Re: Quantification of Preoperative Stone Burden for Ureteroscopy and Shock Wave Lithotripsy: Current State and Future Recommendations

2011 ◽  
Vol 186 (3) ◽  
pp. 917-917
Author(s):  
Dean Assimos
2009 ◽  
Vol 8 (8) ◽  
pp. 642
Author(s):  
T. Turunc ◽  
M. Gonen ◽  
B. Kuzgunbay ◽  
U.T. Bilgilisoy ◽  
A. Dirim ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Arif Kalkanli ◽  
Cem Tugrul Gezmis

<b><i>Introduction:</i></b> This study aims to investigate the effects of shock wave lithotripsy (SWL) treatment for proximal ureteral stones on the sexual functions of patients of both genders. <b><i>Methods:</i></b> In this prospective study, 30 female and 72 male patients who had received SWL treatment for proximal ureteral stones in our clinic between August 2019 and October 2020 were evaluated. CT, creatinine, urinary analysis, and culture were performed during the initial consultation for all patients. Information regarding the age, BMI, and stone burden of the patients was recorded. Male patients answered the International Index of Erectile Function-5 (IIEF-5) questionnaire, and female participants answered the Female Sexual Function Index (FSFI) 3 times: pre-procedural and post-procedural first and third month. CT was repeated on the first month, and any residues were noted. <b><i>Results:</i></b> The mean IIEF-5 scores of the male patients were 23.11 ± 8.11 prior to surgery, and it decreased to 19.74 ± 7.65 in the first month and 23.88 ± 9.23 in the third, <i>p</i> = 0.001. The mean FSFI scores of female patients were 18.2 ± 9.9, which decreased to 12.8 ± 6.12 in the first month and 17.8 ± 8.66 in the third, <i>p</i> = 0.001. Univariate analysis revealed that the patients’ age (male: <i>p</i> = 0.004 and female: <i>p</i> = 0.008) and BMI (male: <i>p</i> = 0.044 and female: <i>p</i> = 0.027) were related to the poorer scores for both genders. However, there were not any significant findings regarding stone burden (male: <i>p</i> = 0.054 and female: <i>p</i> = 0.078). <b><i>Conclusions:</i></b> The possibility of developing temporary sexual dysfunction should be taken into account for patients who are candidates for SWL treatment. As the patient’s age and BMI increase, SWL-related sexual dysfunction becomes more severe.


1990 ◽  
Vol 81 (6) ◽  
pp. 873-877 ◽  
Author(s):  
Kimio Fujita ◽  
Takashi Sayama ◽  
Hisashi Matsushima ◽  
Akio Munakata

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Adistra Imam Satjakoesoemah ◽  
Fekhaza Alfarissi ◽  
Irfan Wahyudi ◽  
Arry Rodjani ◽  
Nur Rasyid

Abstract Background ESWL is still considered as the first favorable therapeutic option for urinary stone disease with acceptable effectivity. However, factors associated with favorable outcome have not been widely studied in pediatrics due to the small number of urinary stone prevalence. The aim of this study is to evaluate the factors associated with the success rate of pediatric ESWL in our center according to immediate stone-free rate and 3-month stone-free rates. Methods This is a retrospective cohort study of children less than 18 years who had ESWL for urolithiasis from January 2008 until August 2015. Patient’s characteristics including age, gender, BMI, stone location, stone length, stone burden, stone opacity, and number of ESWL sessions were gathered from the medical record. Nutritional status was determined according to the Centers for Disease Control and Prevention BMI curve. The outcome of this study was the factors related to the success rate in pediatric ESWL. Results Extracorporeal shock wave lithotripsy was done for 36 patients and 39 renal units (RUs) with mean age of 13.7 ± 4.3 years old, height of 1480 ± 16.0 cm, and BMI of 20.0 ± 3. Of 36 patients included, 39 renoureteral units (RUs) and 46 ESWL sessions were recorded. The mean overall treatment was 1.2 ± 0.5 sessions with mean stone length of 11.1 ± 6.3 mm and stone burden of 116.6 ± 130.3 mm2. Within 3 months of follow-up, we recorded that the overall 3-month success rate was 100%, while the overall 3-month stone-free rate was 66.7%. Stone length (p < 0.001 and p < 0.001), stone perpendicular length (p < 0.001 and p < 0.001), and stone burden (p < 0.001 and p = 0.001) were found to be significantly associated with immediate success and 3-month stone-free status, respectively. Conclusions ESWL is an effective and safe modality to treat pediatric urolithiasis cases. Stone length, stone perpendicular length, and stone burden were found to be associated with immediate success and 3-month stone-free status after pediatric ESWL treatment.


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