Chronic kidney disease affects the stone-free rate after extracorporeal shock wave lithotripsy for proximal ureteric stones
Journal
International Braz J Urol
Journal Volume
36
Journal Issue
3
Pages
357
Date Issued
2010
Author(s)
Abstract
Objective: To investigate the effect of renal function on the stone-free rate (SFR) of proximal ureteric stones (PUS) after extracorporeal shock wave lithotripsy (ESWL), as urinary obstruction caused by PUS can impair renal function, and elevated serum creatinine levels are associated with decreased ureteric stone passage. Patients And Methods: From January 2005 to December 2007, 1534 patients had ESWL for urolithiasis, 319 having ESWL in situ for PUS; they were reviewed retrospectively. Patients requiring simultaneous treatment of kidney stones, placement of a double pigtail stent, or percutaneous pigtail nephrostomy tube were excluded. We divided patients into groups by chronic kidney disease (CKD) stage according to the estimated glomerular filtration rate (eGFR) of >/=60 and /=60 and 50% in those with an eGFR of /=60, stone width, and gender, with odds ratios (95% confidence intervals) of 19.54 (8.25-46.30) (P /=60 and 0 for /=60 and a stone width of >7 mm were significant predictors affecting the SFR after one session of ESWL for PUS.
SDGs
Type
note