Initial experience of Extracorporeal shock wave lithotripsy with robotic navigation

Year : 2016 | Volume : 4 | Issue : 2 Page : 26 - 29

Priyank Salecha¹, Vamsi Krishna Poleboyina², Naveenchandra Acharya^3>

¹Final year DNB Resident,²,³Consultant Urologist, Department of Genito Urinary Medicine, Yashoda Hospital, Rajbhavan Road,Somajiguda,Hyderabad.Telangana.India.

Address for correspondence: Dr. Naveenchandra Acharya,Consultant Urologist, Department of GenitoUrinaryMedicine,YashodaHospital,RajbhavanRoad,Somajiguda,Hyderabad.Telangana.India

Email: naveenchandra_in@yahoo.com

Abstract

Aim: The main aim was to retrospectively assess the results of treatment of upper urinary tract stones with the Sonolith vision manufactured by EDAP.

Material and Methods: In this study 200 patients who underwent extracorporeal shock wave lithotripsy (ESWL) alone as an initial treatment and could be followed up for at least 3 months were selected who underwent this therapy between January 2015-January 2016. Treatment effect was evaluated by kidney, ureter, and bladder X-ray or renal ultrasonography at 1 and 3 months after treatment. A stone-free status or status of stone fragmentation to 4 mm or smaller was considered to indicate effective treatment.

Results: At 3 months after treatment, the stone-free rate was 69% after single sitting while it was 85% after second sitting. Complications of this therapy included renal subcapsular hematoma and pyelonephritis in 2 and 1 case each respectively.

Conclusion: ESWL with the Sonolith vision manufactured by EDAP produced a treatment effect equivalent to those achieved with other models of ESWL equipment. ESWL seems to be an effective first-line treatment for patients who do not wish to undergo invasive procedure.

Keywords : Extracorporeal shock wave lithotripsy, robotic navigation, calculi