[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention

Objective: To evaluate the efficacy of shockwave lithotripsy in the long-term in the treatment of calcular acute urinary retention (AUR). Methods: From March 2015 to February 2017, a prospective study was conducted, and included a total of 50 male patients who were diagnosed with AUR as a result of...

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Autores principales:	Mohamed Ali Mohsen, Tamer Zewin, Khaled Sheir, Ahmed Shokeir
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/3578ef5f645143cbaf020618201c2493
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spelling	oai:doaj.org-article:3578ef5f645143cbaf020618201c24932021-12-02T10:11:39Z[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention2090-598X10.1016/j.aju.2018.10.091https://doaj.org/article/3578ef5f645143cbaf020618201c24932018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301852https://doaj.org/toc/2090-598XObjective: To evaluate the efficacy of shockwave lithotripsy in the long-term in the treatment of calcular acute urinary retention (AUR). Methods: From March 2015 to February 2017, a prospective study was conducted, and included a total of 50 male patients who were diagnosed with AUR as a result of urethral or vesical radio-opaque stone(s) at the Mansoura Urology and Nephrology Center. All patients underwent extracorporeal shockwave therapy. Results: A total of 47 of 50 patients (94%) were included, as only they underwent an initial successful treatment by shockwave lithotripsy. The mean (SD) age was 44.5 (11.8) years, the mean (SD) stone greatest dimension was 12.2 (3) mm, 33 stones (70.2%) were migratory and 14 stones (27.6%) were secondary in nature. At long-term follow-up of this patient cohort, there was recurrence of vesical stones in none, two (4%), and seven (15%) at 6-, 12- and 18-month intervals, respectively. The mean (SD) age of the nine recurrent cases (19%) was 52.3 (5.7) years and eight were secondary with one migratory in nature. Conclusion: Shockwave lithotripsy is a successful modality of treatment in vesical stones; however, it should be used with caution in patients aged >50 years and with a history suggestive of infravesical obstruction.Mohamed Ali MohsenTamer ZewinKhaled SheirAhmed ShokeirTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S21- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Mohamed Ali Mohsen Tamer Zewin Khaled Sheir Ahmed Shokeir [44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
description	Objective: To evaluate the efficacy of shockwave lithotripsy in the long-term in the treatment of calcular acute urinary retention (AUR). Methods: From March 2015 to February 2017, a prospective study was conducted, and included a total of 50 male patients who were diagnosed with AUR as a result of urethral or vesical radio-opaque stone(s) at the Mansoura Urology and Nephrology Center. All patients underwent extracorporeal shockwave therapy. Results: A total of 47 of 50 patients (94%) were included, as only they underwent an initial successful treatment by shockwave lithotripsy. The mean (SD) age was 44.5 (11.8) years, the mean (SD) stone greatest dimension was 12.2 (3) mm, 33 stones (70.2%) were migratory and 14 stones (27.6%) were secondary in nature. At long-term follow-up of this patient cohort, there was recurrence of vesical stones in none, two (4%), and seven (15%) at 6-, 12- and 18-month intervals, respectively. The mean (SD) age of the nine recurrent cases (19%) was 52.3 (5.7) years and eight were secondary with one migratory in nature. Conclusion: Shockwave lithotripsy is a successful modality of treatment in vesical stones; however, it should be used with caution in patients aged >50 years and with a history suggestive of infravesical obstruction.
format	article
author	Mohamed Ali Mohsen Tamer Zewin Khaled Sheir Ahmed Shokeir
author_facet	Mohamed Ali Mohsen Tamer Zewin Khaled Sheir Ahmed Shokeir
author_sort	Mohamed Ali Mohsen
title	[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
title_short	[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
title_full	[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
title_fullStr	[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
title_full_unstemmed	[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
title_sort	[44] long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/3578ef5f645143cbaf020618201c2493
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[44] Long-term outcome of shockwave lithotripsy in the management of patients presenting with calcular acute urinary retention

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