Can we predict the need for intervention in steinstrasse following shock wave lithotripsy?
Introduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS. Materials and Methods: This was...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=1;spage=51;epage=54;aulast=Phukan |
| _version_ | 1811334084536827904 |
|---|---|
| author | Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia |
| author_facet | Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia |
| author_sort | Chandan Phukan |
| collection | DOAJ |
| description | Introduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS.
Materials and Methods: This was a retrospective study of all patients who developed steinstrasse following SWL at our center. They were divided into two groups: a) Those cleared spontaneously and b) Those required intervention. The two groups were compared with regard to demographic profile, stone factors and factors related to steinstrasse.
Results: Out of 2436 cases of SWL, 89 (3%) formed steinstrasse. The majority of the patients (35%) who required intervention had stone sizes of 10-14 mm. Coptcoat type III steinstrasse required significantly more interventions for clearance (P = 0.001). The site and the size of the SS was not a predictor of intervention for SS.
Conclusions: Early intervention is warranted in patients with steinstrasse where the lead fragment is >5 mm (Coptcoat type III). |
| first_indexed | 2024-04-13T17:02:29Z |
| format | Article |
| id | doaj.art-a21e4123094e45c4a91a6bf545499bd2 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-13T17:02:29Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-a21e4123094e45c4a91a6bf545499bd22022-12-22T02:38:35ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342017-01-0191515410.4103/0974-7796.198870Can we predict the need for intervention in steinstrasse following shock wave lithotripsy?Chandan PhukanT J NirmalCornerstone V WannJ ChandrasinghSantosh KumarNitin S KekreAntony DevasiaIntroduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS. Materials and Methods: This was a retrospective study of all patients who developed steinstrasse following SWL at our center. They were divided into two groups: a) Those cleared spontaneously and b) Those required intervention. The two groups were compared with regard to demographic profile, stone factors and factors related to steinstrasse. Results: Out of 2436 cases of SWL, 89 (3%) formed steinstrasse. The majority of the patients (35%) who required intervention had stone sizes of 10-14 mm. Coptcoat type III steinstrasse required significantly more interventions for clearance (P = 0.001). The site and the size of the SS was not a predictor of intervention for SS. Conclusions: Early intervention is warranted in patients with steinstrasse where the lead fragment is >5 mm (Coptcoat type III).http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=1;spage=51;epage=54;aulast=PhukanInterventionsshock wave lithotripsysteinstrasse |
| spellingShingle | Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? Urology Annals Interventions shock wave lithotripsy steinstrasse |
| title | Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
| title_full | Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
| title_fullStr | Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
| title_full_unstemmed | Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
| title_short | Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
| title_sort | can we predict the need for intervention in steinstrasse following shock wave lithotripsy |
| topic | Interventions shock wave lithotripsy steinstrasse |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=1;spage=51;epage=54;aulast=Phukan |
| work_keys_str_mv | AT chandanphukan canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT tjnirmal canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT cornerstonevwann canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT jchandrasingh canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT santoshkumar canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT nitinskekre canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy AT antonydevasia canwepredicttheneedforinterventioninsteinstrassefollowingshockwavelithotripsy |