Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention
To present our experience with extracorporeal shock wave lithotripsy (ESWL) monotherapy for the treatment of patients with urethral and bladder stones presenting with acute urinary retention. A total of 64 patients (62 male and 2 female) with urethral or bladder stones underwent ESWL monotherapy. Al...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2005-12, Vol.66 (6), p.1169-1171 |
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| creator | Al-Ansari, Abdulla Shamsodini, Ahmed Younis, Nagy Jaleel, Osama A. Al-Rubaiai, Ayad Shokeir, Ahmed A. |
| description | To present our experience with extracorporeal shock wave lithotripsy (ESWL) monotherapy for the treatment of patients with urethral and bladder stones presenting with acute urinary retention.
A total of 64 patients (62 male and 2 female) with urethral or bladder stones underwent ESWL monotherapy. All patients presented to the emergency department with acute urinary retention. The mean patient age was 40 ± 13.2 years (range 11 to 74). The exclusion criteria were urethral strictures, associated bladder growths detected by pelvic ultrasonography, and bladder stones larger than 25 mm in the largest diameter. After fixation of a Foley catheter, ESWL monotherapy was performed with a Storz SL 20 lithotriptor. The catheter was removed after confirmation of stone fragmentation.
Fine fragmentation was obtained and uncomplicated spontaneous evacuation occurred without the need for adjuvant procedures in 60 patients. Four patients developed acute urinary retention due to urethral stone impaction. In 3 patients, the urethral catheter was successfully refixed, and an additional session of ESWL resulted in fine fragmentation of the stones, with spontaneous evacuation after catheter removal. In the remaining patient, the stone could not be pushed into the bladder and crushing was performed endoscopically.
ESWL monotherapy is safe and effective for the treatment of urethral and bladder stones in patients with no other causes of infravesical obstruction. |
| doi_str_mv | 10.1016/j.urology.2005.06.069 |
| format | Article |
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A total of 64 patients (62 male and 2 female) with urethral or bladder stones underwent ESWL monotherapy. All patients presented to the emergency department with acute urinary retention. The mean patient age was 40 ± 13.2 years (range 11 to 74). The exclusion criteria were urethral strictures, associated bladder growths detected by pelvic ultrasonography, and bladder stones larger than 25 mm in the largest diameter. After fixation of a Foley catheter, ESWL monotherapy was performed with a Storz SL 20 lithotriptor. The catheter was removed after confirmation of stone fragmentation.
Fine fragmentation was obtained and uncomplicated spontaneous evacuation occurred without the need for adjuvant procedures in 60 patients. Four patients developed acute urinary retention due to urethral stone impaction. In 3 patients, the urethral catheter was successfully refixed, and an additional session of ESWL resulted in fine fragmentation of the stones, with spontaneous evacuation after catheter removal. In the remaining patient, the stone could not be pushed into the bladder and crushing was performed endoscopically.
ESWL monotherapy is safe and effective for the treatment of urethral and bladder stones in patients with no other causes of infravesical obstruction.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2005.06.069</identifier><identifier>PMID: 16360434</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Female ; Humans ; Lithotripsy ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Urethral Diseases - complications ; Urethral Diseases - therapy ; Urinary Bladder Calculi - complications ; Urinary Bladder Calculi - therapy ; Urinary lithiasis ; Urinary Retention - etiology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland</subject><ispartof>Urology (Ridgewood, N.J.), 2005-12, Vol.66 (6), p.1169-1171</ispartof><rights>2005 Elsevier Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-c16b790757a7b6e1a2b51aee692303278a836bf142ca815f03f99fab64776fcb3</citedby><cites>FETCH-LOGICAL-c393t-c16b790757a7b6e1a2b51aee692303278a836bf142ca815f03f99fab64776fcb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2005.06.069$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17385194$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16360434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Ansari, Abdulla</creatorcontrib><creatorcontrib>Shamsodini, Ahmed</creatorcontrib><creatorcontrib>Younis, Nagy</creatorcontrib><creatorcontrib>Jaleel, Osama A.</creatorcontrib><creatorcontrib>Al-Rubaiai, Ayad</creatorcontrib><creatorcontrib>Shokeir, Ahmed A.</creatorcontrib><title>Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>To present our experience with extracorporeal shock wave lithotripsy (ESWL) monotherapy for the treatment of patients with urethral and bladder stones presenting with acute urinary retention.
A total of 64 patients (62 male and 2 female) with urethral or bladder stones underwent ESWL monotherapy. All patients presented to the emergency department with acute urinary retention. The mean patient age was 40 ± 13.2 years (range 11 to 74). The exclusion criteria were urethral strictures, associated bladder growths detected by pelvic ultrasonography, and bladder stones larger than 25 mm in the largest diameter. After fixation of a Foley catheter, ESWL monotherapy was performed with a Storz SL 20 lithotriptor. The catheter was removed after confirmation of stone fragmentation.
Fine fragmentation was obtained and uncomplicated spontaneous evacuation occurred without the need for adjuvant procedures in 60 patients. Four patients developed acute urinary retention due to urethral stone impaction. In 3 patients, the urethral catheter was successfully refixed, and an additional session of ESWL resulted in fine fragmentation of the stones, with spontaneous evacuation after catheter removal. In the remaining patient, the stone could not be pushed into the bladder and crushing was performed endoscopically.
