Is extracorporeal lithotripsy a first-line treatment for urinary stones today?
Actas Urol Esp (Engl Ed)
; 48(2): 134-139, 2024 Mar.
Article
en En, Es
| MEDLINE
| ID: mdl-37657709
ABSTRACT
OBJECTIVE:
To evaluate the efficacy and complications of extracorporeal lithotripsy (SWL) as a first-line treatment for renal and ureteral stonesMETHODS:
Retrospective and observational study of all the patients treated with lithotripsy in a third level center between January 2014 and January 2021; characteristics of the patients, the stones, complications and results of SWL is recollected. Multivariate logistic regression of the factors associated with stone size reduction was performed. A statistical analysis of the factors associated with additional treatment after SWL and factors associated with complications is also executed.RESULTS:
1727 patients are included. Stone mean size was 9,5mm. 1540 (89.4%) patients presented reduction in stone size. In multivariate analysis, stone size (OR=1.13; p=0.00), ureteral location of the lithiasis (OR=1.15; p=0.052) and number of waves (p=0.002; OR=1.00) used in SWL are the factors associated with reduction of stone size. Additional treatment after lithotripsy was needed in 665 patients (38.5%). The factors associated with the need for retreatment were stone size (OR=1.131; p=0.000), number of waves (OR=1.000; p=0.000), energy (OR=1.005; p=0.000). 153 patients (8.8%) suffered complications after SWL. A statistically significant association was found between the size of the lithiasis (p=0.024, OR=1.054) and the previous urinary diversion (P=0.004, OR=0.571).CONCLUSION:
Lithotripsy remains an effective treatment as the first line of therapy for reno-ureteral lithiasis with a low percentage of complications.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Uréter
/
Litotricia
/
Cálculos Ureterales
/
Litiasis
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
/
Es
Revista:
Actas Urol Esp (Engl Ed)
Año:
2024
Tipo del documento:
Article