1 / 19

Induced Diuresis During ESWL Treatment For Renal Stones – Audit Of Stone Free Rates

Induced Diuresis During ESWL Treatment For Renal Stones – Audit Of Stone Free Rates. S Taneja I Husain Bedford Hospital, Bedford. Aims & Objectives. Audit the effect of active diuresis during ESWL on the outcome Compare our results with recently published results from other centres.

rollo
Download Presentation

Induced Diuresis During ESWL Treatment For Renal Stones – Audit Of Stone Free Rates

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Induced Diuresis During ESWL Treatment For Renal Stones – Audit Of Stone Free Rates S Taneja I Husain Bedford Hospital, Bedford

  2. Aims & Objectives • Audit the effect of active diuresis during ESWL on the outcome • Compare our results with recently published results from other centres

  3. Rationale • Distended pelvi-calyceal system provides more room for shock wave treatment • Active urinary flow results in more efficient fragment clearance

  4. Materials & Methods • All patients undergoing ESWL treatment for renal stones from November 2000 to April 2002 • Patients with complicating factors eg metabolic stones are excluded

  5. Materials & Methods • Storz Modulith SL20 Mobile Electro-magnetic lithotripter • 1L Saline infusion started at start of ESWL, given over 30-60 min • Diclofenac 100mg pr • Pethidine 100mg + Maxolon 10mg iv • Frusemide 20mg iv

  6. Materials & Methods • Supine Position • 2000 Shocks • Follow up in Stone Clinic in 3 Weeks

  7. Results • No of Patients 71 • Female 28(39.4%) Male 43(60.6%) • Mean Age 54Y

  8. Results • No of Stones 75 • Left 45 (60%) Right 30 (40%) • Mean Stone Size 11.2mm • Total ESWL Sessions 114 • ESWL Sessions / Stone 1.5

  9. Treatment Numbers

  10. Stone Size

  11. Stone Distribution

  12. Complications

  13. Outcome

  14. Outcome By Size

  15. Outcome By Site

  16. Additional Procedures

  17. Comparing The Results • Re-auditing a regional lithotripsy service Parkin et al BJU Int(2002), 89, 653-657

  18. Comparing The Results

  19. Conclusions • Use of diuresis seems to have a much improved stone clearance rates • Low incidence of obstructive complications • ? Other factors • Need for Controlled Trial

More Related