Factors affecting the outcome of extracorporeal shockwave lithotripsy in urinary stone treatment
Joint Authors
Jose, Sachin
Shinde, Sanjay
al-Balushi, Yunus
Husni, Midhat
al-Busaidi, Salma
Source
Issue
Vol. 33, Issue 3 (31 May. 2018), pp.209-217, 9 p.
Publisher
Publication Date
2018-05-31
Country of Publication
Oman
No. of Pages
9
Main Subjects
Abstract EN
Objectives: We sought to evaluate the factors affecting the outcome of extracorporeal shockwave lithotripsy (ESWL) in urinary stone treatment.
Methods: We conducted a retrospective review of 235 adult patients treated with ESWL, for radiopaque renal or ureteric stones between January 2015 and December 2016.
Patient's age, sex, stone size, laterality, location, density, skin-to-stone distance (SSD), and presence of double J stent were studied as potential predictors.
At the end of three months, the patients were divided into success and failure groups and the significance was determined.
Results: Of the 235 patients (188 males and 47 females) analyzed, ESWL was successful in 79.1%.
Univariate analysis of both groups revealed no significant difference in patient’s age and stone laterality.
Statistically significant differences in gender, stone size, stone site, stone density, SSD, and patients with stents were observed.
Statistically significant factors in multivariate logistic regression analysis were sex and stent.
Females had three-times higher risk for ESWL failure than males (odds ratio (OR) = 3.213; 95% confidence interval (CI): 1.194–8.645; p = 0.021) and a higher failure rate when a stent was used (OR = 6.358; 95% CI: 2.228–18.143; p = 0.001).
Conclusions: This study revealed that ESWL can treat renal and ureteric stones successfully with an inverse association between outcome and predictors such as stone size and density, SSD, and stent presence.
These factors can help us in improving patient selection and ensure better results at lower cost
American Psychological Association (APA)
Shinde, Sanjay& al-Balushi, Yunus& Husni, Midhat& Jose, Sachin& al-Busaidi, Salma. 2018. Factors affecting the outcome of extracorporeal shockwave lithotripsy in urinary stone treatment. Oman Medical Journal،Vol. 33, no. 3, pp.209-217.
https://search.emarefa.net/detail/BIM-838232
Modern Language Association (MLA)
Shinde, Sanjay…[et al.]. Factors affecting the outcome of extracorporeal shockwave lithotripsy in urinary stone treatment. Oman Medical Journal Vol. 33, no. 3 (May. 2018), pp.209-217.
https://search.emarefa.net/detail/BIM-838232
American Medical Association (AMA)
Shinde, Sanjay& al-Balushi, Yunus& Husni, Midhat& Jose, Sachin& al-Busaidi, Salma. Factors affecting the outcome of extracorporeal shockwave lithotripsy in urinary stone treatment. Oman Medical Journal. 2018. Vol. 33, no. 3, pp.209-217.
https://search.emarefa.net/detail/BIM-838232
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 215-217
Record ID
BIM-838232