The examination of the quality of life changes of patients with urolithiasis regarding different methods of treatment

Abstract

Background/Aim. Urolithiasis is one of the most common urological illnesses with a continual rise in incidence and prevalence in the population. Its pathogenesis is multifactorial; hence, its consequences are serious problems that can significantly impact the quality of life of patients. In the last years, operational modes of urolithiasis treatment had undergone evolution changes towards minimally invasive treatment techniques aimed at improving its efficacy and patients' life quality. The aim of the study was to examine and evaluate the quality of life of the patients with urolithiasis depending on the applied treatment method. Methods. This research was designed as a panel study-a combination of a cross-sectional and cohort study. The sample included patients with urolithiasis treated with extracorporeal shock wave lithotripsy (ESWL) or ureteroscopic lithotripsy (Lithoclast). The research was carried during one year period and 100 respondents met the inclusion criteria. They were divided into two equal groups considering the applied method of the stone disintegration: the Lithoclast group (URSL) and the ESWL group. The instrument used for measuring the quality of life was Short Form (SF) 36 questionnaire. It was administrated to the patients immediately before the operation and one month after the operation. Results. The statistical analysis of the scores obtained preoperationally on the SF 36 questionnaire revealed the decrease in the quality of life of patients with urolithiasis in almost all dimensions Ključne reči: urolitijaza; litotripsija; kvalitet života; ankete i upitnici; metodi; lečenje, ishod.

Urosepsis in adults

“…Since urosepsis is mainly the result of obstruction of the urinary tract, development of septic shock can most often be prevented by early deobstruction [7]. Ureteroscopic lithotripsy is a method that postoperatively results in a much higher and statistically significant improvement of the quality of life of patients with urolithiasis [54]. Patients with diabetes mellitus as well as immunocompromised patients must be monitored closely both during the operative period and postoperatively.…”