Emergency extracorporeal shockwave lithotripsy as opposed to delayed shockwave lithotripsy for the treatment of acute renal colic due to obstructive ureteral stone: a prospective randomized trial

Minerva urologica e nefrologica = The Italian journal of urology and nephrology
Stefano BucciCarlo Trombetta

Abstract

The aim of this study was to assess the efficacy of emergency extracorporeal shockwave lithotripsy (eSWL) as first-line treatment in patients with acute colic due to obstructive ureteral stone. Seventy-four patients were randomized to emergency SWL within 12 hours (eSWL group) and deferred SWL later than 3 days (dSWL group). Follow-up included ultrasound, KUB (kidney-ureter-bladder) radiography and CT (computed tomography) scan at 24 hours, 7 days, 1 and 3 months from the treatment. When necessary, repeated SWL (re-SWL) or ureteroscopy (auxiliary-URS) was performed. Preoperative and postoperative data were compared and stone free rates (SFR) and efficiency quotients (EQ) were evaluated. Analyses were performed using SAS software. Complete data of 70 patients were collected. 36 underwent eSWL and 34 dSWL. The mean patient age was 48.7. Mean stone size was 9.8 mm (CI 95%: 8.9-10.8). 25 (35.7%) were proximal and 45 (64.3%) distal. Mean SWL energy was 19.2 kV (CI 95%: 18.5-19.9) and mean number of shocks was 2657 (CI 95%: 2513-2802). eSWL patients needs less auxiliary-URS than dSWL patients (13.9% vs. 44.1%, P=0.039) and less re-SWL sessions (8.3% vs. 32.4%, P=0.093). SFR at 24 hours was 52.8% and 11.8% (P<0.001) and the EQ at 3 mo...Continue Reading

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Citations

May 16, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Michele TalsoFrancesco Esperto
Jun 6, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Giorgio MazzonCarlo Trombetta
Jan 29, 2020·Current Opinion in Urology·Jens RassweilerMarie-Claire Rassweiler-Seyfried
Dec 14, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Enrico CheccucciUNKNOWN Uro-technology and SoMe Working Group of the Young Academic Urologists Working Party of the European Association of Urology
Dec 15, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Cosimo De NunzioAndrea Tubaro
Apr 2, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Turgay TuranAsif Yildirim
Jun 10, 2021·Arab Journal of Urology·Abdullatif Al-TerkiAhmed R El-Nahas

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