Audit of extracorporeal shockwave lithotripsy in 210 Sudanese patients at Gezera Hospital for Renal Diseases & Surgery (GHRD&S)‎ Sudan

Abstract EN

Background : Extracorporeal Shock Wave Lithotripsy (ESWL) was the breakthrough in urolithiasis management in the 20th century.

Objectives : to audit the outcome of ESWL and evaluate its cost effectiveness on the treatment of stone disease in Gezira Hospital for Renal Disease and Surgery (GHRD and S), Sudan Methods: This is a prospective study of 210 patients.

ESWL was performed with SLX MX STORZ machine.

The number of shocks administered, and the degree of energy were supervised with maximum allowance of 2500-3000 shocks and 5-7 energy in kidney and / or 3000-3500 shock 7-8 energy level for ureteral stone with modification when it was indicated Results : out of 210 patients ; 28, 12, 28 and 2 patients had upper, mid, lower ureteric and vesical stones respectively.

Whereas 140 patients had renal stones.

The success rate of fragmentation of the stones with ESWL was 97.1 % for the renal, 92 % for the upper and lower ureter and 83.3 % for mid ureteric stones.

Vesical stones were not amenable for fragmentation in this study.

The overall success rate was 95 %.

The complications were haematuria in one patient, pain and steinstrasse in two patients.

There were no cases of post ESWL renal failure, hypertension and / or residual calculi.

Conclusion : this modality of treatment was found to be less costly, acceptable with short hospital stay and short work absence.