ESWL monotherapy is safe and effective for the treatment of urethral and bladder stones in patients with no other causes of infravesical obstruction.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Lithotripsy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Urethral Diseases - complications</subject><subject>Urethral Diseases - therapy</subject><subject>Urinary Bladder Calculi - complications</subject><subject>Urinary Bladder Calculi - therapy</subject><subject>Urinary lithiasis</subject><subject>Urinary Retention - etiology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAURS0EokPhE0DewC6DHSf2eIVQVShSJTawtl6c546HJA6203b-gw_Go4nUZaUn2ZLPvX66l5D3nG054_LzYbvEMIS747ZmrN0yWUa_IBve1qrSWrcvyYYxzaqm1u0FeZPSgTEmpVSvyQWXQrJGNBvy7_oxR7AhziEiDDTtg_1DH-Ae6eDzPuTo53SkY5hC3mOE-UhdiDQXOI84ZRocnSH7ck30oSjoEjHvY7GCqafdAH2PkaYcJkx0jpgK6ae7Mwt2yVgUfoJ4pEV4egzTW_LKwZDw3Xpekt_frn9d3VS3P7__uPp6W1mhRa4sl53STLUKVCeRQ921HBClrgUTtdrBTsjO8aa2sOOtY8Jp7aCTjVLS2U5ckk9n3zmGvwumbEafLA4DTBiWZOSuuEtWF7A9gzaGlCI6M0c_lp0NZ-ZUhzmYtQ5zqsMwWUYX3Yf1g6UbsX9SrfkX4OMKQLIwuAiT9emJU2LXcn3ivpw5LHHce4wm2ZK5xd5HtNn0wT-zyn_kJbDf</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Al-Ansari, Abdulla</creator><creator>Shamsodini, Ahmed</creator><creator>Younis, Nagy</creator><creator>Jaleel, Osama A.</creator><creator>Al-Rubaiai, Ayad</creator><creator>Shokeir, Ahmed A.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention</title><author>Al-Ansari, Abdulla ; Shamsodini, Ahmed ; Younis, Nagy ; Jaleel, Osama A. ; Al-Rubaiai, Ayad ; Shokeir, Ahmed A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-c16b790757a7b6e1a2b51aee692303278a836bf142ca815f03f99fab64776fcb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Lithotripsy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Urethral Diseases - complications</topic><topic>Urethral Diseases - therapy</topic><topic>Urinary Bladder Calculi - complications</topic><topic>Urinary Bladder Calculi - therapy</topic><topic>Urinary lithiasis</topic><topic>Urinary Retention - etiology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Ansari, Abdulla</creatorcontrib><creatorcontrib>Shamsodini, Ahmed</creatorcontrib><creatorcontrib>Younis, Nagy</creatorcontrib><creatorcontrib>Jaleel, Osama A.</creatorcontrib><creatorcontrib>Al-Rubaiai, Ayad</creatorcontrib><creatorcontrib>Shokeir, Ahmed A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Ansari, Abdulla</au><au>Shamsodini, Ahmed</au><au>Younis, Nagy</au><au>Jaleel, Osama A.</au><au>Al-Rubaiai, Ayad</au><au>Shokeir, Ahmed A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>66</volume><issue>6</issue><spage>1169</spage><epage>1171</epage><pages>1169-1171</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>To present our experience with extracorporeal shock wave lithotripsy (ESWL) monotherapy for the treatment of patients with urethral and bladder stones presenting with acute urinary retention.
A total of 64 patients (62 male and 2 female) with urethral or bladder stones underwent ESWL monotherapy. All patients presented to the emergency department with acute urinary retention. The mean patient age was 40 ± 13.2 years (range 11 to 74). The exclusion criteria were urethral strictures, associated bladder growths detected by pelvic ultrasonography, and bladder stones larger than 25 mm in the largest diameter. After fixation of a Foley catheter, ESWL monotherapy was performed with a Storz SL 20 lithotriptor. The catheter was removed after confirmation of stone fragmentation.
Fine fragmentation was obtained and uncomplicated spontaneous evacuation occurred without the need for adjuvant procedures in 60 patients. Four patients developed acute urinary retention due to urethral stone impaction. In 3 patients, the urethral catheter was successfully refixed, and an additional session of ESWL resulted in fine fragmentation of the stones, with spontaneous evacuation after catheter removal. In the remaining patient, the stone could not be pushed into the bladder and crushing was performed endoscopically.
ESWL monotherapy is safe and effective for the treatment of urethral and bladder stones in patients with no other causes of infravesical obstruction.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16360434</pmid><doi>10.1016/j.urology.2005.06.069</doi><tpages>3</tpages></addata></record> |
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| subjects | Acute Disease Adolescent Adult Aged Biological and medical sciences Child Female Humans Lithotripsy Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Urethral Diseases - complications Urethral Diseases - therapy Urinary Bladder Calculi - complications Urinary Bladder Calculi - therapy Urinary lithiasis Urinary Retention - etiology Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland |
| title | Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention |
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