Demographic and Clinical Profile of Urolithiasis Patients Undergoing Extracorporeal Shock Wave Lithotripsy: A Cross-Sectional Study at Al-Hakim Clinic, Tobruk, Libya
DOI:
https://doi.org/1054361/LJMR.19.1.11Keywords:
ureteral stone, kidney stone, shock wave lithotripsy, ESWLAbstract
Pauper:Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive approach for managing urinary stones and is widely considered effective and safe, particularly for stones smaller than 20 mm. In recent years, the prevalence of urinary lithiasis has risen significantly due to dietary and lifestyle shifts, increasing by 10.6% in men and 7.1% in women. This study aims to provide a comprehensive overview of ESWL treatment for urolithiasis, examining factors such as sex, age, location, nationality, past medical and surgical history, presence of double-J stents, stone size and number, stone location, treatment sessions.
Methodology :This cross-sectional study was conducted at Al-Hakim Clinic in Tobruk, Libya, including 961 patients diagnosed with kidney stones between August and September 2024. Diagnostic confirmation was achieved through X-ray, ultrasound, and non-contrast computed tomography (NCCT) of the kidneys, ureter, and bladder (KUB). Patient records, including medical histories and demographic data, result : organized in Microsoft Excel, and analyzed using SPSS.Results Among the 961 patients, the frequency of cases from 2017 to 2024, calculated with an interquartile range (IQR), was 2019 (2018-2021).discussion: The cohort comprised 604 males (62.9%) and 356 females (37.1%), with a median age of 46 years (IQR 37-55). Most patients were from Tobruk, totaling 309 cases (32.2%). A large proportion of young adults, approximately 388 (40.4%), had stones around 1 cm in size. The right kidney was the most common stone location in both sexes, seen in 316 cases (32.9%).
Conclusion: Males are more frequently affected by urolithiasis, particularly in the right kidney, across all stone sizes. Tobruk exhibits the highest number of cases, with a significant concentration of right kidney stones, predominantly 1 cm and 2 cm in size.
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