Year : 2010 | Volume
: 26 | Issue : 3 | Page : 359--363
Outcome of shock wave lithotripsy as monotherapy for large solitary renal stones (>2 cm in size) without stenting
Shanmugasundaram Rajaian, Santosh Kumar, Ganesh Gopalakrishnan, Ninan K Chacko, Antony Devasia, Nitin S Kekre
Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamil nadu, India
Purpose : To evaluate the outcome of shock wave lithotripsy (SWL) as monotherapy for solitary renal stones larger than 2 cm without ureteral stenting.
Materials and Methods : Our retrospective study included patients with solitary renal radio opaque stones larger than 2 cm treated with SWL using electromagnetic Dornier Compact S lithotripter device (Wessling, Germany) for a period of 3 years (September 2002-2005). Stone clearance was assessed at 1 week, 1 month, and 3 months with plain X-rays of kidney, ureter, and bladder region, ultrasonography, and tomograms. Stone-free status, morbidity of the procedure, and fate of clinically insignificant residual fragments (CIRF) were studied. A stone-free state was defined as no radiologic evidence of stone. Success was defined as complete clearance + CIRF.
Results : Fifty-five patients, aged 11-65 years (mean 49.8) underwent SWL. Of them, only two were children. Male-to-female ratio was 3:1. The stone size was 21-28 mm (average 24 mm). The mean number of shocks were 3732 (range 724-12,100) and average energy level was 14 kV (range 11-16 kV). The mean follow-up was 18 months (range 3-22 months). Over all, stone-free status was achieved in 50% and success in 81% at 3 months. Stone clearance was not affected by stone location. Stones <25 mm had better stone-free rate (54.16% vs. 28.5%) and lesser CIRF (14.6% vs. 28.5%) when compared to larger stones (>26 mm) (P = -0.10). Of 54 patients, 39 developed steinstrasse with mean length of 3.2 cm (range 1.4-6.2 cm) and only four required intervention. Effectiveness quotient (EQ) for SWL monotherapy for solitary renal stones more than 2 cm was 25.3%. The EQ for stones <25 mm and those more than 25 mm were 28.4% and 10% (P = -0.12), respectively. There was a lesser trend of difference between stones with size <25 and more than 25 mm. During the last review, the overall stone-free rate was 67.2%.
Conclusions : SWL monotherapy was safe but significantly less effective for solitary renal stones larger than 2 cm. It can only be suggested to those who refuse surgical intervention. Pretreatment DJ stenting is not mandatory when closer follow-up is ensured.
Nitin S Kekre
Head of the Department, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamil nadu - 632 004
|How to cite this article:|
Rajaian S, Kumar S, Gopalakrishnan G, Chacko NK, Devasia A, Kekre NS. Outcome of shock wave lithotripsy as monotherapy for large solitary renal stones (>2 cm in size) without stenting.Indian J Urol 2010;26:359-363
|How to cite this URL:|
Rajaian S, Kumar S, Gopalakrishnan G, Chacko NK, Devasia A, Kekre NS. Outcome of shock wave lithotripsy as monotherapy for large solitary renal stones (>2 cm in size) without stenting. Indian J Urol [serial online] 2010 [cited 2021 Sep 16 ];26:359-363
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=3;spage=359;epage=363;aulast=Rajaian;type=0