The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones
Objective:We analyzed the relation of shockwave lithotripsy (SWL) success and the combination of success predictors.Materials and Methods:In this retrospective study, the outcomes of 1.880 patients with kidney stones treated with SWL were analyzed. A total of 124 adult patients with complete records...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-03-01
|
| Series: | Journal of Urological Surgery |
| Subjects: | |
| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-factors-that-affecting-shockwave-lithotripsy-t/58898
|
| _version_ | 1797884318199054336 |
|---|---|
| author | Mehmet Vehbi Kayra Mehmet Reşit Gören Cevahir Özer Ferhat Kılınç |
| author_facet | Mehmet Vehbi Kayra Mehmet Reşit Gören Cevahir Özer Ferhat Kılınç |
| author_sort | Mehmet Vehbi Kayra |
| collection | DOAJ |
| description | Objective:We analyzed the relation of shockwave lithotripsy (SWL) success and the combination of success predictors.Materials and Methods:In this retrospective study, the outcomes of 1.880 patients with kidney stones treated with SWL were analyzed. A total of 124 adult patients with complete records with non-contrast computed tomography, stone analysis, laboratory data were involved in the study. Patients who were with urinary system anomalies, who were receiving alpha-blocker and/or calcium channel blockers and whom with impaired kidney function were excluded. The effect of stone density, skin-to-stone distance (SSD), perirenal tissue density (PTD), subcutaneous tissue density (STD), stone size, stone burden, stone localization, infundibulopelvic angle (IA), body mass index (BMI) and stone analysis results on the success of the treatment was evaluated.Results:SSD, PTD, STD, stone localization, IA and BMI did not have any significant effect on SWL success. Stone size and stone burden had a significant association with treatment success (p=0.0001), and the cut-off values determined for stone size and stone burden were 12.95 mm (p=0.0006) and 121.38 mm2 (p=0.004) respectively. Stone density also had a significant association with treatment success (p=0.0001), and the cut-off value determined for stone density was 739 Hounsfield Unit (p=0.001). Treatment success was significantly lower in cystine and calcium oxalate monohydrate stones compared to other stone types (p=0.019).Conclusion:Significant markers that determine SWL effectiveness are stone size, stone burden, stone density and stone type. |
| first_indexed | 2024-04-10T04:04:35Z |
| format | Article |
| id | doaj.art-1336c3b5d2ac422da8c5b8312d9d1d0c |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T04:04:35Z |
| publishDate | 2023-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-1336c3b5d2ac422da8c5b8312d9d1d0c2023-03-13T06:27:27ZengGalenos YayineviJournal of Urological Surgery2148-95802023-03-01101677310.4274/jus.galenos.2023.2022.001813049054The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney StonesMehmet Vehbi Kayra0Mehmet Reşit Gören1Cevahir Özer2Ferhat Kılınç3 Başkent University Adana Dr. Turgut Noyan Research and Medical Center, Department of Urology, Adana, Turkiye Başkent University Adana Dr. Turgut Noyan Research and Medical Center, Department of Urology, Adana, Turkiye Başkent University Adana Dr. Turgut Noyan Research and Medical Center, Department of Urology, Adana, Turkiye Başkent University Adana Dr. Turgut Noyan Research and Medical Center, Department of Urology, Adana, Turkiye Objective:We analyzed the relation of shockwave lithotripsy (SWL) success and the combination of success predictors.Materials and Methods:In this retrospective study, the outcomes of 1.880 patients with kidney stones treated with SWL were analyzed. A total of 124 adult patients with complete records with non-contrast computed tomography, stone analysis, laboratory data were involved in the study. Patients who were with urinary system anomalies, who were receiving alpha-blocker and/or calcium channel blockers and whom with impaired kidney function were excluded. The effect of stone density, skin-to-stone distance (SSD), perirenal tissue density (PTD), subcutaneous tissue density (STD), stone size, stone burden, stone localization, infundibulopelvic angle (IA), body mass index (BMI) and stone analysis results on the success of the treatment was evaluated.Results:SSD, PTD, STD, stone localization, IA and BMI did not have any significant effect on SWL success. Stone size and stone burden had a significant association with treatment success (p=0.0001), and the cut-off values determined for stone size and stone burden were 12.95 mm (p=0.0006) and 121.38 mm2 (p=0.004) respectively. Stone density also had a significant association with treatment success (p=0.0001), and the cut-off value determined for stone density was 739 Hounsfield Unit (p=0.001). Treatment success was significantly lower in cystine and calcium oxalate monohydrate stones compared to other stone types (p=0.019).Conclusion:Significant markers that determine SWL effectiveness are stone size, stone burden, stone density and stone type. http://jurolsurgery.org/archives/archive-detail/article-preview/the-factors-that-affecting-shockwave-lithotripsy-t/58898 shockwave lithotripsykidney stonestone type |
| spellingShingle | Mehmet Vehbi Kayra Mehmet Reşit Gören Cevahir Özer Ferhat Kılınç The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones Journal of Urological Surgery shockwave lithotripsy kidney stone stone type |
| title | The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones |
| title_full | The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones |
| title_fullStr | The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones |
| title_full_unstemmed | The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones |
| title_short | The Factors That Affecting Shockwave Lithotripsy Treatment Outcome of Kidney Stones |
| title_sort | factors that affecting shockwave lithotripsy treatment outcome of kidney stones |
| topic | shockwave lithotripsy kidney stone stone type |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-factors-that-affecting-shockwave-lithotripsy-t/58898
|
| work_keys_str_mv | AT mehmetvehbikayra thefactorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT mehmetresitgoren thefactorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT cevahirozer thefactorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT ferhatkılınc thefactorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT mehmetvehbikayra factorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT mehmetresitgoren factorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT cevahirozer factorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones AT ferhatkılınc factorsthataffectingshockwavelithotripsytreatmentoutcomeofkidneystones |