Shock Wave Lithotripsy in Ureteral Stones: Evaluation of Patient and Stone Related Predictive Factors.
Int Braz J Urol
; 41(4): 676-82, 2015.
Article
em En
| MEDLINE
| ID: mdl-26401859
ABSTRACT
PURPOSE:
To evaluate the patient and stone related factors which may influence the final outcome of SWL in the management of ureteral stones. MATERIALS ANDMETHODS:
Between October 2011 and October 2013, a total of 204 adult patients undergoing SWL for single ureteral stone sizing 5 to 15 mm were included into the study program. The impact of both patient (age, sex, BMI,) and stone related factors (laterality, location, longest diameter and density as CT HU) along with BUN and lastly SSD (skin to stone distance) on fragmentation were analysed by univariate and multivariate analyses.RESULTS:
Stone free rates for proximal and distal ureteral stones were 68.8% and 72.7%, respectively with no statistically significant difference between two groups (p=0.7). According to univariate and multivariate analyses, while higher BMI (mean 26.8 and 28.1, p=0.048) and stone density values (mean 702 HU and 930 HU, p < 0.0001) were detected as statistically significant independent predictors of treatment failure for proximal ureteral stones, the only statistically significant predicting parameter for the success rates of SWL in distal ureteral stones was the higher SSD value (median 114 and 90, p=0.012).CONCLUSIONS:
Our findings have clearly shown that while higher BMI and increased stone attenuation values detected by NCCT were significant factors influencing the final outcome of SWL treatment in proximal ureteral stones; opposite to the literature, high SSD was the only independent predictor of success for the SWL treatment of distal ureteral stones.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Litotripsia
/
Cálculos Ureterais
/
Índice de Massa Corporal
/
Ondas de Choque de Alta Energia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
/
Male
Idioma:
En
Revista:
Int Braz J Urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Turquia