Memberships Medical Council

i) Indian Medical council :Full (Life) Member No.217730

ii)General Medical Council, England  :Full Member No.1427183

(On overseas List) Retention Fee due Dec.1996

Membership of the Academic Association:

i)   Indian Medical Association- Full Member

ii)  British Association Of Urological Surgeons- Full Member

iii) Urological Society of India- Full (life) Member

iv) Urolithiasis Association of Indian- Full (life) Member

v)  West Zone Urological Association- Full (life) Member and council Member

vi)  Surgeon General Club, Kolhapur- Full Member

vii) S.I.U.- Full Member

Other Attachment:

i) CHAIRMAN: Dr. A. B. Gune Charitable Trust

ii)MANAGING DIRECTOR: Kolhapur, Kidney Stone Care Centre

iii)DIRECTOR: Insight Diagnostic & Oncological Research Centre

Names of the Referees:

i) Mr. W. F. Hendry

Consultant Urologist,

149, Harley Street,

London WIN IDD

Phone 636 7426

ii)Mr. Ron Parker

Consultant Surgeon,

Walgrave Hospital,

Coventry, CV 2 2DX

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ESWL FOR IN SITU URETERIC CALCULI

Gune Prakash, Bhadre Umesh, Magdum Vishwanath

Break Stone Lithotripsy Clinic, Kolhapur, India

INTRODUCTION & OBJECTIVE:

With the advent of Endo Urology and ESWL there have been various treatment options for treating Ureteric calculi. This paper is to study merits and demerits of treating ureteric calculi in situ.

MATERIAL & METHOD:

300 patients of symptomatic ureteric calculi presented at this centre, since Stone Medical International's Vega I Lithotripter machine was installed in April 1995. After evaluating these patients and seeing their IVU 166 patients were selected for in situ ESWL. Stenting was performed only in grossly obstructed system. The localization of the stone was done either in Prone, Supine or Lithotomy positions. All patients were given 2500 shocks at one sitting with KV from 15 to 20. Some of them who required multiple sittings were called at the interval of 2 weeks.

RESULTS:

In 150 patients the results of in situ ESWL have been successful. Only in 16 patients stones could not be fragmented and URS had to be performed. 10 out of 166 patients needed DJ stenting prior to ESWL as they had marked obstruction secondary to ureteric calculi while as lower ureteric calculi take more sittings to fragment.

COCLUSION:

In Situ ESWL for ureteric calculi is an effective, noninvasive procedure and should be considered as the first line treatment in most of the symptomatic Ureter Calculi