103The significance of “minor” components of calcium renal stones

2005 ◽  
Vol 4 (3) ◽  
pp. 28
Author(s):  
A. Trinchieri ◽  
R. Lizzano ◽  
C. Castelnuovo ◽  
G. Zanetti
Keyword(s):  
Renal Stones ◽  
Minor Components

1902: Is Steinstrasse After ESWL of Renal Stones Predictable? Artificial Neural Network Analysis

2004 ◽  
Vol 171 (4S) ◽  
pp. 502-503
Author(s):  
Mohamed A. Gomha ◽  
Khaled Z. Sheir ◽  
Saeed Showky ◽  
Khaled Madbouly ◽  
Emad Elsobky ◽  
...  
Keyword(s):  
Neural Network ◽  
Artificial Neural Network ◽  
Network Analysis ◽  
Renal Stones ◽  
Neural Network Analysis ◽  
Artificial Neural Network Analysis ◽  
Artificial Neural

1696: May Phyllanthus Niruri ( Uriston®) Affect the Efficacy of ESWL on Renal Stones? A Prospective, Randomised Short Term Study

2005 ◽  
Vol 173 (4S) ◽  
pp. 460-460
Author(s):  
Antonio Celia ◽  
Salvatore Micali ◽  
Sighinolfi Maria Chiara ◽  
Grande Marco ◽  
Di Pietro Corradino ◽  
...  
Keyword(s):  
Renal Stones ◽  
Short Term ◽  
Phyllanthus Niruri ◽  
Term Study ◽  
Short Term Study

Use of non-contrast computed tomography determined urinary stone fragility in predicting the outcome of extracorporeal shockwave lithotripsy treatment: a single-center study

2020 ◽  
Vol 14 (2) ◽  
pp. 59-63
Author(s):  
Athar Hameed ◽  
Khazir Hayyat Gondal
Keyword(s):  
Shock Waves ◽  
Renal Stone ◽  
Plain Film ◽  
Renal Stones ◽  
Renal Calculus ◽  
Urinary Stone ◽  
Stone Disease ◽  
Urinary Stones ◽  
Fisher Exact Test

Background: Renal stones represent a common urological pathology where standard treatment advised is ESWL in current practice. However, NCCT based determination of stone fragility may help to predict the outcome of ESWL treatment, hence optimizing its clinical use. Therefore, this study evaluated the role of NCCT determined urinary stone fragility in predicting the outcome of ESWL treatment in local clinical settings. Patients and methods: One hundred patients with single renal calculus of 0.6-2 cm in size were included. NCCT based determination of stone fragility in HU units was done for all patients. Patients were then subjected to ESWL, with a maximum of 3000 shock waves given per ESWL session. Plain film and/or ultrasonography was used to monitor ESWL treatment progress with a final NCCT evaluation at 12 weeks to determine the clearance of the calculi for each patient. Association of NCCT based stone fragility and outcome of ESWL was statistically analyzed using Fisher exact test. Results: The mean age of the patients was 37.7 ± 10.9 years with 54% being male. Decreasing stone fragility on NCCT (high = <500HU, moderate = 500-1000HU, and high = 1000HU) required more number and intensity of ESWL sessions (1-2 visits and 3000-6000 shock waves for high stone fragility group, 3-5 visits and 7000-18000 shock waves for the moderate group, and 6 visits and >18000 shock waves for low fragility group, respectively) necessary for clearance of urinary stones (p<0.001). In 98% of patients, the clearance of urinary stones was excellent. Conclusion: Renal stone patients with NCCT determined high and moderate stone fragility show an optimal response after ESWL treatment, whereas, for low fragility renal stones attenuative treatment like percutaneous nephrolithotomy and/or ureteroscopy should be considered instead of ESWL. This approach can enable patient stratification before ESWL therapy ensuring better clinical management of the renal stone disease.

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