|
Treatment Results
The treatment results obtained from the Compact S
lithotripter following the GLS treatment protocol are excellent. Overall, a retreatment
rate of 16% was seen from a series of 861 patients in Thailand, Australia and the
Philippines. 84% of patients needed only one treatment while 13% required two treatments.
For stones less than 10 mm (measured as the maximum dimension), fully 90% required only
one treatment.
Stone Size (mm) |
Total
Cases |
Single Treatment |
2 Treatments |
3 Treatments |
4 Treatments |
0
- 10 |
575 |
515 |
90% |
51 |
9% |
9 |
2% |
- |
- |
11
- 20 |
224 |
169 |
75% |
45 |
20% |
10 |
4% |
- |
- |
21
- 30 |
47 |
33 |
70% |
12 |
26% |
1 |
2% |
1 |
2% |
31
- 40 |
15 |
4 |
27% |
5 |
33% |
6 |
40% |
- |
- |
All
Stones |
861 |
721 |
84% |
113 |
13% |
26 |
3% |
1 |
<1% |
Follow-up results after three months were collected
at Bangkok General Hospital in Bangkok, Thailand for a series of 96 patients treated
between August '96 and August '97. A 94% success rate was observed (success defined as no
fragments remaining or fragments less than 4 mm). Note that these results were for
ureteral calculi (UC) and renal calculi (RC).
Stone |
n |
RC |
UC |
Treatments |
Fragmented |
Stone Free |
Size (mm) |
|
|
|
1 Tx |
2 Tx |
3 Tx |
Total |
RC |
UC |
Total |
RC |
UC |
0 - 10 |
79 |
31 |
48 |
68 |
11 |
- |
76 (96%) |
29 |
47 |
75 (95%) |
28 |
47 |
11 - 20 |
12 |
7 |
5 |
9 |
3 |
- |
10 (83%) |
6 |
4 |
8 (67%) |
4 |
4 |
21 - 30 |
4 |
4 |
- |
3 |
1 |
- |
3 (75%) |
3 |
- |
2 (50%) |
2 |
- |
31 - 40 |
1 |
1 |
- |
- |
- |
1 |
1 (100%) |
1 |
- |
1 (100%) |
1 |
- |
Total |
96 |
43 |
53 |
80 |
15 |
1 |
90 (94%) |
39 |
51 |
86 (90%) |
35 |
51 |
Related Papers:
- A text only copy of the paper presented at the FAUA
(Federation of ASEAN Urology Associations) scientific meeting in Chiang Mai, Thailand in
December 1997 can be accessed by clicking on the following link: 1997
FAUA Paper
- A paper written by Dr. David Bolong (Manila) entitled
Update on Stone Management for the Family Physician describes stone managemant from the
General Practicioners perspective. The paper can be accessed by clicking on the following
link: Stone management
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