EVALUATION OF THE RESULTS EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OF DISTAL URETERAL STONES AT CAN THO CENTRAL GENERAL HOSPITAL IN 2023-2024

Le Dong Vu1,, Phuoc Loc Nguyen2, Huynh Tuan Tran1
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Extracorporeal shockwave lithotripsy is a minimally invasive and highly effective method for treating distal ureteral stones. Current treatment recommendations worldwide note that if the size of the distal ureteral stone is ≤ 10mm, extracorporeal shockwave lithotripsy is as effective as ureteroscopy. Objectives: To evaluate the results of extracorporeal shockwave lithotripsy of distal ureteral stones at Can Tho Central General Hospital in 2023-2024. Materials and methods: Cross-sectional descriptive study on 47 patients with extracorporeal shockwave lithotripsy of distal ureteral stones from 01/2023 to the end of 01/2024. Results: The average age of the study group was 49.2 ± 9.4 years old. The most common symptom admitted to the hospital is renal colic accounting for 48.94%. There are 44.1% of stones with a radiopaque level of 800-1000 Hounsfield units, 70.6% of stones with a size of 7-10mm, and 64.7% of hydronephrosis level I. The success rate is 93.62% and 14.89% of complications extracorporeal shockwave lithotripsy. Conclusion: Extracorporeal shockwave lithotripsy treats distal ureteral stones when the stone size is ≤ 10mm with high treatment effectiveness and safety.

Article Details

References

1. Tzelves L, Türk C, Skolarikos A. European Association of Urology Urolithiasis Guidelines:
Where Are We Going? Eur Urol Focus. 2021 Jan. 7(1), 34-38, doi: 10.1016/j.euf.2020.09.011.
2. Petrides N, Ismail S, Anjum F, Sriprasad S. How to maximize the efficacy of shockwave lithotripsy. Turk J Urol. 2020 Nov. 46(Supp. 1), S19-S26, doi: 10.5152/tud.2020.20441.
3. Jiang P, Xie L, Arada R, Patel RM, Landman J, et al. Qualitative Review of Clinical Guidelines for Medical and Surgical Management of Urolithiasis: Consensus and Controversy 2020. J Urol. 2021 Apr. 205(4), 999-1008, doi: 10.1097/JU.0000000000001478.
4. Alić J, Heljić J, Hadžiosmanović O, Kulovac B, Lepara Z et al. The Efficiency of Extracorporeal Shock Wave Lithotripsy (ESWL) in the Treatment of Distal Ureteral Stones: An Unjustly Forgotten Option? Cureus. 2022 Sep 1. 14(9), e28671, doi: 10.7759/cureus.28671.
5. Bongrand B, Millet I, Autissier C, Faget C, Robert M. Efficacy of electromagnetic extracorporeal shockwave lithotripsy on high-density ureteral stones. Prog Urol. 2022 Jul. 32(89):608-615. doi: 10.1016/j.purol.2021.12.009.
6. Soliman MG, Gameel T, El-Tatawy H, El-Abd AS. Extracorporeal shock wave lithotripsy for distal ureteric stones: which is the ideal approach? Int Urol Nephrol. 2020 Dec. 52(12), 22692274, doi: 10.1007/s11255-020-02572-1.
7. Demirelli E, Öğreden E, Tok DS, Demiray Ö, Karadayi M, et al. Complementary Ureterorenoscopy after extracorporeal Shock Wave Lithotripsy in proximal ureteral stones: success and complications. Rev Assoc Med Bras (1992). 2022 Aug. 68(8), 1068-1072, doi:
10.1590/1806-9282.20220237.
8. Turgut H, Sarıer M. Evaluation of the efficacy of masturbation on distal ureteral stones: a prospective, randomized, controlled study. Int Urol Nephrol. 2021 Apr. 53(4), 655-660, doi: 10.1007/s11255-020-02672-y.
9. Gong Z, Li Y, Zhang H, Pan C, Li J and et al. Prospective comparison of extracorporeal shock wave lithotripsy and ureteroscopy in distal ureteral stones. Urolithiasis. 2023 Jun 5. 51(1), 86, doi: 10.1007/s00240-023-01460-4.
10. Qian S, Liu M, Zhang J, Jiang Q, Gao L. Transgluteal versus prone approach to extracorporeal shockwave lithotripsy for patients with distal ureteral stones: A systematic review and metaanalysis. Asian J Surg. 2021 Sep. 44(9), 1137-1142, doi: 10.1016/j.asjsur.2021.02.021.
11. Wason SE, Monfared S, Ionson A, Klett DE, Leslie SW. Ureteroscopy. 2023.
https://www.ncbi.nlm.nih.gov/books/NBK560556/.