DefinePK

Abstract

Introduction: When looking through the literature, it's clear that majority of the researchers who compared traditional PCNL and ESWL don't agree on the stone clearance rate for uric acid stones between the two therapy methods. So, more research needs to be done in this area. The technique for having a high stone clearance rate should be suggested for people with kidney stones in the future. Methodology: The Department of Urology at the Institute of Kidney Diseases in Peshawar ran this randomized controlled study from July 2024 to December 2024.  The trial included 160 patients, 80 in each group, who were between the ages of 15 and 55 and had symptomatic renal uric acid stones up to 2 cm in size.  We did not include people with abnormal coagulopathy, people who had recently taken NSAIDs, people with urinary tract infections, pregnant women, people with abnormal upper urinary tract anatomy, or people with axial skeletal abnormalities. Group A had PCNL while group B had ESWL. Procedure was considered effective when there was the presence of no stones in the kidney except residual stone fragments < 4 mm on postoperative CT scan. Results: Patients in group A were an average of 35.86 years old, whereas patients in group B were an average of 38.05 years old.  There were 160 patients, 84 of whom were men and 76 of whom were women. This means that there were 1.1 men for every woman.  I found that PCNL and ESWL were 90.0% and 70.0% effective at clearing stones, respectively, with a p-value of 0.0016. Conclusion: We concluded that PCNL is better than ESWL at getting rid of stones in people with renal calculus ≤20 mm.