Author/Authors :
SÜELÖZGEN, Tufan İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , TÜRK, Hakan İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , İŞOĞLU, Cemal Selçuk İzmir Tepecik Eğitim ve Araştırma Hastanesi, Turkey , YOLDAŞ, Mehmet İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , KARABIÇAK, Mustafa İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , ERGANİ, Batuhan İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , İLBEY, Yusuf Özlem İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , ZORLU, Ferruh İzmir Tepecik Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey
Abstract :
Aim: Extracorporeal shock wave lithotripsy (ESWL) is a favourable and succesful treatment method for ureter stones. It is highlighted that ESWL can be the first treatment choice for ureter stones. In this study, the results of patients who had ESWL treatment for proximal ureter stones were examined in the light of pertinent literature. Materials and Methods: Between January 2013-January 2014, ESWL is proposed to 114 patients who had proximal ureter stone and who didn t benefit from medical treatment. Since eighteen patients could not be followed, 96 patients were included in the study. All patients evaluated with non-contrast computed tomography (NCCT). Average stone size was 9.42 mm (5-16 mm) and all them were opaque. All patients had ESWL treatment for 3 session with 60 frequency per minute, with a 17-20 kV power and 2500 beats per session. After 3 sessions of ESWL, the patients who finished whole treatment were evaluated with NCCT to assess the success of treatment after a waiting period of one month. Results: ESWL was successful in 69 (69.79%) patients. In 29 (30.21%) patients there was no change in stone size, so ureterorenoscopy was suggested. Success status was evaluated regarding stone size. Stones were completely fragmanted in 42 (79.2%) of 53 patients who had stones with a dimension of 1 cm or less, and in 25 (%58.1) of 43 patients who had stones with a dimension greater than 1 cm. Conclusion: ESWL can be considered as a relatively low-cost, non-invasive, reliable and succesful method of treatment for ureter stones
