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Extracorporeal shock wave lithotripsy treatment of renal and ureteral stones Maltepe University Hospital experience

Year 2011, Volume: 3 Issue: 3, 7 - 9, 01.08.2011

Abstract

Objective: Extracorporeal Shock Wave Lithotripsy ESWL is an effective noninvasive method to treat urolithiasis. This study aims to evaluate the outcome and the appropriate indication of ESWL for urolithiasis. Material and methods: The data of 51 patients undergoing ESWL for the management of solitary urolithiasis during a period of 2 years July 2009-July 2011 were reviewed. Stone-free status and complications were observed and evaluated within a period of three months following the last ESWL treatment session. Results: Out of these 51 patients, 38 were male 74.5% 13 were female 25.5% . Ages varied from 20 to 73 mean 41.7 years . Forty-four patients 86% had complete clearance of stone by the end of 3 months. Out of 33 renal and 18 ureteral stones 29 88% and 13 72% were succesfuly cleared. ESWL was unsuccessful in 7 patients that required adjunct invasive intervention including ureterorenoscopic lithotripsy and percutaneous nephrolithotomy. Conclusions: ESWL is a highly effective noninvasive modality in the management of urolithiasis. The success rates in this study for kidney and ureteral stones were found to be 88% and 72% respectively. Furthermore the more distal the stone's position is, the less success ESWL has.

References

  • 1. Chaussy C, Schmiedt E, Jocham D, Walter V, Brendel W. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1982;127:417-420.
  • 2. Tiselius HG, Ackermann D, Alken P, Buck C, Conort P, Gallucci M. Guidelines on urolithiasis. In: Guidelines of the EAU. European Association of Urology; 2001.
  • 3. Zehnder P, Roth B, Birkhäuser F, Schneider S, Schmutz R, Thalmann GN et al. A prospective randomised trial comparing the modified HM3 with the MODULITH® SLX-F2 lithotripter. (Eur Urol. 2011;59:637-644).
  • 4. Albala DM, Assimos DG, Clayman RV, Denstedt JD, Grasso M, Gutierrez-Aceves et al. Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol 2001;166:2072-2080.
  • 5. Gerber R, Studer UE, Danuser H. Is newer always better? A comparative study of 3 lithotriptor generations. J Urol 2005;173:2013-2016.
  • 6. Gillanwater JY, Grayhack JT, Howards SS, Ducket JW. Extracorporeal shock wave lithotripsy for the treatment of urinary calculi. Adult and Pediatric Urology. 1996; 1: 913.
  • 7. Danuser H, Muller R, Descoeudres B, Dobry E, Studer UE. Extracorporeal shock wave lithotripsy of lower calyx calculi: how much is treatment outcome influenced by the anatomy of the collecting system? Eur Urol 2007; 52: 539-546.
  • 8. Chiong E, Hwee ST, Kay LM, Liang S, Kamaraj R, Esuvaranathan K. Randomized controlled study of mechanical percussion, diuresis and inversion therapy to assist passage of lower pole renal calculi after shock wave lithotripsy. Urology. 2005;65:1070-1074.
  • 9. Osman MM, Alfano Y, Kamp S, Haecker A, Alken P, Michel MS, et al. 5-year-follow-up of patients with clinically insignificant residual fragments after extracorporeal shockwave lithotripsy. Eur Urol 2005;47:860-864.
  • 10. Zanetti G, Seveso M, Montanari E, Guarneri A, Del Nero A, Nespoli R et al. Renal stone fragments following shock wave lithotripsy. J Urol 1997; 158: 352-355.

