Factors influencing extracorporeal shock wave lithotripsy efficiency for optimal patient selection.

Snicorius, Marius; Bakavičius, Arnas; Čekauskas, A.; Miglinas, Marius; Platkevičius, Gediminas; Želvys, Arūnas

doi:10.5114/wiitm.2021.103915

Cited by 13 publications

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References 31 publications

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“…Among renal stones, lower caliceal stone clearance was lower and was 76% but non lower polar stone clearance was higher 92%. Many factors reduce the stone clearance rate in a lower polar stone-like dependent position and unfavorable anatomy (Snicorius et al 2021).…”

Section: Resultsmentioning

confidence: 99%

The Outcome of Shock Wave Lithotripsy (SWL) in the Treatment of Urinary Stone Disease: 115 Cases in SOMCH

et al. 2022

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Purpose: Urinary stone disease is a systemic metabolic and recurrent disease. It is the third most common disease of the urinary tract. Urolithiasis affects 4%-15% of the world population and this is increasing. Treatment of urinary stone disease moved dramatically from open operative procedures to endoscopic, minimally invasive, and noninvasive methods. The introduction of shock wave lithotripsy (SWL) has revolutionized the treatment of urinary stones with the concept of disintegration of stones. The present study aims to evaluate the outcome of SWL in the treatment of urinary stone disease. Methods and Materials: This retrospective observational study was conducted in the department of urology, SOMCH from June 2019- to March 2021. Renal stone <2.0 cm & upper Ureteric stone <1.5 cm were included and radiolucent stones, patients having ureteral obstruction with grossly impaired renal function, UTI, uncontrolled bleeding disorder, pregnancy & BMI >30kg/m2 were excluded. A total of 115 patients was enrolled. SWL with Siemens Lithoskope (3rd generation) lithotripter was used with a standard number of shock waves 2500-3500 per session & an energy setting of 3.0-3.5 KV. NSAID was given in suppository form and intravenous pethidine just before starting shock for analgesia and all were under antibiotic prophylaxis. Patients were discharged the day after the SWL procedure with the advice of follow-up every 2 weeks for 3 months. All patients were followed up with history, urine R/M/E & C/S to detect UTI, plain X-ray KUB region to see stone clearance or any other complications. Results: Total 179 sessions of SWL procedure done for 115 patients (1.55/ patient) with the urinary stone of both gender between 19 to 70 years. Of them, 82(71.3%) were male and 33(28.7%) female and 94(81.5%) were in the 20-60 years age group. Renal stones 78(67.9%), upper ureteric stones 37(32.1%), and 70(60.8%) were on the left side. Preprocedure stenting was done in 35(30.4%) patients due to obstruction & residual stones. 70(60.9%) have achieved stone clearance after the first session of SWL. After a maximum of 3 sessions of SWL and 3 months follow up found that 99(86%) patients were stone-free. Only 16(14%) found treatment failure and needed auxiliary procedures like URS, RIRS, etc because of hard stone, steinstrasse, and patients’ non-compliance due to pain & fearlessness. 13(11.3%) patients complain of moderate pain after SWL and needed a maximum of 2 days of hospitalization with an injectable pain killer. UTI was found in 9(7.8%) patients, of the 7(6.1%) were pre-stenting. Gross hematuria was found in 2(1.7%) patients due to HDN & UTI. Conclusion: As the stone clearance rate is high with fewer complications however multiple sessions are required, SWL, a noninvasive procedure, is a good option for the treatment of urinary stone disease. Bangladesh J. Urol. 2021; 24(2): 166-169

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Section: Resultsmentioning

confidence: 99%

The Outcome of Shock Wave Lithotripsy (SWL) in the Treatment of Urinary Stone Disease: 115 Cases in SOMCH

et al. 2022

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“…Bigger stones are linked to a higher chance of treatment failure for urinary tract stones. Following ESWL, stone size is an independent predictor of stone-free rate, according to a research by Snicorius M et al 7 Patients with stones > 15 mm have been observed to have a higher failure rate with ESWL. The average stone size in our study was 15.8 mm, which is consistent to Snicorius M et al 7…”

