Extracorporeal shock wave lithotripsy treatment in paraplegic patients with bladder stones

Kilciler, Mete; Sümer, Fahri; Bedir, Selahattin; Özgök, Yaşar; Erduran, Doğan

doi:10.1046/j.1442-2042.2002.00529.x

Cited by 14 publications

(4 citation statements)

References 9 publications

(11 reference statements)

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“…One study reported ESWL to be effective in SCI patients, with no major complications when combined with urethral drainage with a sheath. 9 The lower reported complication rates associated with ESWL, when compared with the complication rates in our study, may be a result of selection bias as patients with a lower burden of smaller stones are more likely to be offered ESWL.…”

Section: Discussioncontrasting

confidence: 45%

Morbidity associated with operative management of bladder stones in spinal cord-injured patients

Eyre

Reynard

2015

Spinal Cord

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Study design: Retrospective cohort study of spinal cord-injured (SCI) patients undergoing bladder stone removal operations between 1999 and 2013. Objectives: To determine the morbidity associated with different operative management of bladder stones in SCI patients. Setting: National Spinal Injuries Unit, Stoke Mandeville Hospital, UK. Methods: Data on age, sex, level and Frankel classification of spinal cord injury, method of bladder drainage, method of bladder stone removal, complications and length of stay were collected from patient records. Complication was defined as bladder perforation, sepsis or persistent haematuria. Predictors of complications and length of stay were determined using univariate and multivariate regression analyses. Results: Overall, 112 consecutive bladder stone removal operations were performed, one open cystolithotomy and 111 transurethral procedures utilising simple washout, stone punch or electrohydraulic lithotripsy (EHL). Of these procedures, 17% (19/112) had complications; 0/11 (0%) following washout, 5/44 (11%) after stone punch, 3/12 (25%) following EHL and 10/26 (38%) after combined procedures using stone punch and EHL. In a multivariate model, patients with a cervical-level injury and those undergoing a combined procedure were significantly more likely to have a complication (P = 0.032 and P = 0.046). Length of stay was longer following a complication, the mean was 4.18 days compared with 1.37 days without a complication (Po0.001). Controlling complications and age, use of a combined procedure was associated with significantly longer stay than use of stone punch alone. Conclusion: This study provides important outcome data that should guide operative procedure choice and inform patients about possible risks during consent. It sets a benchmark that other centres can evaluate their outcomes against.

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Section: Discussioncontrasting

confidence: 45%

Morbidity associated with operative management of bladder stones in spinal cord-injured patients

Eyre

Reynard

2015

Spinal Cord

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“…Nosotros no pudimos tratar mediante LEOC un cálculo renal en un paciente con severa cifoescoliosis, dada la anormal localización anatómica del riñón afecto. Posiblemente también se pueda tratar la litiasis vesical mediante LEOC en los afectos de MMC, al igual que se ha hecho en otros lesionados medulares 17 , completándola con la evacuación endoscópica de los fragmentos litíasicos prescindiendo de la necesidad de anestesia.…”

