Tuncer M et al, 2014: Does Extracorporeal Shock Wave Lithotripsy Cause Hearing Impairment?
Tuncer M, Erdogan BA, Yazici O, Sahin C, Altin G, Faydaci G, Eryildirim B, Sarica K
Dr. Lutfi Kirdar Training and Research Hospital Otorhinolaryngology Clinic, Istanbul, Turkey.
Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey.
Department of Otorhinolaryngology, Medipol University, Istanbul, Turkey
OBJECTIVE: To evaluate the possible effects of extracorporeal shock wave lithotripsy (ESWL) on the hearing status of the patients in this prospective controlled study. METHODS: A total of 40 patients with normal hearing function were included to the study. We had 20 patients
each in the study group and control group. The treatment parameters were standardized in all 3 sessions in which a total of 3000 shock waves with a rate of 90/min along with a total energy value of 126 J at the fourth energy level have been applied (Dornier Compact Sigma, Medtech, Germany). In addition to the testing of hearing functions and possible cochlear impairment by Transient Evoked Otoacoustic Emissions test at 1.0, 1.4, 2.0, 2.8, and 4.0 kHz frequencies, complications such as ear pain, tinnitus, and hearing loss have been well evaluated in each patient before the procedure and 2 hours and 1 month after the completion of the third session of ESWL in the study group. The same evaluation procedures were performed before the study and after 7-weeks in the control group. RESULTS: Regarding Transient Evoked Otoacoustic Emissions data obtained in study group and control group patients, there was no significant alteration in values obtained after ESWL
when compared with the values before the procedure. CONCLUSION: A well-planned ESWL procedure is a safe and effective treatment in urinary stones and causes no detectable harmful effect on the hearing function of treated patients.
Urology. 2014 May 2. pii: S0090-4295(14)00036-3. doi: 10.1016/j.urology.2013.12.056. [Epub ahead of print]
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