Sunday, April 7, 2013

ESWL IN LARGE STONE: A POSSIBLE OPTION BASED ON IMAGING CRITERIA

The Xray characteristics of the stone can give a fair idea to the treating urologist about the stone fragmentation chances after ESWL.
We have seen that the pelvic stone, irregular stone, stone having a density less than tip of the 12  th rib; if these criteria are met then even a borderline stone for PCNL also we have taken up for ESWL and got excellent results.We keep stent in all big stones for ESWL. If stone doesnot get cleared totally we do saecondary  RIRS.

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Mete UK, Naveen A. Ranagnathan P et al. Can X-ray KUB replace costly CT density measurement of renal stones to predict fragmentation buy ESWL? J. Endourol. (Abstract) 2004, 18 (Suppl) A-110.
Recently we did ESWL for a 2 cm pelvic calculus in the normally excreting kidney with DJ stenting. The stone got fragmented in a single sitting.
ESWL IN A 2 CM CALCULUS

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