Stone Clearance Rate Between Extracorporeal Shock Lithotripsy (ESWL) V/S Retrograde Intrarenal Surgery (RIRS) in Patients with Lower Calycx: ESWL v/s RIRS in Patients with Lower Calycx

Zakir Hussain  Rajpar; . Aisha; Kashiffudin Qayoom  Soomro; Shoukat  Mughal; Syed Azhar  Shah; Afhan Qayoom  Shaikh; Syed Zulfiquar  Ali Shah

doi:10.54393/pjhs.v4i07.920

Authors

Zakir Hussain Rajpar Department of Urology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
. Aisha Department of Urology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Kashiffudin Qayoom Soomro Department of Urology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Shoukat Mughal Department of Urology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Syed Azhar Shah Department of Urology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan
Afhan Qayoom Shaikh Department of Urology, Liaquat University Hospital, Hyderabad, Pakistan
Syed Zulfiquar Ali Shah Department of Medicine, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i07.920

Keywords:

ESWL, Lower Calycx, RIRS, Stone Clearance

Abstract

One of the techniques used most frequently to treat urolithiasis is shockwave lithotripsy (SWL). Extracorporeal shock wave lithotripsy (ESWL) and retrograde intra-renal surgery (RIRS) are recommended treatments for inferior calyceal (IC) calculi measuring 1-2cm. Objective: To compare the rate of stone clearance between extracorporeal shock wave lithotripsy (ESWL) and Retrograde Intrarenal Surgery (RIRS) in patients with lower calycx calculi. Methods: The randomized control trial of six months was conducted at LUH Jamshoro. Informed consent was gained when the procedure, risks, and advantages of the study were explained. The patients were divided into one of two groups at random: group A (ESWL) or group two (RIRS). A week later, the patient underwent a contrast-enhanced computed tomography (CT) scan, and the kidney stone was noted as having been removed. Results: The group A's mean age (SD) was 46.50 ± 14.73 whereas group B's mean age (SD) was 42.37 ± 16.07. The stone clearance was observed in 13 (43.3%) of group A's cases compared to 1 (3.3%) of group B's, with a highly significant p-value of (p=0.0001). Conclusions: In terms of stone removal among patients with lower calycx, a significantly significant difference among the use of extracorporeal shock wave lithotripsy and retrograde intrarenal lithotripsy was seen.

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