AI Article Synopsis
- - The study focused on using rapid extracorporeal shock wave lithotripsy (SWL) as a treatment for renal colic, a condition causing severe flank pain, analyzing data from 214 patients over four years.
- - Pain relief was achieved in 81.31% of patients, with success rates varying by stone location—highest in mid and distal ureters (88.68% and 85%, respectively) and lowest in the pelviureteric junction (65.22%).
- - The procedure resulted in complete or partial stone resolution in 78.50% of cases after four weeks, though 20.56% of patients experienced complications, such as persistent pain and acute renal failure. *
Article Abstract
Background: Renal colic is characterized by sharp, intense flank pain. Nonsteroidal anti-inflammatory drugs are the treatment of choice, although extracorporeal shock wave lithotripsy (SWL) is a noninvasive alternative for pain management. The objective of our study is to present results obtained using rapid SWL to treat renal colic in our center.
Methods: We analyzed 214 patients undergoing rapid shockwave extracorporeal lithotripsy between October 2014 and June 2018: 69.63% were male, and 30.37% female, with a mean age of 47.35 years (range, 16-84). The average stone size was 6.71 mm (3-16). Stone locations were as follows: The pelviureteric junction (PUJ) (10.75%), proximal ureter (45.79%), midureter (24.77%), and distal ureter (18.69%).
Results: Pain relief was achieved in 81.31% of the patients. The rates of successful pain control according to stone location were 65.22% when the stone was located in the PUJ, 79.59% in the proximal ureter, 88.68% in the midureter, and 85.00% in the distal ureter. Complete or partial stone resolution was achieved 4 weeks postoperatively in 78.50% of cases (64.95% and 13.55%, respectively). According to the stone location, the overall rate of resolution (complete + partial) was 90.00% for distal ureteral stones, 86.80% in the midureter, 73.47% in the proximal ureter, and 60.86% in the PUJ. 44 patients (20.56%) demonstrated complications. The most common complications were persistent pain, acute renal failure and fever.
Conclusions: Immediate SWL was found to be a safe and effective treatment option for pain related to renal colic in 81% of the patients studied.
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| http://dx.doi.org/10.56434/j.arch.esp.urol.20237603.20 | DOI Listing |
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