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Umsida Repository
Por Ameer Najy Obeed, Ali Jaafar Obaid, Ali S. Hammadi y 3 más.
Contenido en inglés
This study aims to evaluate the clinical efficacy, success rates, and associated complication profiles of ESWL for renal calculi across specialized urology centers in Baghdad, Iraq, utilizing simulated multi-center clinical data.
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A retrospective-simulated cohort of 300 patients (180 males, 120 females; mean age 43.2 ± 11.5 years) treated with modern electromagnetic and piezoelectric lithotripters over a 12-month period was analyzed. Stone parameters, stone-free rates (SFR) at 3 months post-procedure, session requirements, and complication indices were statistically evaluated.
The overall stone-free rate (SFR) at 3 months was 78.3%. For calculi smaller than 1.5 cm, the success rate reached 85.4%, compared to 57.1% for stones equal to or exceeding 1.5 cm. A secondary session was required in 21.7% of cases, predominantly driven by stone density (greater than 1000 HU) and increased stone burden. Minor complications, primarily transient gross hematuria and self-limiting renal colic, were observed in 11.7% of patients, with zero major Clavien-Dindo grade III-V complications. Novelty: ESWL demonstrates exceptional safety and efficacy in Baghdad's urological centers for small-to-moderate renal calculi. Strict patient selection based on stone size, skin-to-stone distance, and composition significantly enhances therapeutic outcomes.
Publicado en Umsida Repository (Universitas Muhammadiyah Sidoarjo). El resumen se muestra tal como se publicó y sigue siendo obra de sus autores; lee el artículo completo en la fuente.
eprints.umsida.ac.id/17214/1/JMGCB_1943_Ameer_Evaluation%2Bof%2BExtracorporeal%2
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