EXTRA -CORPOREAL SHOCK WAVE LITHOTRIPSY

EARLY EXPERIENCE WITH CHINESE LITHOTRIPTOR AT LARKANA

Abstract

OBJECTIVES: To evaluate the early results of experience of ESWL to the effectiveness of Chinese lithotriptor. PERIOD: From May 1999 to October 1999. SETTING: Almas Medical Lithotripsy Center, Larkana. RESULTS: Fifty patients having renal and upper ureteric stones were treated with Chinese lithotriptor. PATIENTS AND METHODS: The stone imaging and localization was done with the help of fluoroscope. The ages of the patients ranged from 10-52 years (average: 32 years). 17(34%) were males and 33(66%) were females. Forty two patients had renal stones and 08 had upper ureteric stones. Simple analgesic and sedation was used before the procedure on 1st sitting. The over all stone free rate after 3 months of treatment was 78%. Five patients (10%) were dropped from the list because of failure of treatment. Remaining 6 patients (12%) showed partial fragmentation and residual stone in lower calyx. We noticed few transient complications including colic and haematuria which were managed easily. CONCLUSION: We conclude that the Chinese lithotriptor was as effective as other lithotriptors. It is also cost-effective.