Success Factors of Extracorporeal Shock Wave Lithotripsy (ESWL) for Renal &amp;amp; Ureteric Calculi in Adult

Abid, Ammar Fadil

doi:10.4236/oju.2014.43005

Cited by 10 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, no correlation was found between ESWL success rates and stone opacity in two other studies. [13,20] Operation time was not different between the two groups in univariate analysis in our study. Falahatkar et al [21] also did not report any relationship between surgery time and stone opacity in complete supine PCNL procedures.…”

Section: Discussionmentioning

confidence: 51%

See 1 more Smart Citation

Comparison of the outcomes of complete supine percutaneous nephrolithotomy in patients with radiopaque and radiolucent kidney stones

Falahatkar

Mokhtari

Amin

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: This study compared the stone opacity effect in patients who had radiopaque and radiolucent stones in percutaneous nephrolithotomy (PCNL) results. Material and methods:The medical records of 171 complete supine PCNL procedures were gathered. Patients were categorized into two groups: those with radiopaque (n=141) and those with radiolucent (n=30) stones. Kidney, ureter and bladder x-ray was done a day after PCNL and Ultrasound imaging was done two weeks later to evaluate the stone free rate. A stone free result was defined as having less than 4 mm residual stone size. Outcome parameters were compared by univariate analysis and those which were significantly different between the two groups were assessed by multivariate binary logistic regression analysis.Results: There were no significant differences in age, sex, body mass index, hypertension, diabetes mellitus, pre-surgery hemoglobin, pre-surgery serum creatinine, stone and also surgery-related parameters between the two groups. Stone free rate, surgery time, complication-related parameters, hemoglobin drop, serum creatinine and glomerular filtration rate (GFR) changes were similar in both groups based on univariate analysis. The radiopaque group had higher post-surgery GFR (p= 0.04) and longer hospital stay (p= 0.009). However, opacity had no effect on these outcomes after multivariate analysis. Higher post-surgery GFR was seen in patient with higher GFR before surgery (p<0.0001). Also, higher hemoglobin before surgery was correlated with less hospital stay (p= 0.001). Conclusion:The complete supine percutaneous nephrolithotomy outcomes are similar in patients with radiopaque and radiolucent stones.

show abstract

Section: Discussionmentioning

confidence: 51%

“…[8] So far, some studies have investigated stone opacity effect on ESWL outcomes. [12,13] Also, some other studies have studied the relationship between stone density and ESWL or PCNL outcomes. [14][15][16][17] To our knowledge, no study has compared the results of PCNL in patients with radiopaque and radiolucent stones.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the outcomes of complete supine percutaneous nephrolithotomy in patients with radiopaque and radiolucent kidney stones

Falahatkar

Mokhtari

Amin

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

show abstract

“…The outcome of treatment after ESWL is variable due to the close relation between the final result with the different concepts of success. 5 Many studies have demonstrated that the consistency, size, shape, location, and density of ureteral stones and body mass index (BMI) may be predictors of the outcome of ESWL. 6 Therefore it is very important to estimate the probability of stone clearance for each individual so as to determine who will experience maximum benefit from ESWL.…”

Section: Discussionmentioning

confidence: 99%

“…4 It is not certain which factors influence the outcome of ESWL. 5 Therefore the present study was planned to determine the most significant factors that influence on the success of ESWL of ureteric calculi in Asian Indian patients.…”

Section: Introductionmentioning

confidence: 99%

Study of factors predicting clinical outcomes of extracorporeal shock wave lithotripsy in Indian patients with upper urinary tract calculi

