Comparative Study between Outcome of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in Patients with Renal Insufficiency | ||
| SVU-International Journal of Medical Sciences | ||
| Article 3, Volume 4, Issue 1, January 2021, Pages 7-12 PDF (416.49 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2021.111998 | ||
| Authors | ||
| Mostafa AbdelRazek1; Ahmad Abolyosr2; Mohammed S. Abdel Kader1; Ahmed M. Hassan1; Omar Mohammed1; Atef Fathy1; Ahmed Abdelfattah* 1; Gamal Alsagheer1 | ||
| 1Urology department, Qena university hospital, South Valley University | ||
| 2Urology department, Qena university hospital, South Valley University. | ||
| Abstract | ||
| Background: The incidence of stone formation in patients with renal insufficiency 17.5%, complete clearance of stone in these patients need least invasive procedure with safety of kid-ney parenchyma and kidney function. Objectives:To analyze outcomes of percutaneous nephrolithotomy (PNL) and shock wave lithotripsy (SWL) and their effect on kidney function for patients with renal insufficiency. Materials and methods: 52 renal insufficiency patients with renal stones presented to our de-partment randomized into two groups group A (25 patients) underwent PNL and group B (27 patients) underwent SWL and all results recorded and analyzed with Statistical Package for Social Science® (SPSS) and Microsoft Excel 2010. Results: Stone free rate was about 84% of patients in group A (25 patients) and about 26.6% of patients in group B with first session, while it`s about 88.9% for all patients in group B (27 patients) with some degree of improvement of kidney function. Conclusion: This study shows that both PNL and SWL are safe on patients with renal insuffi-ciency with improvement of kidney function. | ||
| Keywords | ||
| Renal insufficiency; PNL; SWL; outcome and kidney function | ||
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