Abstract
Background: The location of the stone and the amount of stone load determine the treatment for renal stone disease. Depending on the patient and stone features, current treatment options include shock wave lithotripsy (SWL), percutaneous nephrolithotripsy (PCNL), and retrograde intra-renal surgery (RIRS).
Aims & objectives: The goal of this study is to examine the efficacy of RIRS against ESWL for lower pole renal calculi, as well as to assess the safety of RIRS versus ESWL for lower pole renal calculi.
Material & methods: The study included 120 patients, 60 of whom received RIRS and 60 of whom underwent ESWL for lower pole renal calculi measuring 1.5cm.
Results: ESWL has a success rate of roughly 73 percent, while RIRS has a success rate of 93 percent. For SWL, we kept the success size at 4 mm, and for flexi URS, we kept it at 3 mm. The minor and significant issues that arose were examined.
Conclusion: For stones larger than 1.5cm, ESWL can be utilised as a first-line treatment. RIRS can be used in patients who have failed ESWL, are morbidly obese, or have a kidney anatomical anomaly.
Keywords: Renal calculi, shock wave lithotripsy (SWL), Percutaneous nephrolithotripsy (PCNL), Retrograde Intra-Renal Surgery (RIRS)