Eswl potentially improve renal function in urolithiasis intervention. An experience from Show Chwan Memorial Hospital
黃政建、林茂盛1、馮超傑1 、林大鐘1、王建翔1、周智原1、吳其翔2、謝輝龍3、
陳兆智4、
秀傳醫療社團法人秀傳紀念醫院泌尿部；財團法人彰濱秀傳紀念醫院泌尿部；
竹山秀傳紀念醫院泌尿部；台中尚美泌尿科診所
Wong Jin-Kiong1, Lin Mao-Sheng1, Lin Ta-Chong1, Wang Chien-Hsiang1,Chou chih-yuan1.
Wu Chyi-Hsiang2, Hsih Hui-Lung3,Chen Chao-Chih4,
Department of Urology, Chang Hua Show Chwan Memorial Hospital1,
Department of Urology, Chang Bin Show Chwan Memorial Hospital2,
Department of Urology, Chu Shang Show Chwan Memorial Hospital3,
Sun Mei Urology Clinic, Taichung, Taiwan
Abstract
INTRODUCTION:
Extracorporeal shock wave lithotripsy (ESWL), has been widely performed in symptomatic renal and ureter stones especially renal pelvis and upper ureter stone, with stone below 1.5 cm in size. Persist of non symtomatic renal stone without management, may induce intermittent upper urinary tract infection which develop renal parenchymal injury and subsequently scar formation follow by impair renal function.
PATIENTS AND METHODS:
A retrospective studies from Department of Urology, Show Chwan Memorial Hospital.
A total of 133 patients whom were collected from January 2013 to October 2015.
The patients have underwent ESWL intervention for renal and ureter stone.
Long term stone impaction will induce recurrence urinary tract infection and finally renal scarring if untreated. We would like to compare the pre-ESWL and post-ESWL creatinine & eGFR data to predict whether regular ESWL intervention can improve the renal function.
RESULT:
From over studies, we found that 70.7% of patients have obtained renal function improved after ESWL, whereas 29.3% patients had showed functioning decline as ell.
CONCLUSION:
ESWL in renal stone intervention is either essential or beneficial for symptomatic patients with recurrence upper urinary tract infection even in non symptom and sign patients .