Section: Discussionmentioning

confidence: 98%

“…Medical expulsive therapy, ESWL, Uretroscopic stone extraction, PCNL, Open surgery, and a combine treatment procedure are among the treatment options for urolithiasis. 3,4 Though, in most cases, EWSL is a non-invasive surgery that is preferred for the management of renal stones, particularly where the stone diameter below the 2cm .6, 7 The majority of renal stones in both adults and children are treated with first-line therapy. Now a day recent studies showed role of Triple D score, which includes stone density, skin to stone distance (SSD), and stone diameter, determines the success rate of ESWL so our aim to see the role of 3D score in ESWL.…”

Section: Introductionmentioning

confidence: 99%

Role of Triple D Score in Eswl: Our Experience at Urology Department Chandka Medical College Hospital Larkana Pakistan

Rohra¹,

Shaikh²,

Khan³

et al. 2022

PJMHS

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Aim: To detect usefulness of triple D score in ESWL (extracorporeal shock wave lithotripsy) for management of renal stone. Methodology: Retrospective Study was conducted at Urology department, CMCTH) at SMBBMedical University Larkana. 50 patients underwent ESWL from 2018 to 2020. All the related data were taken as well as demographic details, history and risk factor from the patients. Routine investigation carried out including Blood CP ESR, Urine DR, Blood sugar, Renal profile, urine culture sensitivity and CT KUB. The stone density, skin-to-stone distance, and stone size were calculated by a radiologist. Results: ESWL was performed on 50 patients with average age of 30± 8 years and a sex ratio (male female) of 1:0.3. The stone-free percentage after the first treatment session was 40 percent and 90 percent on 2nd sitting, based on the triple D score, which included stone size, skin to stone distance, and stone density (HU). The mean stone size was 15.8 mm, the Skin to Stone Distance was 6.4 cm, and the stone density was 594 HU were established respectively. Conclusion: The Triple D Score is easy to compute and reported by radiologist. The use of the Triple D Score in ESWL patients has been shown to improve overall ESWL success rates. Keywords: Extracorporeal, Shock, Wave, Lithotripsy, Renal stone and Triple D score

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“…in 2009. The risk of recurrence is estimated at 50% within 5 years of the first stone episode (Raja et al, 2020, & Snicorius et al, 2021. Although the etiology of kidney stones is multifactorial, diet appears to be an important factor due to its ability to affect urine composition.…”

Section: Introductionmentioning

confidence: 99%

Effect of Self-Management Protocol on Dietary Adherence for Patients with Kidney Stones undergoing Shock Wave Lithotripsy Technique

El-Shishtawy

Mohammed

2022

Assiut Scientific Nursing Journal

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Renal stone is a significant health problem all over the world. Aim: This study aimed to evaluate the effect of selfmanagement protocol on dietary adherence for patients with kidney stones undergoing Shock Wave Lithotripsy Technique. Design: A quasi experimental design was used. Setting: This study was performed in the shock wave lithotripsy unit of the Urology Outpatient Clinic affiliated with the Zagazig University Hospital . Sample: A Purposive sample of 100 patients , 50 randomly allocated to each group (study and control). Tools: Patients' interview questionnaire, Self-management practices, perceived dietary adherence questionnaire, and barriers towards consuming a healthy diet. Results: More than two thirds (70.0%) of patients in the study group adhered to diet post program, while most (92.0%) of the patients in control group were not adherent. There was a highly statistically significant difference between study and control groups post implementation of self -management protocol regarding total knowledge, attitude, practice of fluid drink, and total practice regarding food at p<0.001. Conclusion:According to study findings the level of knowledge, attitude, practice of fluids consumption, and practice regarding food consumption of the patients in the study group significantly improved after the intervention compared to before the intervention. There was a positive correlation between knowledge ,practice ,attitude ,and among the patients in study group, which supported the stated hypothesis. Recommendations: Additional study on larger probability sample is recommended for general capacity and wider use of self-care practices.

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Factors influencing extracorporeal shock wave lithotripsy efficiency for optimal patient selection.

Cited by 13 publications

References 31 publications

The Outcome of Shock Wave Lithotripsy (SWL) in the Treatment of Urinary Stone Disease: 115 Cases in SOMCH

The Outcome of Shock Wave Lithotripsy (SWL) in the Treatment of Urinary Stone Disease: 115 Cases in SOMCH

Role of Triple D Score in Eswl: Our Experience at Urology Department Chandka Medical College Hospital Larkana Pakistan

Effect of Self-Management Protocol on Dietary Adherence for Patients with Kidney Stones undergoing Shock Wave Lithotripsy Technique

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