Ureteral calculi: extracorporeal shock-wave lithotripsy performed in situ on an outpatient basis

Mitre, Anuar Ibrahim; Chambô, José Luiz; Nahas, Willian; Cabral, Brian; Henrique, Alberto; Sadi, Marcus Vinícius; Arap, Sami

doi:10.1007/bf00208912

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…ESWL is currently considered one of the best treatments for ureteric stones, with a reported success rate of 80–90% [1,2] . The complications of ESWL include colic, delayed passage of stone fragments, or an obstructed ureter due to steinstrasse (a column of stone fragments).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of tamsulosin therapy after extracorporeal shock-wave lithotripsy for ureteric calculi: A prospective randomised, controlled study

Mohamed

2013

Arab Journal of Urology

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ObjectiveTo evaluate whether tamsulosin hydrochloride is effective as an adjunctive medical therapy to increase the effectiveness of extracorporeal shock-wave lithotripsy (ESWL) for treating ureteric stones, and minimises the use of analgesic drugs after the procedure.Patients and methodsTo treat single ureteric stones of 5–15 mm in diameter, 130 patients were treated with ESWL. After treatment, equal numbers of patients were randomly assigned to receive either the standard medical therapy alone (controls) or combined with 0.4 mg tamsulosin daily for ⩽12 weeks. All patients were followed up for 3 months or until an alternative treatment was offered.ResultsAt 3 months the treatment was considered to be clinically successful in 55/65 (85%) of those receiving tamsulosin and in 58/65 (89%) of the controls (P = 0.34). When patients were classified according to stone size the success rate was similar in both groups (P = 0.22) for those with a stone of >10 mm. However, ureteric colic was reported in 12% of patients treated with standard therapy but in only 5% of those treated with tamsulosin (P = 0.006). The mean cumulative diclofenac dose was 380 mg/patient in the tamsulosin group and 750 mg/patient in the control group (P = 0.004).ConclusionsThis study showed the effectiveness of tamsulosin as an adjunctive medical therapy after ESWL for ureteric stones, but it did not improve stone clearance when treating ureteric stones. However, it decreased the use of analgesics and reduced the complication rate, especially for steinstrasse.

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Section: Introductionmentioning

confidence: 99%

The efficacy of tamsulosin therapy after extracorporeal shock-wave lithotripsy for ureteric calculi: A prospective randomised, controlled study

Mohamed

2013

Arab Journal of Urology

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“…Birçok çalışmada %80-%90 başarı oranı rapor edilmiş ve üreter taşlarının tedavisinde ilk tedavi seçeneği olabileceği vurgulanmıştır (2)(3)(4). Bu çalışmada, kliniğimizde Ocak 2013-Ocak 2014 tarihleri arasında proksimal üreter taşı olup ESWL tedavisi uygulanan 96 olguda sonuçlarımız geriye dönük olarak incelenmiş ve literatür eşliğinde tartışılmıştır.…”

