Factors that affect outcome of pediatric shock waves lithotripsy with sedoanalgesia

Urology Annals
Ammar Fadil AbidBairq A Mahdi

Abstract

Performing shock wave lithotripsy (SWL) under intravenous sedoanalgesia and the ability to predict the effectiveness of SWL is essential in determining the most appropriate treatment for patients. This study consisted of 56 children aged between 1 and 16 years mean age 6.7 ± 4.3 years with renal and ureteric stones who underwent SWL. Incomplete child data were excluded from the study, leaving 47 patients. The procedure was performed under sedoanalgesia with diazepam and ketamine was given intravenously during SWL session. We study the effect of the following factors (age, site, size, opacity of stone, degree of pelvicalyceal dilation, previous urological surgery, number of shock waves, and number of sessions) on stone clearance after SWL. Forty-seven children range from 1 to 16 years, mean age 6.7 ± 4.3 years. There were 39 (83%) with renal stone and 8 (17%) with ureteric stone. The mean size of stone was 12.2 ± 4.4 mm ranging 6-25 mm. Of 47 children, 36 (76.6%) were stone-free. Age below 6 years, pelvic stones, children without surgery, number of shock waves, and number of sessions were significant factors that affect the stone-free rate after SWL, while the stone size, opacity, and calyceal system dilatation were not statisti...Continue Reading

References

May 4, 2016·Journal of Pediatric Urology·A FaureE Lechevallier

❮ Previous
Next ❯

Citations

Feb 2, 2020·Der Urologe. Ausg. A·W L Strohmaier

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
sedation

Software Mentioned

Statistical Packages for Social Sciences

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.