Böbrek ve üreter taşlarının vücut dışı şok dalgaları ESWL ile tedavisi Maltepe Üniversitesi Hastanesi deneyimi

Year 2011, Volume: 3 Issue: 3, 7 - 9, 01.08.2011

Abstract

Amaç: Vücut dışı şok dalgaları ile taş tedavisi ESWL ürolitiyazis tedavisinde kullanılan invazif olmayan bir yöntemdir. Bu çalışmanın amacı ürolitiyaziste kullanılan ESWL tedavisinin sonuçlarını ve uygun endikasyonlarını ortaya koymaktır. Yöntem: Temmuz 2009-Temmuz 2011 arasında üriner sistemde soliter taş nedeniyle ESWL tedavisine alınan 51 hasta çalışmaya alındı. ESWL seanslarını takibeden 3 ay içinde taşsızlık durumu ve komplikasyonlar gözlenip değerlendirildi. Bulgular: Ellibir hastanın 38'i % 74.5 erkek 13'ü kadındı % 25.5 . Hastaların yaşları 20-73 arası değişmekteydi ort. 41.7 yıl . Kırkdört hastada % 86 üç ay sonunda taştan tam arınma gerçekleşti. Otuzüç böbrek ve 18 üreter taşının sırasıyla 29'unda 88 % ve 13'ünde 72% arınma sağlandı. ESWL yapılan 7 hastada başarı sağlanamadı, Üreterorenoskopik litotripsi ve perkütan nefrolitotomi gibi invazif girişimler uygulandı. Sonuç: ESWL özellikle ürolitiyazis tedavisinde son derece etkin ve invazif olmayan bir tedavi yöntemidir. Bu çalışmada böbrek ve üreter taşlarında başarı şansı sırasıyla %88 ve %72 bulunmuştur. Ayrıca taş üriner sistemde ne kadar distalde ise başarı şansı o kadar düşmektedir.

References

  • 1. Chaussy C, Schmiedt E, Jocham D, Walter V, Brendel W. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1982;127:417-420.
  • 2. Tiselius HG, Ackermann D, Alken P, Buck C, Conort P, Gallucci M. Guidelines on urolithiasis. In: Guidelines of the EAU. European Association of Urology; 2001.
  • 3. Zehnder P, Roth B, Birkhäuser F, Schneider S, Schmutz R, Thalmann GN et al. A prospective randomised trial comparing the modified HM3 with the MODULITH® SLX-F2 lithotripter. (Eur Urol. 2011;59:637-644).
  • 4. Albala DM, Assimos DG, Clayman RV, Denstedt JD, Grasso M, Gutierrez-Aceves et al. Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol 2001;166:2072-2080.
  • 5. Gerber R, Studer UE, Danuser H. Is newer always better? A comparative study of 3 lithotriptor generations. J Urol 2005;173:2013-2016.
  • 6. Gillanwater JY, Grayhack JT, Howards SS, Ducket JW. Extracorporeal shock wave lithotripsy for the treatment of urinary calculi. Adult and Pediatric Urology. 1996; 1: 913.
  • 7. Danuser H, Muller R, Descoeudres B, Dobry E, Studer UE. Extracorporeal shock wave lithotripsy of lower calyx calculi: how much is treatment outcome influenced by the anatomy of the collecting system? Eur Urol 2007; 52: 539-546.
  • 8. Chiong E, Hwee ST, Kay LM, Liang S, Kamaraj R, Esuvaranathan K. Randomized controlled study of mechanical percussion, diuresis and inversion therapy to assist passage of lower pole renal calculi after shock wave lithotripsy. Urology. 2005;65:1070-1074.
  • 9. Osman MM, Alfano Y, Kamp S, Haecker A, Alken P, Michel MS, et al. 5-year-follow-up of patients with clinically insignificant residual fragments after extracorporeal shockwave lithotripsy. Eur Urol 2005;47:860-864.
  • 10. Zanetti G, Seveso M, Montanari E, Guarneri A, Del Nero A, Nespoli R et al. Renal stone fragments following shock wave lithotripsy. J Urol 1997; 158: 352-355.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Orhun Sinanoğlu This is me

Sinan Ekici This is me

Naci Tatar This is me

Güven Turan This is me

Ahmet Keleş This is me

Publication Date August 1, 2011
Published in Issue Year 2011 Volume: 3 Issue: 3

Cite

Vancouver Sinanoğlu O, Ekici S, Tatar N, Turan G, Keleş A. Böbrek ve üreter taşlarının vücut dışı şok dalgaları ESWL ile tedavisi Maltepe Üniversitesi Hastanesi deneyimi. Maltepe tıp derg. 2011;3(3):7-9.