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Takahara K et al, 2012: Predictors of success for stone fragmentation and stone-free rate after extracorporeal shockwave lithotripsy in the treatment of upper urinary tract stones

Takahara K, Ibuki N, Inamoto T, Nomi H, Ubai T, Azuma H
Department of Urology, Osaka Medical College, Osaka, Japan


Abstract

PURPOSE: To evaluate factors affecting the success rate of stone fragmentation and stone-free rate after extracorporeal shockwave lithotripsy (SWL) in treatment of upper urinary tract stones.

MATERIALS AND METHODS: A total of 121 patients with upper urinary tract calculi underwent SWL treatment.

RESULTS: Success rate of stone fragmentation after SWL was 73.6% (89/121). In 89 patients who had success of breaking stones, 71 patients were followed up for the assessment of stone-free status, of whom 51 (71.8%) patients were stone-free at 3-month follow-up. Among four prognostic factors, including body mass index (BMI), stone size, stone position, and hydronephrosis, BMI and stone position had a significant impact on the success rate of stone fragmentation (P = .04 and U1: P = .0108, respectively). Among five prognostic factors of BMI, stone size, stone position, hydronephrosis, and times of SWL treatments, stone size was the only factor with significant impact on the stone-free rate (middle: P = .0229).

CONCLUSION: Our study suggests that stone fragmentation and stone-free rate after SWL treatment for upper urinary tract stones can be predicted.

Urol J. 2012 Summer;9(3):549-52
PMID:22903475[PubMed - in process]

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Comments 1

Peter Alken on Monday, 07 May 2012 07:16

The authors conclude: “Our study suggests that stone fragmentation and stone-free rate after SWL treatment for upper urinary tract stones can be predicted.” I did not find new data that would seduce me to bet on that.

Peter Alken

The authors conclude: “Our study suggests that stone fragmentation and stone-free rate after SWL treatment for upper urinary tract stones can be predicted.” I did not find new data that would seduce me to bet on that. Peter Alken
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