Re: Age-Related Delay in Urinary Stone Clearance in Elderly Patients with Solitary Proximal Ureteral Calculi Treated by Extracorporeal Shock Wave Lithotripsy

2016 ◽  
Vol 195 (5) ◽  
pp. 1493-1494
Author(s):  
Tomas L. Griebling
Keyword(s):  
Shock Wave ◽  
Elderly Patients ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stone ◽  
Ureteral Calculi ◽  
Stone Clearance ◽  
Extracorporeal Shock Wave ◽  
Age Related

scholarly journals Outcome of extracorporeal shock wave lithotripsy in the treatment of mid ureteric stones

2014 ◽  
Vol 43 (2) ◽  
pp. 72-78
Author(s):  
Mohammed Mizanur Rahman ◽  
Isteaq Ahmed Shamim ◽  
Uttom Kormokar ◽  
Shafiqul Alam Chowdhury ◽  
Sudip Das Gupta
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stone ◽  
Stone Disease ◽  
Ureteric Stone ◽  
Stone Clearance ◽  
First Line Therapy ◽  
Extracorporeal Shock Wave ◽  
The Right

Urinary stone disease is a major problem due to its high prevalence and incidence and recurrence. The present study aimed to determine the outcome of in situ Extracorporeal Shock-Wave Lithotripsy (ESWL) for mid-ureteric stone in terms of stone clearance, per operative and post operative complications involving 30 patients with mid ureteric stone with less than 10 mm in diameter in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka between September 2011 and August 2012. Seventeen (56.7%) patients had stone in the right ureter and 13(43.3%) had stone in the left ureter. Mean of stone size was 8.07 mm with a range of 6-10 mm. Most of the patients (96.7%) had post procedure pain, 15(50.0%) had haematuria and 9(30.0%) had fever. Final outcome of treatment showed that complete stone clearance was seen in 83.3% patients after one month. Mid ureteric stone clearance with ESWL was more than eighty percent with a very low rate of complications. ESWL may be recommended as safe and first line therapy for mid ureteric stones. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21386 Bangladesh Med J. 2014 May; 43 (2): 72-78

scholarly journals Mid ureteric stone clearance by Extracorporeal Shock Wave Lithotripsy (ESWL): a clinical study

2015 ◽  
Vol 22 (2) ◽  
pp. 136-143
Author(s):  
Mohammad Mizanur Rahman ◽  
Md Shafiqul Alam Chowdhury ◽  
Uttam Karmakar ◽  
Ujjal Borua ◽  
Lutfa Begum Lipi ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Operative Procedure ◽  
Urinary Stone ◽  
Stone Disease ◽  
Ureteric Stone ◽  
Stone Clearance ◽  
First Line Therapy ◽  
Extracorporeal Shock Wave

Background: In the last 20 years, the management of ureteric stones has changed dramatically from an open operative procedure to endoscopic,minimally invasive and non invasive methods. Urinary stone disease is a major problem due to its high prevalence and incidence and recurrence. The present study aimed to determine the outcome of in situ Extracorporeal Shock-Wave Lithotripsy (ESWL) in mid-ureteric stone in terms of stone clearance, per operative and post operative complications. Methods: This prospective study was conducted in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, between September 2011 and August 2012. Total 30 patients with mid ureteric stone sized less than 10 mm were selected purposively. They were evaluated preoperatively by history, physical examination and relevant investigations. ESWL monotherapy with Siemens Lithoscope (3rd generation) lithotripter was used to treat mid ureteric stone. Statistical analysis was done by using SPSS version 13,0. Results: Mean age of the patients was 36.73±8.03 years with a range of 20–51 years. Among the patients 18 (60.0%) were male and 12 (40.0%) were female. Seventeen (56.7%) patients had stone in the right ureter and 13(43.3%) had stone in the left ureter. Mean stone size was 8.07±1.32 mm with a range of 6.00–10.00 mm. Most of the patients (96.7%) had post procedure pain, 15 (50.0%) had haematuria and 9 (30.0%) had fever. Final outcome of treatment showed that complete stone clearance was 83.3% after one month. Conclusion: Mid ureteric stone clearance with ESWL is more than eighty percent in with a very low rate of complications. So ESWL may be recommended as safe and first line therapy for mid ureteric stones. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21523 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 136-143

