%0 Journal Article
%T Shock wave lithotripsy in the era of COVID-19.
%A Ibrahim RM
%A Elzawy F
%A Ragheb AM
%A Elmarakbi AA
%A Sayed O
%A Lotfy AM
%A Youssef A
%A Badwy HF
%A Mohamed AG
%J Urol Ann
%V 16
%N 1
%D 2024 Jan-Mar
%M 38415230
暂无%R 10.4103/ua.ua_42_22
%X <B>UNASSIGNED: </B>The objective of the study y was to evaluate factors which can improve shock wave lithotripsy (SWL) results to keep up with COVID-19 pandemic.<BR><B>UNASSIGNED: </B>Between June 2020 and June 2021, patients with radio-opaque or faint radio-opaque upper urinary tract stones, stone attenuation value ≤1200 HU, and stones size <2.5 cm were treated by electrohydraulic SWL. Patients with respiratory tract symptoms elevated temperature, contact with COVID-19 patients, or positive COVID-19 swab 2 weeks preoperatively, skin-to-stone distance >11 cm, and body mass index >30 kg/m2 were excluded from the study. Patients were prospectively enrolled in SWL done at a rate of 40-50 SWs/min under combined ultrasound and fluoroscopy-guided, ramped into high power in the 1st 300 shocks. Success rate and complications were recorded.<BR><B>UNASSIGNED: </B>Five hundred and ninety patients completed the study. The success rate after 1st session was 408/590 patients (69.15%) which was augmented by 2nd session to reach 527/590 patients 89.3%. The success rate was 96.2% at 3 months postoperatively. Most complications were mild (Grade 1 or 2).<BR><B>UNASSIGNED: </B>SWL results improved using slow rate high power from the start of the session under combined fluoroscopy and ultrasound guidance. SWL may be a preferred option during a pandemic.