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Background:Renalstonediseaseisaverycommonmedicalproblemingeneralpopulation.Aswithinventofnewertherapeuticmodalities,ESWLisalreadylosingitspopularity.Butwebelieveitasaneffectivewayoftreatingrenal stones. ThisstudywasconductedtoevaluateanyimprovementinsuccessrateofESWLtherapyfortreatingrenalstoneswithlatestshockwavelithotripsymachines.Methods:StudyconductedfromJune2016untilNovember2017inAlkhorhospital,HamadMedicalCorporation,Qatar.All patients undergoing ESWL for renal stones in mentioned period were included.Total197patientsunderwentESWLusingnewermachines.Factorsalreadystudiedtoaffectthesuccessratelikestonesize,location,consistency(measuredbyHounsfieldunitsonCT),presenceofstentweretakeninconsideration.Afteraperiodof3monthseithercompletestoneclearanceorstonefragmentssmallerthan4mmwereconsideredasatreatmentsuccess.Theseresultswerecomparedtotheresultsfromliterature.Results:Patientswerefolloweduntil3 monthsaftertreatment.170patients(86.29%)hadcompletestoneclearance.Eleven patients(5.58%)hadresidualstonelessthan4 mm,thusachievinganoverallsuccessof181patients(91.88%).42patients(21.32%)neededrepeatsessionofESWLwithamaximumnumberof3sessions.16patient’s(8.12%)requiredauxiliaryprocedureslikeflexibleureteroscopy.Post-ESWLcomplicationswererecordedin12 patients(6.09%).Successratewasaffectedmainlybystonesizewithnegligibleeffectofstonelocation.Presenceofstentaffectedthe numberofsessionsbuthasnoimpactonstoneclearance.Conclusion:Althoughthestonesizeandtoanegligibleextent,thestonelocationandpresenceofstentmayaffectthestoneclearance,neverthelessasignificantimprovementinsuccessratehasbeenobservedbyuseofnewshockwavelithotripsymachines.
Dr Nadeem Sohail, , Amjad Albodour, Khalid Mohammed Abdelrahman. (2019) IS THERE ANY IMPROVEMENT IN EFFICACY OF EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY THERAPY FOR TREATING RENAL STONES WITH INVENT OF NEW SHOCKWAVE MACHINES?, , Volume 31, Issue 3.
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