Role of External Vibratory Lithoclast (Lithecbole) in Improving Lower Pole Stone Clearance After Extracorporeal Shock Wave Lithotripsy (ESWL).
Issam Salman Al-Azzawi, Ehab Jasim Mohammad, Waleed Nassar Jaffal et al.
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In 30 seconds
This randomized controlled trial evaluated the efficacy of External Physical Vibration Lithecbole (EPVL) as an adjunct to extracorporeal shock wave lithotripsy (ESWL) in 100 patients with lower pole renal stones. The study found a significantly higher stone-free rate in the ESWL+EPVL group (66%) compared to the ESWL-only group (48%, p = 0.027), suggesting that EPVL may improve stone clearance outcomes.
Key findings
- The stone-free rate was 66% in the ESWL+EPVL group versus 48% in the ESWL-only group (p = 0.027).
- Complication rates were low and similar between both groups (p = 0.3).
- Smaller stone size and lower patient weight were significantly associated with successful stone clearance.
Why it matters
Improving stone clearance rates in patients with lower pole renal stones can enhance treatment outcomes and reduce the need for additional interventions. Understanding adjunctive therapies like EPVL may help clinicians optimize patient management.