Panchal

Krishnaswamy

Dabhade³

et al. 2018

Int Surg J

View full text Add to dashboard Cite

Background: Extracorporeal shock wave lithotripsy (ESWL) is an effective non-invasive method for managing urinary tract calculi. Present study was undertaken to evaluate factors that may influence ESWL clinical outcomes in Indian patients with urinary tract calculi.Methods: This prospective study was conducted at Department of Urology, Medical Trust Hospital Cochin, India in the period from September 2006 to March 2009. Sixty patients with upper urinary tract lithiasis having stone size between 5 to 25 mm were included and patients with ˃2 calculi, distal ureteric obstruction (not relieved), renal anomalies were excluded. All patients were treated with DIREX medical system lithotripter. Clinical outcome of ESWL was assessed by factors like site, size, density and skin-to-stone distance. After statistical analysis, p-value ≤0.05 was taken as the level of significance.Results: The overall success of ESWL was 82%. The final success of ESWL for sites like ureter, pelvis, mid or upper and lower calyx were 94.1%, 84%, 85.7% and 58% respectively (p = 0.095). The rate of fragmentation of stone after one session of ESWL for stone size ≤10 mm, 11 mm - 20 mm and ≥21 mm was 76.5%, 68.4% and 16.7% respectively (p=0.009). For stone density 751-1000 HU, 22.2% patients required ≥2 sessions to achieve stone free status (p<0.0005). Around 15.6% patients in skin-to-stone distance (SSD) ≤10cm required ≥2 sessions to achieve stone free status (p = 0.27).Conclusions: ESWL should be considered a primary modality of treatment in patients with calculi size ≤20 mm, density ≤ 1000 HU, pelvic, ureteric and upper and/or middle calyceal calculi and for SSD ≤10 cm.

show abstract

“…Although it can cause some acute effects in the kidney, there is no long-term effect on the growing kidneys of children. [8] concluded that ESWL remained one of the most commonly utilized treatments for patients with upper urinary tract calculi; stone diameter, location, and number of shock waves were the most important predictors determining stone clearance after ESWL of renal and ureteric calculi. It was found that age and sex had no effect on ESWL success rate also in other studies these factors found play no effect.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Lithotripsy Treatment for Renal and Ureteral Stones in Duhok City

Al-Hakary¹,

Haji²,

Noory³

et al. 2016

JMP

View full text Add to dashboard Cite

The present study reports the results of extracorporeal shock-wave lithotripsy treatment for renal and ureteral stones in Duhok city. The data were collected from the center of breakdown kidney stones in Duhok hospital. There were a total of 40 patients (25 males and 15 females) aged from 20 to 60 years old. The patients harboring (23 renal and 17 ureteral) stones of size ranged from 7.5 to 20 mm. Almost stones are of average size 9 mm and composed of uric acid, calcium and cystine stones. The study has been carried out by taking into consideration the parameters (type, sizes, composition and location of stone as well as region and ages of patients, also power, number of shock wave and sessions). The results show that the stones size increases according to increasing ages of patients (male and female) for uric acid ureter stone and calcium (renal, ureter) stones. Also (renal, ureter) stone size for patients aged from 20 to 30 years old increases from the minimum value for phosphate to maximum value for cystine stones, while for patients aged from 40 to 60 years old, the minimum size is obtained for calcium oxalate and the maximum size for calcium only. On the other hand, for uric acid stones of average size 9 mm, number of shock wave and sessions as well as the power required to breakdown the stones decrease nearly exponentially according to enhancing patients' ages. At the same time, it's found that for adult patients (20-30 years old), number of sessions and the power of shock wave decrease also according to increasing size of calcium and cystine stones. Contrary to that, for the same ages and renal, uretral cysteine stones number of shock wave needed to breakdown large stones will be increased.

show abstract

Success Factors of Extracorporeal Shock Wave Lithotripsy (ESWL) for Renal & Ureteric Calculi in Adult

Cited by 10 publications

References 20 publications

Comparison of the outcomes of complete supine percutaneous nephrolithotomy in patients with radiopaque and radiolucent kidney stones

Comparison of the outcomes of complete supine percutaneous nephrolithotomy in patients with radiopaque and radiolucent kidney stones

Study of factors predicting clinical outcomes of extracorporeal shock wave lithotripsy in Indian patients with upper urinary tract calculi

Extracorporeal Shock Wave Lithotripsy Treatment for Renal and Ureteral Stones in Duhok City

Contact Info

Product

Resources

About