Section: Introductionunclassified

Proksimal üreter taşı olan 96 olguda ESWL tedavisi sonuçları

Süelözgen¹,

Türk²,

İşoğlu³

et al. 2015

Ege Tıp Dergisi

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Amaç: Üreter taşları için uygun ve başarılı bir tedavi yöntemi olan ekstrakorporal şok dalga litotripsi (extracorporeal shock wave lithotripsy, ESWL) üreter taşlarının tedavisinde ilk seçenek olarak öngörülebilir. Bu çalışmada proksimal üreter taşı olup ESWL tedavisi uygulanan hastalardaki sonuçlar incelenmiş ve literatür eşliğinde tartışılmıştır. Gereç ve Yöntem:Ocak 2013-Ocak 2014 tarihleri arasında proksimal üreter taşı olup tıbbi tedavi ile sonuç alınamayan 114 hastaya ESWL tedavisi önerildi. 18 hasta takip dışı kaldığından 96 hasta çalışmaya dahil edildi. Tüm hastalara kontrastsız bilgisayarlı tüm batın tomografisi çekildi. Taş boyutu ortalama 9.42 mm (5-16 mm) olup tümü opaktı. Dakikada frekans 60, 17-20 kV güçte ve seans başına 2500 vuruş ile her bir hastaya toplam 3 seans ESWL uygulandı. Üç seans tamamlayan hastalarda bir ay bekleme süresinden sonra kontrastsız bilgisayarlı batın tomografisi çekilerek başarı durumu değerlendirildi. Abstract Aim: Extracorporeal shock wave lithotripsy (ESWL) is a favourable and succesful treatment method for ureter stones. It is highlighted that ESWL can be the first treatment choice for ureter stones. In this study, the results of patients who had ESWL treatment for proximal ureter stones were examined in the light of pertinent literature. Materials and Methods: Between January 2013-January 2014, ESWL is proposed to 114 patients who had proximal ureter stone and who didn't benefit from medical treatment. Since eighteen patients could not be followed, 96 patients were included in the study. All patients evaluated with non-contrast computed tomography (NCCT

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“…[ 1 ] SWL has been recommended as a first-line treatment for upper ureteric calculi in several studies with a success rate of 80-90%. [ 2 – 4 ] Ureteroscopy and intracorporeal lithotripsy is used as a salvage procedure. The success of lithotripsy depends on stone composition, position and size.…”

Section: Introductionmentioning

confidence: 99%

Shock wave lithotripsy as a primary modality for treating upper ureteric stones: A 10-year experience

Padhye¹,

Yadav²,

Mahajan³

et al. 2008

Indian J Urol

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Aims and Objectives:Shock wave lithotripsy (SWL) has been recommended as a first-line treatment for upper ureteric calculi in several studies with a success rate of 80-90%. Our aim is to present our retrospective data of treatment of upper ureteric stones with SWL as primary modality over a 10-year period and evaluate the factors affecting fragmentation and clearance.Materials and Methods:From February 1997 to March 2007, 846 patients with upper ureteric stones were treated with SWL as the primary modality. Age: 9-69 years, 546 males and 300 females, stone size: 7-22 mm. Pyuria in 132/846 with clinical infection 40/132, pre-SWL JJ stenting: 40/846 and anesthesia in 41/846 patients. Duration of symptoms: < 4 weeks- 780/846, >4 weeks- 66/846. Stone size: < 1 cm- 513/846, >1 cm-333/846. Workup: X-Ray KUB, Urine and Uro-USG. Intravenous urogram (IVU): 130/846. Intraoperative (C-arm) fluoroscopic imaging was used. Presentation: colic-801/846, incidental-45/846. Criteria for clearance: symptomatic relief, X-ray and USG confirmation.Results:Clearance rate: < 1cm- 95.91% (492/513), >1 cm- 85.29% (284/333). Overall clearance rate: 91.73% (776/846). No clearance: 70/846 (8.27 %). In these, 59/70 underwent ureteroscopy, 8/70 percutaneous nephrolithotomy and 3/70 open ureterolithotomy for clearance. Post SWL complications were seen in 25 (3%) cases with septicemia in nine and stein strasse in 16 cases. Duration of symptoms < 4 weeks - 93.7% success (731/780), >4 weeks – 68.1% (45/66). Non-stented – 92% (744/806) success. Stented group–80% (32/40).Conclusions:Best results with SWL as monotherapy for upper ureteric stones are achieved when stones are less than 1 cm in size, of short duration history and without indwelling stents. Overall success rate – 91.73%.

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Ureteral calculi: extracorporeal shock-wave lithotripsy performed in situ on an outpatient basis

Cited by 7 publications

References 6 publications

The efficacy of tamsulosin therapy after extracorporeal shock-wave lithotripsy for ureteric calculi: A prospective randomised, controlled study

The efficacy of tamsulosin therapy after extracorporeal shock-wave lithotripsy for ureteric calculi: A prospective randomised, controlled study

Proksimal üreter taşı olan 96 olguda ESWL tedavisi sonuçları

Shock wave lithotripsy as a primary modality for treating upper ureteric stones: A 10-year experience

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