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The 'modified prone position': a new approach for treating pre-vesical stones with extracorporeal shock wave lithotripsy.

Abstract：

OBJECTIVE:To investigate the utility of a new 'modified-prone' position for treating pre-vesical stones with extracorporeal shock wave lithotripsy (ESWL), usually considered an acceptable and effective treatment for such stones, but for which many different body positions have been used in an attempt to increase its efficacy. PATIENTS AND METHODS:The study included 268 consecutive patients with a solitary pre-vesical stone who underwent ESWL either prone (69) or in the modified-prone position (199) between May 1999 and August 2001. Only those with one stone between the ureteric orifice and 1 cm proximal to the vesico-ureteric junction were included. In each case the stone diameter, days to stone clearance, number of shock waves applied per treatment, and number of sessions required to become stone-free were recorded. If the treatment failed this was also noted. Success rates in the prone and modified-prone groups were compared and analysed to assess which of the variables influenced success with ESWL. RESULTS:After ESWL, 95.5% of the 268 patients were stone-free; the rates in the prone and modified-prone groups were 89.9% and 97.5%, respectively (P = 0.015). The probability of success with ESWL therapy for pre-vesical calculi in modified-prone position was about five times (odds ratio 4.56, 95% confidence interval 1.2-17.7) greater than that expected with when prone. The modified-prone position was an independent factor most significantly influencing success with ESWL in these patients. CONCLUSION:The modified-prone position for ESWL is a new and very effective way to treat patients with pre-vesical stones.

journal_name

BJU Int

journal_title

BJU international

authors

Köse AC,Demirbas M

doi

10.1111/j.1464-410x.2003.04619.x

keywords:

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

369-73

issue

3

eissn

1464-4096

issn

1464-410X

pii

4619

journal_volume

93

pub_type

杂志文章

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