Prognostic variables for shockwave lithotripsy (SWL) treatment success: no impact of body mass index (BMI) using a third generation lithotripter

作者: Gencay Hatiboglu , Valentin Popeneciu , Martin Kurosch , Johannes Huber , Sascha Pahernik

DOI: 10.1111/J.1464-410X.2010.10007.X

关键词:

摘要: OBJECTIVE • To investigate the effect of different variables including body mass index (BMI) on therapy outcome in patients with upper urinary tract stones treated a third generation lithotripter, as BMI has been reported to be an independent predictor for stone-free status after extracorporeal shockwave lithotripsy (SWL) performed first or second lithotripters. PATIENTS AND METHODS In all, 172 kidney mean (range) size 9.2 (3.0-32.0) mm were included study. 91 (52.9%) ureteric stent situ. For SWL generation, electromagnetic lithotripter (Siemens Lithoskop™) was used. Stone-free reached, when no more treatable present (no stone < 3 mm). BMI, and localization, age, gender, treatment parameters situ evaluated their prognostic relevance success. RESULTS The all 27.8 (19.0-58.6) kg/m(2). Patients categorized into two groups: A) that free one treatment; B) residual stones. (sd) 27.4 (4.6) kg/m(2) 28.4 (6.1) A B, respectively. Univariate multivariate analysis freedom showed only (P 0.01) presence = variables. had significant influence 0.51). CONCLUSIONS Using not rate This might attributed greater penetration depth energy. Stone significance.

参考文章(30)
HG Tiselius, D Ackermann, P Alken, C Buck, P Conort, M Gallucci, None, Guidelines on urolithiasis European Urology. ,vol. 40, pp. 362- 371 ,(2001) , 10.1159/000049803
V. Poulakis, U. Witzsch, J. Remplick, S. Sihler, E. Becht, Prädiktion der Steinfreiheit nach extrakorporaler Stoßwellenlithotripsie bei unteren Nierenkelchsteinen Der Urologe A. ,vol. 41, pp. 583- 595 ,(2002) , 10.1007/S00120-002-0194-2
Mohamed Abdel‐Khalek, Khaled Z. Sheir, Alaa A. Mokhtar, Ibrahiem Eraky, Mahmoud Kenawy, Mahmoud Bazeed, Prediction of success rate after extracorporeal shock-wave lithotripsy of renal stones--a multivariate analysis model. Scandinavian Journal of Urology and Nephrology. ,vol. 38, pp. 161- 167 ,(2004) , 10.1080/00365590310022626
Ali Ferruh Akay, Abdullah Gedik, Ali Tutus, Hayrettin Şahin, Mehmet Kamuran Bircan, Body mass index, body fat percentage, and the effect of body fat mass on SWL success. International Urology and Nephrology. ,vol. 39, pp. 727- 730 ,(2007) , 10.1007/S11255-006-9133-2
Gyan Pareek, Sean P. Hedican, Fred T. Lee, Stephen Y. Nakada, Shock wave lithotripsy success determined by skin-to-stone distance on computed tomography Urology. ,vol. 66, pp. 941- 944 ,(2005) , 10.1016/J.UROLOGY.2005.05.011
CH. Chaussy, Walter Brendel, E. Schmiedt, EXTRACORPOREALLY INDUCED DESTRUCTION OF KIDNEY STONES BY SHOCK WAVES The Lancet. ,vol. 316, pp. 1265- 1268 ,(1980) , 10.1016/S0140-6736(80)92335-1
Armando Luis Negri, Francisco Rodolfo Spivacow, Elisa Elena Del Valle, Mariano Forrester, Gabriela Rosende, Irene Pinduli, Role of overweight and obesity on the urinary excretion of promoters and inhibitors of stone formation in stone formers. Urological Research. ,vol. 36, pp. 303- 307 ,(2008) , 10.1007/S00240-008-0161-5
Kiriaki K. Stamatelou, Mildred E. Francis, Camille A. Jones, Leroy M. Nyberg, Gary C. Curhan, Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney International. ,vol. 63, pp. 1817- 1823 ,(2003) , 10.1046/J.1523-1755.2003.00917.X
A. N. Argyropoulos, D. A. Tolley, Failure after shockwave lithotripsy: is outcome machine dependent? International Journal of Clinical Practice. ,vol. 63, pp. 1489- 1493 ,(2009) , 10.1111/J.1742-1241.2008.01847.X
Michel Daudon, Bernard Lacour, Paul Jungers, Influence of body size on urinary stone composition in men and women Urological Research. ,vol. 34, pp. 193- 199 ,(2006) , 10.1007/S00240-006-0042-8