Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy

Objective: To evaluate the efficacy and safety of immediate versus delayed shockwave lithotripsy (SWL) for inaccessible stones after uncomplicated percutaneous nephrolithotomy (PCNL). Patients and methods: Between December 2011 and June 2014, patients with residual inaccessible stones after uncompli...

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Autores principales:	Esam A.E. Desoky, Amr M. Fawzi, Ahmed Sakr, Ahmed Eliwa, Ehab R. El Sayed, Diab El Sayed, Asharf M.S. Shahin, Emad A. Salem, Hussien M. Kamel, Waleed Shabana, Mostafa Kamel
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Immediate Delayed SWL Percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/4645fe5350df4f648294bf7c6bf524f3
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spelling	oai:doaj.org-article:4645fe5350df4f648294bf7c6bf524f32021-12-02T10:23:50ZImmediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy2090-598X10.1016/j.aju.2016.11.002https://doaj.org/article/4645fe5350df4f648294bf7c6bf524f32017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X16300973https://doaj.org/toc/2090-598XObjective: To evaluate the efficacy and safety of immediate versus delayed shockwave lithotripsy (SWL) for inaccessible stones after uncomplicated percutaneous nephrolithotomy (PCNL). Patients and methods: Between December 2011 and June 2014, patients with residual inaccessible stones after uncomplicated PCNL were prospectively randomised into two treatment groups; Group I, immediate SWL and Group II, delayed SWL at 1 week after PCNL. Patients with residual stones of ⩾1.5 cm, a stone density of >1000 Hounsfield units and body mass index of >40 kg/m2 were excluded from the study. The following data were reported: patients’ demographics, stone characteristics after PCNL, hospital stay, perioperative complications, stent duration, and stone-free rate (SFR). Results: In all, 84 patients (51 males and 33 females) with mean (SD) age of 39 (8.5) years were included in the study. Group I included 44 patients, whilst Group II included 40 patients. There was no statistically significant difference amongst the groups for patients’ demographics, stone characteristics, and perioperative complications. The hospital stay was significantly shorter in Group I, at a mean (SD) of 34 (3.7) vs 45 (2.9) h (P < 0.001). The duration of ureteric stenting was significantly lower in Group I as compared to Group II, at a mean (SD) of 12 (4.2) vs 25 (3.5) days (P < 0.001). The SFR was 93.2% and 95% in Groups I and II, respectively (P = 0.9). Conclusions: Immediate SWL after PCNL is as effective and safe as delayed SWL with a lesser hospital stay and duration of ureteric stenting.Esam A.E. DesokyAmr M. FawziAhmed SakrAhmed EliwaEhab R. El SayedDiab El SayedAsharf M.S. ShahinEmad A. SalemHussien M. KamelWaleed ShabanaMostafa KamelTaylor & Francis GrouparticleImmediateDelayedSWLPercutaneous nephrolithotomyDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 30-35 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immediate Delayed SWL Percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Immediate Delayed SWL Percutaneous nephrolithotomy Diseases of the genitourinary system. Urology RC870-923 Esam A.E. Desoky Amr M. Fawzi Ahmed Sakr Ahmed Eliwa Ehab R. El Sayed Diab El Sayed Asharf M.S. Shahin Emad A. Salem Hussien M. Kamel Waleed Shabana Mostafa Kamel Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
description	Objective: To evaluate the efficacy and safety of immediate versus delayed shockwave lithotripsy (SWL) for inaccessible stones after uncomplicated percutaneous nephrolithotomy (PCNL). Patients and methods: Between December 2011 and June 2014, patients with residual inaccessible stones after uncomplicated PCNL were prospectively randomised into two treatment groups; Group I, immediate SWL and Group II, delayed SWL at 1 week after PCNL. Patients with residual stones of ⩾1.5 cm, a stone density of >1000 Hounsfield units and body mass index of >40 kg/m2 were excluded from the study. The following data were reported: patients’ demographics, stone characteristics after PCNL, hospital stay, perioperative complications, stent duration, and stone-free rate (SFR). Results: In all, 84 patients (51 males and 33 females) with mean (SD) age of 39 (8.5) years were included in the study. Group I included 44 patients, whilst Group II included 40 patients. There was no statistically significant difference amongst the groups for patients’ demographics, stone characteristics, and perioperative complications. The hospital stay was significantly shorter in Group I, at a mean (SD) of 34 (3.7) vs 45 (2.9) h (P < 0.001). The duration of ureteric stenting was significantly lower in Group I as compared to Group II, at a mean (SD) of 12 (4.2) vs 25 (3.5) days (P < 0.001). The SFR was 93.2% and 95% in Groups I and II, respectively (P = 0.9). Conclusions: Immediate SWL after PCNL is as effective and safe as delayed SWL with a lesser hospital stay and duration of ureteric stenting.
format	article
author	Esam A.E. Desoky Amr M. Fawzi Ahmed Sakr Ahmed Eliwa Ehab R. El Sayed Diab El Sayed Asharf M.S. Shahin Emad A. Salem Hussien M. Kamel Waleed Shabana Mostafa Kamel
author_facet	Esam A.E. Desoky Amr M. Fawzi Ahmed Sakr Ahmed Eliwa Ehab R. El Sayed Diab El Sayed Asharf M.S. Shahin Emad A. Salem Hussien M. Kamel Waleed Shabana Mostafa Kamel
author_sort	Esam A.E. Desoky
title	Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
title_short	Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
title_full	Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
title_fullStr	Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
title_full_unstemmed	Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
title_sort	immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/4645fe5350df4f648294bf7c6bf524f3
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Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy

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