Section: Discussionunclassified

Litiasis urinaria en adultos con mielomeningocele

Tartajo

Casado

Amo

et al. 2006

Actas Urológicas Españolas

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Introducción y objetivos: Los avances en el tratamiento de los nacidos con mielomeningocele (MMC) han logrado un gran aumento en su supervivencia, permitiéndoles una longevidad nunca antes alcanzada, pero todavía son escasos los datos concernientes a los problemas urológicos que estos enfermos plantean durante su vida adulta. Hemos evaluado las características de la litiasis urinaria en adultos nacidos con MMC así como los tratamientos empleados en la misma. Material y métodos: Revisamos 52 pacientes nacidos con MMC de entre 18 y 40 años, atendidos durante los últimos 14 años en nuestro hospital, con una media de seguimiento de 6,7 años. Resultados: Se diagnosticaron de litiasis urinaria 10 pacientes (19,2%). Tres formaron cálculos renales (5,7%), y uno de ellos, junto con 7 pacientes más, desarrollaron cálculos vesicales (15,3%). El nivel neurológico fue ≤ L 2 en 3 casos, L 2-S 1 en 5, y ≥ S 1 en otros dos. El tipo de disfunción neurógena del tracto urinario inferior fue de lesión múltiple pura de neurona motora inferior en 6 casos, de neurona motora superior en 1, lesión múltiple mixta en otro, no pudiéndose valo-rar en el restante. Dos pacientes tenían una ampliación vesical y uno de estos junto con otros 3 pacientes era portador de AMS-800 no funcionantes. La litiasis vesical se trató endoscopicamente en 14 ocasiones y mediante cistolitotomía suprapúbica en 4, junto a la retirada de AMS-800 en 3 de ellas. Un paciente expulsó un pequeño cálculo. En un pacien-te fueron necesarias 2 litotricias extracorpóreas y 2 nefrolitotomías percutáneas. Tres pacientes tuvieron múltiples reci-divas. Conclusiones: La litiasis urinaria es frecuente en los adultos con MMC. Determinadas características de estos pacien-tes, junto con su configuración anatómica y algunos tratamientos empleados en ellos, ocasionan problemas de diagnos-tico, tratamiento y prevención de los cálculos que forman. ABSTRACT URINARY CALCULI IN MYELOMENINGOCELE ADULTS Introduction and objectives: the improvements in the management of newborns with myelomeningocele (MMC) have obtained a big increase in survival, allowing them to get longevity like never before, but data regarding urologic diseases during adult age are still missing. We herein evaluate the features of urinary lithiasis in adults born with MMC and the therapies used for its treatment. Material and method: we review 52 patients diagnosed at birth of MMC, between 18 and 40 years old, treated in our institution, with a mean follow-up of 6.7 years. Results: 10 patients (19.2%) were diagnosed of urolithiasis. Three developed kidney calculi and one of them, with 7 more patients, developed bladder calculi (15.3%). The neurological level was ≤ L2 in 3 cases, L2-S1 in 5, and ≥ S1 in the other two. The type of neurogenic dysfunction of inferior urinary tract was multiple lesion of lower motor neurone in 6 cases, upper motor neurone in 1 case, multiple mixed lesion in 1 case and in case it was impossible to determine. Two patients had a bladder augmentation procedure and one of these with other 3 patie...

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“…8,21 One case series of twenty patients with bladder stone with concurrent paraplegia have demonstrated 100% stone-free rate after ESWL session. 22 The stone free rate of ESWL compared favorably to patients who underwent either intracorporeal lithotripsy or sectio alta (stonefree-rate of 97% and 100% respectively). Both these studies mentioned above, included patients in which ESWL is the first procedure performed for bladder stone management.…”

Section: 312-14mentioning

confidence: 99%

Management of bladder stones: the move towards non-invasive treatment

et al. 2017

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ABSTRAK (2,5 cm±2,0 cm vs 4,8 cm±3,7 cm vs 7,4 cm±5,4 cm secara berurutan). Prosedur ESWL dilakukan pada klinik rawat jalan. Kesimpulan: ESWL dapat direkomendaasikan sebagai modalitas terapi yang efektif dan non-invasif dalam penanganan batu buli dengan angka bebas batu yang cukup baik (93,9%)Tindakan ESWL bisa dilakukan di poliklinik rawat jalan dengan komplikasi yang minimal. ABSTRACTBackground: Bladder stone accounts for 5% of all cases of urolithiasis. Bladder stones management has evolved over the last decades from open bladder surgery (sectio alta) to intracorporeal cystholithotripsy as well as extracorporeal shock wave lithotripsy (ESWL). ESWL presents to be a promising modality in the management of bladder calculi due to its simplicity and well tolerability. This study is thus conducted to present data on the safety and effectiveness of ESWL in the management of bladder stone patients.

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Extracorporeal shock wave lithotripsy treatment in paraplegic patients with bladder stones

Cited by 14 publications

References 9 publications

Morbidity associated with operative management of bladder stones in spinal cord-injured patients

Morbidity associated with operative management of bladder stones in spinal cord-injured patients

Litiasis urinaria en adultos con mielomeningocele

Management of bladder stones: the move towards non-invasive treatment

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