Re: Risk Factors for the Formation of a Steinstrasse After Extracorporeal Shock Wave Lithotripsy: A Statistical Model

Millán-Rodríguez, F.; Rousaud-Barón, F.; Rousaud-Baron, A.

doi:10.1016/s0022-5347(05)64101-8

Cited by 3 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Second, the reduction in skin-to-stone distance (SSD) due to the transplanted kidney's superficial positioning, as opposed to its original location, is another crucial consideration when treating kidney stones in transplanted kidneys. ESWL is one of the least invasive treatment modalities and can be highly effective, with success rates ranging from 87% to 100% when the stone's size and location are appropriately assessed [8,25]. Patel et al [26] indicated that SSD is an independent predictor of stone-free status following ESWL, with statistical significance observed in the SFR between groups with mean SSDs of 83.3 ± 21.9 mm and 107.7 ± 28.9 mm.…”

Section: Discussionmentioning

confidence: 99%

Urolithiasis in Kidney Transplant Patients: A Multicenter KSER Research Series

Shim,

Choi,

Kim

et al. 2024

Medicina

View full text Add to dashboard Cite

Background and Objectives: Urolithiasis occurrence is uncommon in kidney transplantation patients, though it has serious implications, including acute kidney injury in the transplanted kidney. This study investigates the leading causes of urolithiasis in kidney transplantation patients, the diagnostic process, and the outcomes of multimodal management. Materials and Methods: Data collection spanned from January 1997 to December 2021, involving kidney transplantation patients with urolithiasis from the database of the Korean Society of Endourology and Robotics (KSER) research committee. Analysis encompassed factors triggering urolithiasis, the diagnostic process, stone attributes, treatment methods, and outcomes. Results: Our analysis included 58 kidney transplantation patients with urolithiasis from eight medical centers. Of these patients, 37 were male and 4 had previous urolithiasis diagnoses. The mean age was 59.09 ± 10.70 years, with a mean duration from kidney transplantation to diagnosis of 76.26 ± 183.14 months. The most frequent method of stone detection was through asymptomatic routine check-ups (54.7%). Among the 58 patients, 51 underwent stone treatment. Notably, 95.3% of patients with ureter stones received treatment, a significantly higher rate than the 66.7% of patients with renal stones (p = 0.010). Success rates showed no significant differences between renal (70%) and ureter stone (78.0%) groups (p = 0.881). Conclusions: Urolithiasis in transplanted kidneys constitutes an acute condition requiring emergency intervention. Endo-urological interventions are effective for kidney transplantation patients with urolithiasis. To ensure prevention and early detection, diligent follow-up and routine imaging tests are necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Urolithiasis in Kidney Transplant Patients: A Multicenter KSER Research Series

Shim,

Choi,

Kim

et al. 2024

Medicina

View full text Add to dashboard Cite

show abstract

“…Они проанализировали когорту пациентов с почечным трансплантатом, в которой в 60% случаев камни были множественными, у 53% больных локализовались в мочеточнике (мочеточниково-пузырный анастомоз), а у 13% больных -в мочевом пузыре. Авторы выявили, что наилучшие результаты были достигнуты при одиночном камне, размером до 13 мм, локализованном в нижнем отделе мочеточника [21].…”

Section: результатыunclassified

Efficacy of extracorporeal shock wave lithotripsy for post-transplant kidney stones. Hope or Disappointment?

Popov,

Huseynov,

Miloserdov

et al. 2023

RJTAO

View full text Add to dashboard Cite

Nephrolithiasis in a transplanted kidney is an important medical and social problem. The presence of renal calculi may not manifest clinically for a long time due to the peculiarities of the surgical intervention during organ transplantation. Development of chronic urinary tract infection and deterioration of the functional ability of the renal transplant in the presence of kidney stones can lead to graft death, which is an immediate threat to the patient’s life. Existing Russian guidelines on the treatment of urolithiasis currently lack a clear strategy for the management of kidney transplant recipients.Objective: to systematize literature data on analysis of the outcomes of extracorporeal shock wave lithotripsy (ESWL) and other methods in patients with post-transplant kidney stones.Results. Thirty-five publications on the research topic were selected. We summarized the information on various therapy options for patients with stones in transplanted kidney: endourological approach, ESWL, percutaneous nephrolithotripsy (PCNL), open surgical treatment (nephrostomy, pyelolithotomy). A modern foreign algorithm for the management of patients with post-transplant kidney stones depending on the severity of obstruction with sepsis and the size of the renal calculi is presented.Conclusion. 1. The presence of stones in a kidney graft is a clinical situation that requires surgical treatment. 2. In clinical practice, different methods of treatment can be used, such as open intervention, ESWL, PCNL, retrograde transurethral manipulations. 3. In most cases, patient management tactics depend on the clinical picture (presence/absence of obstruction) and the size of the calculi. 4. The use of ESWL, as the most frequently used method, testifies to its efficiency and low-traumatic effect.

show abstract