Comparison of Extracorporeal Shock Wave Lithotripsy (ESWL) and Ultra-mini Percutaneous Nephrolithotomy (PCNI), in Renal Stones <20 mm.

Comparison of the Outcome of Extracorporeal Shock Wave Lithotripsy (ESWL) and Ultra-mini Percutaneous Nephrolithotomy (PCNL), in Renal Stones <20 mm.

There is a dearth of information comparing ultra-mini PNCL with ESWI in Pakistan for kidney stones smaller than 20 mm. Hence the current study was planned with the objective of comparing the outcome of ESWL and ultra-mini PCNL in renal stones less than 20 mm.

Even though small PCNL and ESWL are tried-and-true techniques for kidney calculus, their usage poses unique challenges since they need precision to guarantee effective stone removal while minimizing invasiveness. Despite these advantages, selecting the optimum course of action is challenging due to risks of both modalities. The results of this investigation would therefore help to improve the treatment of the patients with renal proximal stones that are smaller than 20 mm.

Inclusion Criteria:

• Patients of any gender
• Aged 20-60 years
• With a single kidney stone in renal pelvis smaller than 20 mm

Exclusion Criteria:

• Pregnancy
• Hemorrhage problems
• Sepsis and pyonephrosis
• With pelvic kidneys
• Obstruction of the pelvi-ureteric junction
• Chronic illness (chronic liver disease, chronic renal failure, chronic drug use)