2011
DOI: 10.1016/j.juro.2011.03.109
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A Clinical Nomogram to Predict the Successful Shock Wave Lithotripsy of Renal and Ureteral Calculi

Abstract: Patient and stone parameters have been identified to create a nomogram that predicts shock wave lithotripsy outcomes using the Lithotron lithotripter, which can facilitate optimal treatment based decisions and provide patients with more accurate single treatment success rates for shock wave lithotripsy tailored to patient specific situations.

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Cited by 85 publications
(86 citation statements)
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References 29 publications
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“…A large retrospective Canadian series, including renal and ureteral stones, demonstrated on multivariate analysis that a SSD of greater than 11 cm (OR 0.49, CI 0.31-0.78) and density greater than 900 HU (OR 0.49, CI 0.32-0.75) were significant predictors of SWL failure. 20 A second large retrospective review of 1282 SWL treatments also demonstrated on multivariate analysis that SSD greater than 10 cm was associated with lower stone-free rates.…”
Section: Skin-to-stone Distance (Ssd)mentioning
confidence: 97%
“…A large retrospective Canadian series, including renal and ureteral stones, demonstrated on multivariate analysis that a SSD of greater than 11 cm (OR 0.49, CI 0.31-0.78) and density greater than 900 HU (OR 0.49, CI 0.32-0.75) were significant predictors of SWL failure. 20 A second large retrospective review of 1282 SWL treatments also demonstrated on multivariate analysis that SSD greater than 10 cm was associated with lower stone-free rates.…”
Section: Skin-to-stone Distance (Ssd)mentioning
confidence: 97%
“…Several scoring systems have been developed for predicting the SFS after shock-wave lithotripsy, retrograde intrarenal surgery and PCNL [11,12].The Guy"s stone score (GSS) includes stone number, location, presence of staghorn stones and abnormal anatomy to determine differentgrades, and it was reported that the SFS declinedwith increasing grades of complexity [13]. [2,[14][15][16][17].…”
Section: Discussionmentioning
confidence: 99%
“…Vakalopoulos [36] developed a mathematical model to predict ESWL outcomes where predictive equations can be generated for diferent lithotripters. Wiesenthal et al [37] developed a remarkable nomogram to predict the outcomes of renal and ureteral stone SWL treatment dependent on patient and stone factors. The risk of SWL failure is signiicantly related to increase radio density both in vivo and in vitro; cysteine, calcium oxalate, monohydrate and brushite stones are less liable to be treated by SWL [38,39].…”
Section: Recent Trends In Extracorporeal Shockwave Lithotripsy (Eswl)mentioning
confidence: 99%