Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy.

Abstract

OBJECTIVES:

To evaluate the quality of life (QoL) of the patients after extracorporeal shockwave lithotripsy (ESWL) on a treated stone size related basis.

METHODS:

90 patients undergoing ESWL for kidney stones were divided into three groups; Group 1 (n: 30, ≤ 10 mm), Group 2 (n: 28, 11 mm- ≤ 20 mm) and Group 3 (n: 32, 20- 25 mm). During 3- months follow-up, outcome of the procedure, number of cases with emergency department visits, analgesic required, re-tretatment rates, additional procedures and the changes in the QoL were evaluated.

RESULTS:

the number of emergency department visits and mean analgesic need; re-treatment rates and additional procedures were significantly higher in Group 3. Evaluation of the QoL scores in three groups showed that cases with larger stone still had lower scores during 3-month evaluation.

CONCLUSIONS:

Stone size could help us to predict the possible impact of ESWL on the QoL and depending on the size of the stone treated, a well planned indication and effective management possibly by an experienced urologist could limit the changes in the QoL of the patients.

• Authors: Cahit Sahin, A Cihangir Cetinel, Bilal Eryildirim, Murat Tuncer, Gokhan Faydaci, Kemal Sarica
• Journal: Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica (Arch Ital Urol Androl) Vol. 87 Issue 3 Pg. 227-32 (Sep 30 2015) ISSN: 1124-3562 [Print] Italy
• PMID: 26428646 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Kidney Calculi (diagnostic imaging, pathology, therapy)
• Lithotripsy (methods)
• Male
• Middle Aged
• Predictive Value of Tests
• Prospective Studies
• Quality of Life
• Retreatment
• Sensitivity and Specificity
• Surveys and Questionnaires
• Treatment Outcome
• Ultrasonography