With the advent of ESWL the treatment of genitourinary stones is revolutionized. Most of these stones are now totally and safely treatable avoiding major surgical options. We have presented our work form Varanasi which caters to the whole of Eastern UP, neighbouring Bihar and MP.

Material & Method

120 cases of different varieties of kidney and ureteric stones have been treated by ESWL and analyzed. Treatment by PCNL, URS and open surgery are not included.

• 70 cases (97%) had singly Kidney stone
• 12 cases (14.4%) had multiple renal stones
• 08 cases (9.6%) had recurrent renal stones
• 02 cases (2.4%) had presented with residual stones after surgery
• 33 cases (39.6%) had upper ureteric stones
• 01 cases (1.2%) had B/L upper ureteric stones

Auxiliary procedure like DJ stenting was used in 23 cases (27%) in an obstructed system. Large size stone over 3 cm or patients coming from faraway places

Result

Stone size measured from 8cm to 3.5cm which could be multiple partial stag horn or impacted stones. Total clearance was achieved in (97%) cases except in 4 cases (3%), stones fragmented in 1st sitting also but average 4 sittings were required. 20 KV pressure and 12,000 shocks. Radio dense large stones and ureteric stones required more number of sittings.

• Impacted ureteric stones fragmented but failed to clear in 2 cases
• ESWL was changed to PCNL, clearance as patients lost patience of coming again and again
• Residual stones were seen in two cases as patients refused stenting and in another it was an anomalous kidney

Discussion

ESWL is a safe, completely non-surgical treatment with good success rate and with good acceptable.

Dr. Ravindra Kumar Sah
M.S. (Surgery) D.N.B. (URO)
Sah Urological and Kidney stone centre
Sah Nursing Home, Balanala, Varanasi-221001