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      Factors influencing stone-free rate of Extracorporeal Shock Wave Lithotripsy (ESWL); a cohort study

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          Abstract

          <p class="first" id="d2715181e127">To evaluate the success rate of Extracorporeal Shock Wave Lithotripsy (ESWL) therapy and identify relevant treatment-specific factors affecting stone-free rate (SFR) after ESWL. </p>

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          Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I.

          Dean Assimos, Amy Krambeck, Nicole Miller … (2016)
          This Guideline is intended to provide a clinical framework for the surgical management of patients with kidney and/or ureteral stones. The summary presented herein represents Part I of the two-part series dedicated to Surgical Management of Stones: American Urological Association/Endourological Society Guideline. Please refer to Part II for an in-depth discussion of patients presenting with ureteral or renal stones.
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            A prospective multivariate analysis of factors predicting stone disintegration by extracorporeal shock wave lithotripsy: the value of high-resolution noncontrast computed tomography.

            Ahmed EL-Nahas, Ahmed M. El-Assmy, Osama A. Mansour … (2007)
            To assess the value of noncontrast computed tomography (NCCT) as a possible predictor of renal stone disintegration by shock wave lithotripsy (SWL). The study included 120 consecutive patients (71 males, 49 females; mean age: 42.6 yr) with a solitary renal stone of 0.5-2.5 cm in length. NCCT was performed using a multidetector row CT scanner at 120 KV and 240 mA, with 1.25-mm collimation. A bone window was used to measure stone attenuation values. SWL was performed with an electromagnetic lithotripter. Failure of disintegration was defined as no fragmentation of the stone after three sessions. The impact of patients' sex, age, and body mass index (BMI) and the stones' laterality, location, volume, mean attenuation value, and the skin-to-stone distance on disintegration were evaluated by univariate and multivariate analyses. Failure of disintegration was observed in 15 patients (12.5%). BMI and stone density >1000 HU were the significant independent predictors of failure (p=0.04 and 0.02, respectively). The success rate of extracorporeal SWL at 3 mo was 87.5% (105 of 120 patients); 90 patients were stone free and 15 had residual fragments 1000 HU.
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              Role of computed tomography with no contrast medium enhancement in predicting the outcome of extracorporeal shock wave lithotripsy for urinary calculi.

              Narmada Gupta, Mohd Ansari, Pawan Kesarvani … (2005)
              To evaluate the usefulness of urinary calculi attenuation values from non-contrast computed tomography (NCCT) in predicting the outcome of treatment by extracorporeal shock wave lithotripsy (ESWL). We evaluated 112 patients with solitary renal and upper ureteric calculi of 0.5-2 cm undergoing ESWL. All patients had NCCT at 120 kV and 240 mA on a spiral CT scanner. During each ESWL session 3000 shock waves were given to a maximum of 3.0 kV. A final X-ray of the kidney, ureters and bladder was taken 12 weeks after the last ESWL session. Fragments of 750 HU, 41 (72%) required three or more ESWL sessions, and 37 (65%) had complete clearance. The best outcome was in patients with calculus diameters of 750 HU and diameters of > 1.1 cm; 23 (77%) needed three or more ESWL sessions and the clearance rate was only 60%. The calculus density was a stronger predictor of outcome than size alone. The use of NCCT for determining the attenuation values of urinary calculi before ESWL might help to predict the treatment outcome, and so might help in planning alternative treatment in patients with a likelihood of a poor outcome from ESWL.
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                Author and article information

                Contributors
                Journal
                Title: Scandinavian Journal of Urology
                Abbreviated Title: Scandinavian Journal of Urology
                Publisher: Informa UK Limited
                ISSN (Print): 2168-1805
                ISSN (Electronic): 2168-1813
                Publication date Created: May 04 2022
                Publication date (Electronic): April 09 2022
                Publication date (Print): May 04 2022
                Volume: 56
                Issue: 3
                Pages: 237-243
                Affiliations
                [1 ]Department of Clinical Sciences, Division of Infection Medicine, Lund University, Lund, Sweden
                [2 ]Department of Urology Helsingborg Hospital, Helsingborg, Sweden
                [3 ]Department or Urology, Örebro University Hospital, Örebro, Sweden
                [4 ]Institution of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden
                Article
                DOI: 10.1080/21681805.2022.2055137
                PubMed ID: 35400281
                SO-VID: c52148ea-1573-4018-aa94-5a25dde40235
                Copyright © © 2022
                License:

                http://creativecommons.org/licenses/by-nc-nd/4.0/

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