Investigation of Factors Affecting the Stone-Free Rate in Elderly Patients with Urinary Stones After Shock Wave Lithotripsy

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dc.authorscopusid26667327300
dc.authorscopusid57211004187
dc.authorscopusid57211002500
dc.authorscopusid57468745000
dc.contributor.authorYüksel, Alpaslan
dc.contributor.authorBaba, Dursun
dc.contributor.authorŞenoğlu, Yusuf
dc.contributor.authorTaşkıran, A.T.
dc.date.accessioned2023-07-26T11:54:44Z
dc.date.available2023-07-26T11:54:44Z
dc.date.issued2021
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.description.abstractAim: Urinary stone disease is an important disease seen in all age groups, including elderly patients. It can cause kidney failure and urinary infection problems. Shock wave therapy, which is the minimal invasive among the different treatment alternatives, is preferred for kidney and proximal ureteral stones smaller than 2 cm. Studies on the efficacy and safety of this treatment in elderly patients are limited. This study aimed to investigate the factors affecting the stone-free rate (SFR) in elderly patients with urinary stones after shock wave lithotripsy. Material and Methods: The data of 120 patients in the Urology department of Duzce University Faculty of Medicine between 2010 and 2018 over 65 years old who underwent extracorporeal shock wave lithotripsy (ESWL) for urinary system stone disease were evaluated retrospectively. The data obtained from these patients included sex, age, location of the stone (upper, middle, or lower calyx, renal pelvis, ureter), number of shock waves, stone size, and the need for the auxiliary procedure were analyzed. Results: Of the 120 patients, 82 (68.3%) were male and 38 (31.7%) were female. Comorbidity was present in 49 patients. An overall SFR of 65.8% (n=79) was found. The highest SFR was found in middle calyx stones with 79.3% (23 of the 29 patients). Post-ESWL auxiliary procedures were needed in 36 (30%) patients. Two patients developed subcapsular renal hematoma and pyelonephritis. Conclusion: ESWL is an appropriate even the first option for elder male with favorable stone size. Furthermore, ESWL caused acceptable morbidity in older patients. © 2021, Duzce University Medical School. All rights reserved.en_US
dc.identifier.doi10.18678/dtfd.1005283
dc.identifier.endpage293en_US
dc.identifier.issn1307-671X
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85125346839en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage289en_US
dc.identifier.trdizinid495745en_US
dc.identifier.urihttps://doi.org/10.18678/dtfd.1005283
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/495745
dc.identifier.urihttps://hdl.handle.net/20.500.12684/12911
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorYüksel, Alpaslan
dc.language.isoenen_US
dc.publisherDuzce University Medical Schoolen_US
dc.relation.ispartofDuzce Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectComorbiditiesen_US
dc.subjectElderlyen_US
dc.subjectExtracorporeal shock wave lithotripsyen_US
dc.subjectUrolithiasisen_US
dc.subjectcreatinineen_US
dc.subjectdiclofenacen_US
dc.subjectenoxaparinen_US
dc.subjectageden_US
dc.subjectArticleen_US
dc.subjectclinical assessmenten_US
dc.subjectcomorbidityen_US
dc.subjectcomputer assisted tomographyen_US
dc.subjectcoronary artery diseaseen_US
dc.subjectcreatinine blood levelen_US
dc.subjectdiabetes mellitusen_US
dc.subjectextracorporeal shock wave lithotripsyen_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjecthematomaen_US
dc.subjecthospitalizationen_US
dc.subjecthumanen_US
dc.subjecthypertensionen_US
dc.subjectintravenous pyelographyen_US
dc.subjectkidney calyxen_US
dc.subjectkidney pelvisen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectpercutaneous nephrolithotomyen_US
dc.subjectpyelonephritisen_US
dc.subjectretrospective studyen_US
dc.subjectsmokingen_US
dc.subjectureter stoneen_US
dc.subjecturinalysisen_US
dc.subjecturolithiasisen_US
dc.subjectX ray analysisen_US
dc.titleInvestigation of Factors Affecting the Stone-Free Rate in Elderly Patients with Urinary Stones After Shock Wave Lithotripsyen_US
dc.title.alternativeİdrar Taşı Olan Yaşlı Hastalarda Şok Dalgası Litotripsi Sonrası Taşsızlık Oranını Etkileyen Faktörlerin Araştırılmasıen_US
dc.typeArticleen_US

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