Efficacy and Predictive Factors of the Outcome of Extracorporeal Shock Wave Lithotripsy: A Review of One-thousand-nine-hundred-ninety- seven Patients
Journal Title: Journal of Urological Surgery - Year 2019, Vol 6, Issue 3
Abstract
Objective: The aim of this study was to evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (SWL) in a large patient group treated with SWL due to kidney stone. Materials and Methods: Data of 1997 patients, who underwent SWL due to renal stone in the at Atatürk University Medical Faculty Clinic of Urology between 2008 and 2013, were evaluated retrospectively. The effect of age, gender, stone location, size and opacity on SWL success, additional procedure requirement and complication rates were evaluated. Results: Six hundred eighty-six patients were female and 1311 were male. The overall rate of success of SWL was found to be 82.6%. The rate of success of SWL was 82.1% in female patients and 82.9% in male patients (p>0.05). Gender, stone location, stone size and opacity were significant predictive factors for the success of SWL (p<0.05). The complication rate in stones >15 mm was 5.8% (p<0.05). Age, gender, stone size, stone location and stone opacity were not predictive factors for additional treatment after SWL (p>0.05). Conclusion: Although SWL is less preferred today with the increase of endourological interventions, it remains an effective treatment method in appropriate patients.
Authors and Affiliations
Hüseyin Koçakgöl, Ali Haydar Yılmaz, Turgut Yapanoğlu, Fatih Özkaya, Çağrı Akın Şekerci, Fevzi Bedir, Hüseyin Kocatürk, Yılören Tanıdır
Keywords
Related Articles
- EP ID EP50491
- DOI 10.4274/jus.galenos.2019.2562
- Views 224
- Downloads 0
Isiris™: A New Single Use Digital Cystoscope For Double-J Stent Removal
Isiris™ (Porgès-Coloplast) is a single-use digital flexible cystoscope, with an integrated grasper approved for double-J stent removal with comparable characteristics with other digital cystoscopes in the market. Isiris...
An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis
Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the causes of chronic scrotal pain can be ITE, which is usually only diagno...
Can Neutrophil/Lymphocyte and Platelet/Lymphocyte Rates Predict Bone Metastasis in Prostate Cancer Patients?
Objective: Bone metastasis is common in advanced prostate cancer (PCa). Recently, there has been a growing interest in the potential role of inflammatory markers, such as neutrophil-to-lymphocyte ratio (NLR), platelet-to...
Paratesticular Solitary Fibrous Pseudotumor and a Brief Literature Review
A 19-year-old male patient was admitted to our clinic with a left-sided scrotal painless mass. Ultrasonography of the scrotum revealed a paratesticular mass arising from the left testicular sac. Surgical excision of the...
Effect of Positive Surgical Margin on Survival After Partial Nephrectomy for Renal Cell Cancer: Long-term Results of a Single Center
Objective: The goal of this study is to evaluate the risk factors that cause positive surgical margin (PSM) after partial nephrectomy (PN) and the effect of PSM on oncological outcomes in a single-centre cohort. Materia...