Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy
Abstract Background To observe the efficacy of self-help position therapy (SHPT) after holmium laser lithotripsy via flexible ureteroscopy (FURS). Methods From January 2010 to November 2015, 736 nephrolithiasis patients who had received FURS lithotripsy were analyzed retrospectively. In position gro...
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BMC
2018-05-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-018-0348-1 |
| _version_ | 1818399262548951040 |
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| author | Jie Yang Rong-zhen Tao Pei Lu Meng-xing Chen Xin-kun Huang Ke-liang Chen Ying-heng Huang Xiao-rong He Li-di Wan Jing Wang Xin Tang Wei Zhang |
| author_facet | Jie Yang Rong-zhen Tao Pei Lu Meng-xing Chen Xin-kun Huang Ke-liang Chen Ying-heng Huang Xiao-rong He Li-di Wan Jing Wang Xin Tang Wei Zhang |
| author_sort | Jie Yang |
| collection | DOAJ |
| description | Abstract Background To observe the efficacy of self-help position therapy (SHPT) after holmium laser lithotripsy via flexible ureteroscopy (FURS). Methods From January 2010 to November 2015, 736 nephrolithiasis patients who had received FURS lithotripsy were analyzed retrospectively. In position group, 220 cases accepted SHPT after lithotripsies, and 428 cases as control, coming from another independent inpatient area in the same center. The stone-free status (SFS) between two groups were compared at the 2nd, 4th and 12th week ends by X-ray examinations. Results The preoperative incidence of hydronephrosis (25.9% vs. 18.0%, p = 0.018) or lower calyceal seeper (33.6% vs. 24.3%, p = 0.012) and the proportion of patients with > 2.0 cm stones (33.6% vs. 24.3%, p = 0.003) were all significantly higher in position group than in control group. There were no substantial difference between two groups in age, BMI, gender and medical histories. In postoperative followup, the incidence of hydronephrosis in position group was significantly lower than in control group (9.5% vs. 15.7%, p = 0.032) after removing double-J stents. In position group, the SFS of the 2nd week end (60.9% vs. 47.2%, p = 0.001), the 4th week end (74.1% vs. 62.8%, p = 0.004) and the 12th week end (86.9% vs. 79.4%, p = 0.021) were all significantly higher than those in control group. Conclusions SHPT after holmium laser lithotripsy via FURS may increase postoperative SFS, accelerate stone fragment clearance, and decrease the incidence of hydronephrosis after removal of double-J stents. The therapy does not require professional assistance and is economical, simple, and effective. |
| first_indexed | 2024-12-14T07:17:53Z |
| format | Article |
| id | doaj.art-e796b93903f74ef0893cf558b906b6db |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-14T07:17:53Z |
| publishDate | 2018-05-01 |
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| series | BMC Urology |
| spelling | doaj.art-e796b93903f74ef0893cf558b906b6db2022-12-21T23:11:41ZengBMCBMC Urology1471-24902018-05-011811710.1186/s12894-018-0348-1Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopyJie Yang0Rong-zhen Tao1Pei Lu2Meng-xing Chen3Xin-kun Huang4Ke-liang Chen5Ying-heng Huang6Xiao-rong He7Li-di Wan8Jing Wang9Xin Tang10Wei Zhang11Department of Urology, First Affiliated Hospital of Nanjing Medical UniversityDepartment of Urology, First Affiliated Hospital of Nanjing Medical UniversityDepartment of Urology, First Affiliated Hospital of Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityDepartment of Urology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Urology, First Affiliated Hospital of Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityFirst Clinical Medical College, Nanjing Medical UniversityDepartment of Urology, First Affiliated Hospital of Nanjing Medical UniversityAbstract Background To observe the efficacy of self-help position therapy (SHPT) after holmium laser lithotripsy via flexible ureteroscopy (FURS). Methods From January 2010 to November 2015, 736 nephrolithiasis patients who had received FURS lithotripsy were analyzed retrospectively. In position group, 220 cases accepted SHPT after lithotripsies, and 428 cases as control, coming from another independent inpatient area in the same center. The stone-free status (SFS) between two groups were compared at the 2nd, 4th and 12th week ends by X-ray examinations. Results The preoperative incidence of hydronephrosis (25.9% vs. 18.0%, p = 0.018) or lower calyceal seeper (33.6% vs. 24.3%, p = 0.012) and the proportion of patients with > 2.0 cm stones (33.6% vs. 24.3%, p = 0.003) were all significantly higher in position group than in control group. There were no substantial difference between two groups in age, BMI, gender and medical histories. In postoperative followup, the incidence of hydronephrosis in position group was significantly lower than in control group (9.5% vs. 15.7%, p = 0.032) after removing double-J stents. In position group, the SFS of the 2nd week end (60.9% vs. 47.2%, p = 0.001), the 4th week end (74.1% vs. 62.8%, p = 0.004) and the 12th week end (86.9% vs. 79.4%, p = 0.021) were all significantly higher than those in control group. Conclusions SHPT after holmium laser lithotripsy via FURS may increase postoperative SFS, accelerate stone fragment clearance, and decrease the incidence of hydronephrosis after removal of double-J stents. The therapy does not require professional assistance and is economical, simple, and effective.http://link.springer.com/article/10.1186/s12894-018-0348-1Flexible ureteroscopyHolmium laser lithotripsySelf-helpPosition therapyHydronephrosis |
| spellingShingle | Jie Yang Rong-zhen Tao Pei Lu Meng-xing Chen Xin-kun Huang Ke-liang Chen Ying-heng Huang Xiao-rong He Li-di Wan Jing Wang Xin Tang Wei Zhang Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy BMC Urology Flexible ureteroscopy Holmium laser lithotripsy Self-help Position therapy Hydronephrosis |
| title | Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| title_full | Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| title_fullStr | Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| title_full_unstemmed | Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| title_short | Efficacy analysis of self-help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| title_sort | efficacy analysis of self help position therapy after holmium laser lithotripsy via flexible ureteroscopy |
| topic | Flexible ureteroscopy Holmium laser lithotripsy Self-help Position therapy Hydronephrosis |
| url | http://link.springer.com/article/10.1186/s12894-018-0348-1 |
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