Ahmad, M., Galal, H., Koritinah, A. (2019). Outcome of Extracorporeal Shockwave Lithotripsy in Congenital Malformed Kidneys. The Egyptian Journal of Hospital Medicine, 76(4), 3963-3967. doi: 10.21608/ejhm.2019.41909
Mahmoud Nader Abdelrazik Ahmad; Hussein Abdallah Galal; Ayman Kotb Koritinah. "Outcome of Extracorporeal Shockwave Lithotripsy in Congenital Malformed Kidneys". The Egyptian Journal of Hospital Medicine, 76, 4, 2019, 3963-3967. doi: 10.21608/ejhm.2019.41909
Ahmad, M., Galal, H., Koritinah, A. (2019). 'Outcome of Extracorporeal Shockwave Lithotripsy in Congenital Malformed Kidneys', The Egyptian Journal of Hospital Medicine, 76(4), pp. 3963-3967. doi: 10.21608/ejhm.2019.41909
Ahmad, M., Galal, H., Koritinah, A. Outcome of Extracorporeal Shockwave Lithotripsy in Congenital Malformed Kidneys. The Egyptian Journal of Hospital Medicine, 2019; 76(4): 3963-3967. doi: 10.21608/ejhm.2019.41909
Outcome of Extracorporeal Shockwave Lithotripsy in Congenital Malformed Kidneys
Department of Urology, Faculty of Medicine, Al-Azhar University
Abstract
Background: urolithiasis has an important role in the structure of the urological pathology, due to its high incidence, frequency of recurrence and complications it may cause, it reduces the medium life span from 5 to 20% of the patients. The management of kidney stones with congenital kidney anomalies and abnormal variations continue to pose challenges to urologists. Objective: to evaluate the stone free rate and complication rate of renal Extracorporeal Shockwave Lithotripsy (SWL) in patients with congenitally malformed kidney and the predictors of SWL outcome will be determined. Patients and Methods: this is a retrospective study that has been conducted in Al-Hussein and Bab El-Shaarya University hospitals in Cairo, Egypt. It includes 50 patients with renal calculi in congenitally malformed kidney, all patients underwent SWL treatment in Al-Hussein and Bab El-Shaarya University hospitals using Dornier compact sigma lithotripser and Dornier lithotripser SII from January 2013 to January 2019. Results: of the total SWL procedures performed to 50 patients with average age 46.3 year and average size of the stone was 15.38 mm, the stone free rate was 74 %, The complication rate was 6%, 1 patient complicated by acute pyelonephritis, 1 patient complicated by perinephric hematoma and 1 patient complicated by steinstrasse. Conclusion: SWL has become the favored treatment for management of kidney stones with congenital renal malformations due to high stone free rate and low incidence of complication.
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