Predictive Factors of the Outcome of Extracorporeal Shockwave Lithotripsy for Ureteral Stones
Korean Journal of Urology
;
: 424-430, 2012.
Article
in English
| WPRIM
| ID: wpr-79093
ABSTRACT
PURPOSE:
Extracorporeal Shock Wave Lithotripsy (ESWL) has shown successful outcomes for ureteral stones. We investigated predictive factors for failure of ESWL for treating ureteral stones. MATERIALS ANDMETHODS:
A total of 153 patients who underwent ESWL between July 2006 and July 2009 for ureteral stones diagnosed by non-enhanced spiral computed tomography were divided into two groups (group A, stone size 10 mm). The failure was defined as remnant stones >4 mm. We assessed age, sex, body mass index, stone size, laterality, location, skin-to-stone distance (SSD), Hounsfield unit, and the presence of secondary signs (hydronephrosis, renal enlargement, perinephric fat stranding, and tissue rim sign). We analyzed predictive factors by using logistic regression in each group.RESULTS:
The success rates were 90.2% and 68.6% in group A and B, respectively. In the univariate analysis of each group, stone size, SSD, and all secondary signs showed statistically significant differences in terms of the outcome of ESWL (p10 mm), the presence of perinephric fat stranding is also an independent predictive factor.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shock
/
Silver Sulfadiazine
/
Ureter
/
Lithotripsy
/
Ureteral Calculi
/
Body Mass Index
/
Logistic Models
/
Treatment Outcome
/
Tomography, Spiral Computed
Type of study:
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Korean Journal of Urology
Year:
2012
Type:
Article
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