Study of factors predicting clinical outcomes of extracorporeal shock wave lithotripsy in Indian patients with upper urinary tract calculi

Panchal, Preeti; Krishnaswamy, Mahesh; Dabhade, Dhammdeep; Swami, Onkar C

doi:10.18203/2349-2902.isj20181143

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…There have been studies reporting the sex of the patient to be a factor affecting pain behavior, with pain tolerance being higher in males, and reporting that this difference between females and males is a re ection of cultural attitudes towards pain (8). Stone size also in uences the success of ESWL procedures, being low in stones 2 cm or larger (24). A previous study reported that small stones caused more pain during break-up (25).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

Özcan

Yorulmaz

Yüksel

et al. 2023

Preprint

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Background/Aims In the present study, after adapting the Extracorporeal Shock Wave Lithotripsy (ESWL) video produced by the European Association of Urology (EAU) into the Turkish language and showing it to the participating patients, we evaluated the effect on their anxiety and pain levels using the State-Trait Anxiety Inventory (STAI-I) anxiety form and the Visual Analogue Scale (VAS). Materials and Method Involved in the study were 59 patients who were evaluated in three centers between 1 July and 1 October, 2020. The patients were divided into two groups, the first of which was asked to fill out a consent form, and was shown the video and provided with verbal and written information; while the second group was provided with a consent form and provided only verbal and written information. Each group completed the STAI-I Anxiety form after being given preoperative information, while the VAS was applied after the procedure. The patients’ age, sex, BMI, stone size, stone surface area, stone side, stone location, stone-to-skin distance, the mean number of shock waves required and fluoroscopy time were compared statistically with the scores of the VAS scores and the STAI-I. Results The mean age of the 59 study patients was 40.1 ± 13.1 (16–68); the mean stone size was 12.4 ± 4.5mm, and the mean stone surface area was 99.8 ± 77.4 (15–320). There was no statistical difference in sex, age, BMI, stone size, stone surface area, stone side, stone location or stone skin distance values recorded for the two groups. The STAI-I anxiety form score was higher in Group 1 than in Group 2, and the difference was statistically significant (p = 0.004), and the recorded fluoroscopy time and VAS scores were lower in favor of Group 1 (p = 0.045 and p = 0.021) (Table 1). Conclusion Although the provision of video-guided information before ESWL led to an increase in anxiety in the patients, compliance during the procedure was improved, and the total fluoroscopy time and pain scores of the patients were decreased.

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Section: Discussionmentioning

confidence: 99%

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

Özcan

Yorulmaz

Yüksel

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…There have been studies reporting the sex of the patient to be a factor affecting pain behavior, with pain tolerance being higher in males, and reporting that this difference between females and males is a reflection of cultural attitudes towards pain (8). Stone size also influences the success of ESWL procedures, being low in stones 2 cm or larger (24). A previous study reported that small stones caused more pain during break-ups (25).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Video-Guided information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A control group study

et al. 2023

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Objective: In the present study, after adapting the Extracorporeal Shock Wave Lithotripsy (ESWL) video produced by the European Association of Urology (EAU) into the Turkish language and showing it to the participating patients, we evaluated the effect on their anxiety and pain levels using the State-Trait Anxiety Inventory (STAI-I) anxiety form and the Visual Analogue Scale (VAS). Methods: A total of 59 patients, who were assessed at three centers between July 1st and October 1st, 2020, were involved in the study. The patients were divided into two groups, the first of which was asked to fill out a consent form and was shown the video and provided with verbal and written information;. On the other hand, the second group was given a consent form and received verbal and written information exclusively. Each group completed the STAI-I Anxiety form after being given preoperative information, while the VAS was applied after the procedure. Results: The STAI-I anxiety form score was higher in Group 1 than in Group 2, and the difference was statistically significant (p=0.004), and the recorded fluoroscopy time and VAS scores were lower in favor of Group 1 (p=0.045 and p=0.021). Conclusion: While the provision of video-guided information prior to ESWL resulted in heightened anxiety among the patients, it led to improved compliance during the procedure, as well as reduced total fluoroscopy time and pain scores for the patients.

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Success factors of extracorporeal shock wave lithotripsy for renal and upper ureteric calculi in adults

Elmasry,

Edris,

Khalifa

2020

The Scientific Journal of Al-Azhar Medical Faculty, Girls

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Background Extracorporeal shock wave lithotripsy (ESWL) is considered the first-line treatment for most patients with renal and ureteric calculi, as it is safe and noninvasive. Objective The present study was undertaken to evaluate the most significant factors that influence the success rate of ESWL for renal and upper ureteric calculi in adults. Patients and methods This randomized prospective study for adult patients more than or equal to 18 years old included 50 patients with renal stone less than or equal to 2 cm and 50 patients with upper ureteric stone less than or equal to 2 cm. The included patients were treated with ESWL at Al-Zahraa University Hospital and National Institute of Urology and Nephrology between August 2018 and July 2019. Patients with multiple ipsilateral stones, bleeding disorders, impaired renal function, congenital abnormalities, untreated urinary tract infections, have BMI more than 30 kg/m2, pregnant women, and patients with radiolucent stones were excluded from the study. P value less than or equal to 0.05 was taken as the level of significance. Results The overall success of ESWL was 86 (86%), including 81 (94.2%) patients who had total stone clearance. The other five patients had Steinstrasse after the first session. The success rate of ESWL in males was 92.6% compared with 78.3% in females (P=0.040). The success rate of ESWL in patients with stent was 66.77%, whereas the success rate of ESWL in patients without stent was 90.2%, with P value 0.009. The success rate of ESWL in stone density more than 1000 HU was 80.8%, whereas the success rate of ESWL in stone density less than or equal to 1000 HU was 96.97%, with P value of 0.027. Conclusion ESWL should be considered a first-line therapy for treatment in patients with upper urinary tract calculi with density less than or equal to 1000 HU and size up to 20 mm. Stenting should be considered in certain cases when indicated.

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Study of factors predicting clinical outcomes of extracorporeal shock wave lithotripsy in Indian patients with upper urinary tract calculi

Cited by 3 publications

References 19 publications

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

The Effect of Video-Guided Information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A Control Group Study

The Effect of Video-Guided information on Anxiety and Pain in Extracorporeal Shock Wave Therapy: A control group study

Success factors of extracorporeal shock wave lithotripsy for renal and upper ureteric calculi in adults

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