Shock wave lithotripsy in the era of COVID-19

The objective of the study y was to evaluate factors which can improve shock wave lithotripsy (SWL) results to keep up with COVID-19 pandemic. Between June 2020 and June 2021, patients with radio-opaque or faint radio-opaque upper urinary tract stones, stone attenuation value ≤1200 HU, and stones si...

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Published in:Urology annals 2024-01, Vol.16 (1), p.104-107
Main Authors: Ibrahim, Rabie M, Elzawy, Faysal, Ragheb, Ahmed Mohamed, Elmarakbi, Akram A, Sayed, Osama, Lotfy, Amr M, Youssef, Ahmed, Badwy, Hany F, Mohamed, Ahmed Gamal
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Language:English
Subjects:
Body mass index
COVID-19
Kidney stones
Lithotripsy
Medical research
Medicine, Experimental
Nalbuphine
Original
Pandemics
Patient safety
renal stones
shock wave lithotripsy
Success
Surgical outcomes
Ultrasonic imaging
upper urinary tract stones
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container_end_page 107
container_issue 1
container_start_page 104
container_title Urology annals
container_volume 16
creator Ibrahim, Rabie M
Elzawy, Faysal
Ragheb, Ahmed Mohamed
Elmarakbi, Akram A
Sayed, Osama
Lotfy, Amr M
Youssef, Ahmed
Badwy, Hany F
Mohamed, Ahmed Gamal
description The objective of the study y was to evaluate factors which can improve shock wave lithotripsy (SWL) results to keep up with COVID-19 pandemic. Between June 2020 and June 2021, patients with radio-opaque or faint radio-opaque upper urinary tract stones, stone attenuation value ≤1200 HU, and stones size 11 cm, and body mass index >30 kg/m were excluded from the study. Patients were prospectively enrolled in SWL done at a rate of 40-50 SWs/min under combined ultrasound and fluoroscopy-guided, ramped into high power in the 1 300 shocks. Success rate and complications were recorded. Five hundred and ninety patients completed the study. The success rate after 1 session was 408/590 patients (69.15%) which was augmented by 2 session to reach 527/590 patients 89.3%. The success rate was 96.2% at 3 months postoperatively. Most complications were mild (Grade 1 or 2). SWL results improved using slow rate high power from the start of the session under combined fluoroscopy and ultrasound guidance. SWL may be a preferred option during a pandemic.
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subjects Body mass index
COVID-19
Kidney stones
Lithotripsy
Medical research
Medicine, Experimental
Nalbuphine
Original
Pandemics
Patient safety
renal stones
shock wave lithotripsy
Success
Surgical outcomes
Ultrasonic imaging
upper urinary tract stones
title Shock wave lithotripsy in the era of COVID-19
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