Prospective study of the long-term effects of shock wave lithotripsy on renal function and blood pressure

The Journal of Urology
Waleed A EassaHamdy A Elkappany

Abstract

We clarified the long-term effects of extracorporeal shock wave lithotripsy on renal function and blood pressure, and its relation to body mass index and type of lithotriptor. A total of 100 patients with a single radiopaque renal stone 2 cm or less in length were followed for 18 to 57 months (mean 43.6 +/- 13.8) after being stone-free by extracorporeal shock wave lithotripsy monotherapy using 2 lithotriptors. Mean patient age was 47.9 +/- 9.1 years (range 23 to 66). Nuclear scintigraphy using (99m)technetium-mercaptoacetyltriglycine was done for all patients before extracorporeal shock wave lithotripsy, as well as at the last followup visit to estimate glomerular filtration rate, clearance and split renal function. Blood pressure measurements were recorded at admission and at each followup visit. Before extracorporeal shock wave lithotripsy treated side mean (99m)technetium-mercaptoacetyltriglycine clearance, glomerular filtration rate and split function were 146.22 +/- 59.48, 52.66 +/- 13.69 and 49.7 +/- 7.31, respectively. At the last followup visit they were 145.1 +/- 58.82 (p = 0.842), 54.85 +/- 15.75 (p = 0.114) and 49.96 +/- 8.68 (p = 0.577), respectively. Of 100 patients 18 were hypertensive before extracorporeal shock ...Continue Reading

References

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Citations

Jul 26, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Andrew D RuleJohn C Lieske
Feb 6, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Andreas J GrossChristopher Netsch
Nov 28, 2012·The Urologic Clinics of North America·Ganesh KarthaManoj Monga
Aug 29, 2012·BJU International·Ahmed R El-NahasKhaled Z Sheir
Mar 14, 2017·The Journal of Urology·Giovanni GambaroPietro Manuel Ferraro
Jan 7, 2020·Current Opinion in Urology·Panagiotis MourmourisAndreas Skolarikos

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