Case Studies, Abstracts, Recomendations

This section contains some Academic Credentials for Lithotripters. Suggestions, recommendations', Abstracts have been submitted at the Urological societies, congresses or at CME's. There have been satisfied users of our Lithotripters and some of them have floated papers and written down recommendations for others to know. We have uploaded this material to this site. So please browse through the content and see if it interests you.

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Calculus Disease Remains One Of The Commonest Causes

 Introduction

 

The cases of Obstructive Uropathy vary from childhood to adulthood to geriatric age group, but calculus disease remains one of the commonest causes in all. One centre being a kidney stone centre caters to various stone diseases. Selection of the modality of treatment depends upon the severity, size and degree of obstruction. But Percutaneous nephrostomy remains the first line of treatment in almost all cases.

Material and Methods

We have encountered 9 cases of calculus obstructive Uropathy in nearly 2 years. Non-calculus diseases are not included in this study. 3 patients (33%) out of 9 presented with B/L ureteric stones, 2 cases (22%) had B/L renal calculus with echogenic, hydronephrotic kidneys, 2 cases (22%) had solitary kidney with lower ureteral stone. U.S.G. guided P.C.N. (per cut nephrostomy) remained the 1st modality of treatment. Push and D.J. stenting was done in upper ureteric stone, later treated by ESWL clearance. PCNL was done for removal of renal and upper ureteral stone with (previous) same PCN tract in obstructed system. U.R.S. and removal was done in lower ureteric stone. Result Kidney reverted to normal function in 80% cases, reverted to near normal in rest 20% cases. Haemodialysis was only required in one case with severe Acidosis before PCN.

Discussion

Percutaneous Nephrostomy is the least invasive, life saving procedure which provides a mature tract for PCNL. Open surgery is obviated in all so that hospital stay and post operative morbidity is less. Patients resume work faster.

Dr. Ravindra Kumar Sah Sah
Urological & Kidney Stone Centre
Sah Nursing Home
Bulanala
Varanasi (U.P.) 221001

ESWL User Details

Urological & Kidney Stone Centre
Dr. Ravindra Kumar Sah Sah
TMC-SA