@article{Rasool_Tabassum_Sheikh_Mumtaz_2010, title={Extracorporeal Shockwave Lithotripsy: Initial Experience at Bahawalpur}, volume={15}, url={https://annalskemu.org/journal/index.php/annals/article/view/26}, DOI={10.21649/akemu.v15i1.26}, abstractNote={<strong>Place of Study:</strong> American Kidney Stone Centre (AKSC), Bahawalpur, a private setup.<br /><strong>Duration of Study:</strong> January 2005 to June 2007.<br /><strong>Design of Study: </strong>Prospective, Observational.<br />Material & Methods: A total of 250 patients were evaluated for ESWL results. The one session comprised of 1500-2500<br />shocks with intermittent fluoroscopy with X-Ray focusing. A period of 7 – 10 days was given between two sessions. The<br />procedure was repeated till the clearance of stone no matter what was the number of sessions. The complications like pain,<br />colic, hematuria were addressed adequately and immediately. The development of steinstrasse was initially observed and few<br />required manipulation. The stone size is the only matter of concern in few patients especially lower pole stones.<br /><strong>Results: </strong>The stone clearance was achieved in 89% of patients. Auxillary procedures were required in 10.8% before ESWL<br />and 9.6% of patients after ESWL. Which include Endoscopic stenting and manipulation with uretero-renoscopy and<br />intracorporeal lithotripsy. Prophylactic insertion of DJ stenting reduced complication rate and incidence of steinstrasse.<br /><strong>Conclusion: </strong>ESWL can be safely recommended for patients of urolithiasis irrespective of age and stone size with promising<br />results of stone clearance and patient acceptance.<br /><strong>Key Words: </strong>ESWL-Extracorporeal shock wave lithotripsy, URS-Ureterorenoscopy. ICL-Intracorporeal lithotripsy.}, number={1}, journal={Annals of King Edward Medical University}, author={Rasool, Mumtaz and Tabassum, Shafqat Ali and Sheikh, Abid Hameed and Mumtaz, Fariha}, year={2010}, month={Mar.}, pages={21} }