scholarly journals AGE-RELATED CHANGES IN RENAL RESISTIVE INDEX AFTER ESWL

2014 ◽  
Vol 21 (1) ◽  
Author(s):  
Anton Hermawan ◽  
Sabilal Alif ◽  
Wahjoe Djatisoesanto ◽  
Tri Wulanhandarini ◽  
Budiono Budiono
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Color Doppler ◽  
Resistive Index ◽  
Renal Resistive Index ◽  
Kidney Calculi ◽  
Pelvic Kidney ◽  
Extracorporeal Shock Wave ◽  
Age Related

Objective: To determine relation between age and resistive index (RI) changes occurring after extracorporeal shock wave lithotripsy (ESWL). Material & Method: We performed a prospective study in Soetomo Hospital Surabaya. Using duplex ultrasonography, RI was determined in 20 patients with calyceal kidney calculi and pelvic kidney calculi. RI of the interlobar renal arteries were measured in the region near the calculi (distance, less than 2 cm), one hour before ESWL and RI was measured again at 1 hour, 3 days and 7 days after ESWL. Changes in RI values and relation with age (≤ 60 years old and > 60 years old) were evaluated. Results: The renal RI increased significantly 1 hour and 3 days after ESWL, but returned to before ESWL values 7 days after ESWL in the both groups. Although there was positive correlation between age and RI before ESWL, but there was no correlation between age and RI changes after ESWL. Conclusion: Renal RI is higher with age > 60 years, after ESWL renal RI showed transient increase which returned to baseline after 7 days.Key words: Color Doppler Ultrasonography, extracorporeal shock wave lithotripsy, renal resistive index, calyceal kidney calculi, pelvic kidney calculi.

scholarly journals Ultrasound-guided Paravertebral Block Versus Intravenous Sedative Analgesic using Midazolam /Fentanyl in Patients Undergoing Extracorporeal Shock Wave Lithotripsy

2021 ◽  
pp. 1-10
Author(s):  
Fatma M. Elaiashy ◽  
Mohamed M. Abu Elyazd ◽  
Ahmed A. Eldaba ◽  
Tarek A. Gameel
Keyword(s):  
Shock Wave ◽  
Success Rate ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Renal Stone ◽  
Paravertebral Block ◽  
Ultrasound Guided ◽  
Stone Clearance ◽  
Extracorporeal Shock Wave ◽  
Fentanyl Group

Background: Thoracic paravertebral block (TPVB) produces ipsilateral somatic and sympathetic nerve blockade in multiple contiguous dermatomes both above and below the site of injection.  The Aim of This Study: was to compare the effectiveness of ultrasound-guided TPVB versus intravenous (IV) sedative analgesic using midazolam / fentanyl in patients undergoing extracorporeal shock wave lithotripsy (ESWL) procedure. Patients and Methods: This prospective, randomized study was carried out on sixty patients aged 20-60 years, with radio-opaque renal stone not more than1.5cm. TPVB group (30 patients) received ipsilateral ultrasound-guided TPVB at the level T9-T10 using bupivacaine 0.25% (20 mL) about 30 minutes before the ESWL. Midazolam/fentanyl group (30 patients) received sedatives analgesic drugs using IV midazolam (0.05 mg / kg) and fentanyl (1 µg/kg) about 5 min before the ESWL. The VAS score during and 30 min post procedure, total dose of rescue analgesic consumption during ESWL procedure, the success rate of ESWL, the time needed to stone clearance, patient and operator satisfaction scores were recorded. Result: During and after ESWL procedure, the VAS scores were significantly higher in midazolam/fentanyl group than TPVB group (P < 0.05). The number of patients required rescue analgesic during ESWL was significantly higher in midazolam/fentanyl group compared to TPVB group (P < 0.05).The success rate of ESWL was insignificantly different between both groups (P > 0.05). The time needed to stone clearance was significantly shorter in TPVB group compared to midazolam/fentanyl group (P < 0.05). Conclusions: Ultrasound-guided TPVB provided more effective analgesia with reduced number of ESWL sessions and shorter time to renal stone clearance than IV midazolam/fentanyl.

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