Prognostic factors of success of extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal stones

International Urology and Nephrology
Abdulla Al-AnsariAhmed A Shokeir

Abstract

To evaluate the factors that affect the success rate of extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stones. Between January 2000 and December 2003, 427 patients with single or multiple renal stones (< 30 mm, largest diameter) underwent ESWL monotherapy using Storz SL 20 lithotriptor. The results of treatment were evaluated after 3 months of follow-up. Treatment success was defined as complete clearance of the stones or presence of clinically insignificant residual fragments < 4 mm. The success rate was correlated with the characteristics of the patients, conditions of the urinary tract and stone features. At 3-month follow-up, the overall success rate was 333/427 (78%). Repeat treatment was needed in 226 patients (53.1%). Post-ESWL auxiliary procedures were required in 36 patients (8.4%). Post-ESWL complications were recorded in 16 patients (3.7%). Of the 10 prognostic factors studied, 5 had a significant impact on the success rate, namely: renal morphology, congenital anomalies, stone size, stone site and number of treated stones. Other factors including age, sex, nationality, stone nature (de novo or recurrent) and ureteric stenting had no significant impact on the success rate. The success rate of ESW...Continue Reading

References

Mar 1, 1994·The Journal of Urology·J E LingemanJ R Woods
Feb 1, 1997·The Urologic Clinics of North America·T D Cohen, G M Preminger
Feb 25, 2000·The Journal of Urology·N F LogarakisR J Honey
Mar 14, 2002·Journal of Endourology·Nestor J LalakDavid A Tolley
Jun 19, 2004·Scandinavian Journal of Urology and Nephrology·Mohamed Abdel-KhalekMahmoud Bazeed
Mar 8, 2005·International Braz J Urol : Official Journal of the Brazilian Society of Urology·J Stuart Wolf

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Citations

Feb 22, 2012·Der Urologe. Ausg. A·A Häcker, M S Michel
Oct 22, 2008·Journal of Endourology·Geert G TaillyThomas O Tailly
Aug 10, 2012·Journal of Endourology·Abdulkadir TepelerMuzaffer Akcay
Feb 8, 2007·Current Opinion in Urology·Sanjeev Madaan, Adrian D Joyce
Feb 28, 2008·Current Opinion in Urology·Jay D Raman, Margaret S Pearle
Jun 16, 2012·Advances in Urology·Elisa CicerelloLuigi Maccatrozzo
Jul 31, 2012·Urology·Brian H Eisner
Jun 21, 2011·The Journal of Urology·Joshua D WiesenthalKenneth T Pace
Jun 20, 2015·Advances in Chronic Kidney Disease·Dayron Rodríguez, Dianne E Sacco
Jul 28, 2016·Urology Annals·Ahmad MajzoubKhalid Al-Jalham
Apr 25, 2015·Revista da Associação Médica Brasileira·Fábio César Miranda TorricelliEduardo Mazzucchi
Jul 13, 2007·Acta Cirúrgica Brasileira·Vicente Massaji KiraValdemar Ortiz
Mar 10, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Sarah PrattleyBhaskar K Somani
Sep 1, 2012·Arab Journal of Urology·Christian BachNoor Buchholz

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