 372-377

Percutaneous nephrolithotomyversusextracorporeal shock wave lithotripsy for moderate-sized kidney stones


Department of Urology, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt

Correspondence Address:
Khaled M Aboelkher
Elsabia, Elmahala, 31951
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.215462

Rights and Permissions

Objective The aim of this study was to evaluate the effectiveness of extracorporeal shock wave lithotripsy(ESWL) with that of percutaneous nephrolithotomy(PCNL) for managing moderate-sized kidney stones measuring between 100 and 300 mm2 in area. Background Shock wave lithotripsy(SWL) is considered a standard treatment for patients with upper-tract stones that are less than 10mm in diameter, whereas stones that are larger than 20mm are best managed with PCNL. The management of stones between these sizes remains controversial. Our purpose was to review our contemporary series of SWL, ureteroscopy, and PCNL outcomes for intermediate-sized upper-tract calculi(100–300 mm2). Patients and methods This study was conducted at the Urology Department, Menoufia Teaching Hospital, Menoufia University, between December 2013 and February 2015. It study included all patients with moderate-sized renal calculi(range: 1–3cm) who were planned for management of renal calculi either with PCNL or with ESWL. Patient data were taken as follows:(a) preoperatively, clinical assessment and laboratory investigations;(b) during surgery; and(c) postoperatively, complications and residual stone. Results This study included 70patients with nonstaghorn calculi with an area between 100 and 300mm. Thirty patients underwent PCNL and 40 underwent ESWL; 49(70%) patients were male and 21(30%) were female; 29(41.4%) patients had right-sided stones and 41(58.5%) had left sided stones. The mean age of the patients was 34.1years and the average BMI was 29.0 kg/m2. The mean operative time in our study was 2.36±0.8h. Conclusion This study demonstrates that PCNL and up to two SWL treatments are safe and comparably effective in treating patients with intermediate-sized upper-urinary-tract stones between 100 and 300 mm2 in area.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed672    
    Printed4    
    Emailed0    
    PDF Downloaded73    
    Comments [Add]    

Recommend this journal