Does Previous Open Renal Stone Surgery Affect the Outcome of Extracorporeal Shockwave Lithotripsy Treatment in Adults with Renal Stones?

Gültekin, Mehmet Hamza; Türegün, Fethi Ahmet; Özkan, Berna; Tulu, Beril; Güleç, Gamze Gül; Tansu, Nejat; Demirdağ, Çetin; Kendigelen, Pınar; Erözenci, Ahmet; Önal, Bülent

doi:10.1089/end.2017.0473

Cited by 4 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Onal et al [21] investigated the impact of prior ipsilateral kidney treatments on the success of SWL treatment and found that these treatments had a negative effect on the success of SWL in children. In addition, our group published a study reporting that prior ORSS had a negative impact on the stone-free status in an adult series [10]. In the present study, the stone-free rate in patients with a history of ORSS was lower than that in the patients with no ORSS history (78 vs. 56%).…”

Section: Discussioncontrasting

confidence: 46%

“…SWL is the first line of treatment in the majority of pediatric urolithiasis cases and is known to achieve a stone-free rate of 75–98% in children. However, its success rate is dependent on multiple factors [10, 17]. Stone burden and localization are the most discussed factors that impact the stone-free rates.…”

Section: Discussionmentioning

confidence: 99%

“…We postulate that the blockages in propulsive peristalsis may be the result of scarring from prior surgical approaches, thus decreasing the ureteral contractions that help push the stone fragments out via urine after the SWL sessions [21]. Anatomical changes in the retroperitoneum are another possible explanation [10, 20, 22].…”

Section: Discussionmentioning

confidence: 99%

“…However, to our knowledge, no study has previously made this comparison for SWL treatment in children. Recently, in our previous study, open renal stone surgery (ORSS) was implicated as a factor that adversely affects the outcome of SWL treatment in adults [10]. Hence, in this study, we aimed to evaluate whether a previous history of ORSS affected SWL success in a pediatric population.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction: The aim of the study was to evaluate the efficiency of shock wave lithotripsy (SWL) in children who previously underwent ipsilateral open renal stone surgery (ORSS). Methods: A total of 315 renal units (RUs) with renal stones underwent SWL treatment in our department over a period of 18 years. A total of 274 RUs (87%) with no history of ORSS were categorized as group 1 and 41 RUs (13%) with a history of ORSS were categorized as group 2. The characteristics of the patients and renal stones, as well as the treatment modalities, were reviewed retrospectively, and the results were compared in terms of the rates of stone-free patients and complications. Results: The stone-free rates were statistically lower in patients with an existing history of ORSS (p = 0.002), especially for stones located at the lower calyx (p = 0.006). However, there were no differences between groups in the rate of complications (p = 0.75). History of ipsilateral ORSS, age, and stone burden were independent risk factors that predicted a stone-free status in the regression analysis (p = 0.016, p = 0.045, and p = 0.001, respectively). Conclusion: The overall stone-free rate after SWL was found to be significantly lower in children with a history of ORSS than in those without, and this finding was significantly prominent for lower calyx stones. In spite of the possible difficulties in achieving surgical access due to anatomical changes in retrograde intrarenal surgery or mini-/micro-percutaneous nephrolithotomy, we believe that these techniques might be good alternatives for SWL in future cases.

show abstract

Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…A controversial outcome has been calculated by the studies on the impact of double J stent on the ESWL success rate. Also, treatment challenge has been posed by lumber ureteral stones; the impact of the existence of double J [6][7][8] stent has not been the target of study . In a study, the success of ESWL depending upon the stone removal in group 1 (with no DJS placement) and group 2 (with DJS placement) [8] was 80.5% and 48.1%, collectively .…”

Section: Methodsmentioning

confidence: 99%

Comparison of the Success of Extracorporeal Shock Wave Lithotripsy (Eswl) With and Without Dj Stenting in Proximal Ureteric Stone

Pansota

Shafqat

Tabassum

2020

jumdc

View full text Add to dashboard Cite

BACKGROUND & OBJECTIVE: There is disagreement in the use of ureteral double-J stent before the extracorporeal shock wave lithotripsy (ESWL), although most of the urologists suggest using stent in shock wave lithotripsy technique for stones bigger than 20mm, for preventing the risk of developing steinstrasse. To compare the success of ESWL with and without DJ stenting in proximal ureteric stone. METHODOLOGY: A total of 60 patients form both genders, between 15 to 55 years of age, with a single proximal ureteric stone, were included. Patients with solitary functioning kidney, multiple stones, pregnancy, pyonephrosis and sepsis were excluded. In Group-A, ESWL without DJ stenting was completed while in Group-B, ESWL with DJ stent placement was done. In all patients, at least 4 sessions were done fortnightly. Patients were followed regularly and ﬁnal success was noted after one month of completion of ESWL sessions. RESULTS: The mean age was 36.85 ± 8.61 years. From 60 patients, 29 (48.33%) were men and 231 (51.67%) were women.Mean body mass index (BMI) was 28.30±2.20 kg/m . The average size of the stone was 12.47 ± 2.57 mm. Success (according to stone removal) of Group-A (ESWL without DJS) was seen in 26 (86.67%) patients while in Group-B (ESWL with DJS) was seen in 16 (53.33%) patients with P-value of 0.005. CONCLUSION: This study concluded that success (in terms of stone clearance) of extracorporeal shock wave lithotripsy (ESWL) without DJ stenting is higher compared to with DJ stenting in upper ureteric stone.

show abstract

The role of extracorporeal shock wave lithotripsy in the future of stone management

Basulto-Martínez

Klein

Gutiérrez-Aceves

2019

Current Opinion in Urology

View full text Add to dashboard Cite

Does Previous Open Renal Stone Surgery Affect the Outcome of Extracorporeal Shockwave Lithotripsy Treatment in Adults with Renal Stones?

Cited by 4 publications

References 24 publications

Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

Does Previous Open Stone Surgery Affect the Outcome of Shock Wave Lithotripsy Treatment in Children?

Comparison of the Success of Extracorporeal Shock Wave Lithotripsy (Eswl) With and Without Dj Stenting in Proximal Ureteric Stone

The role of extracorporeal shock wave lithotripsy in the future of stone management

Contact Info

Product

Resources

About