Abstract:
OBJECTIVES:Extracorporeal shock wave lithotripsy is a minimally invasive therapeutic option for the treatment of renal-ureteral lithiasis. The aim of this study was to analyze the results and complications of shock wave extracorporeal lithotripsy treatment with the Dornier Gemini® Generator EMSE 220f-XXP device in patients with renal and ureteral lithiasis. MATERIAL AND METHODS:Retrospective study including 377 patients with renal or ureteral lithiasis with indication for treatment with extracorporeal shock wave lithotripsy. The following variables were analyzed, age, sex, body mass index, lithiasis size, lithiasis location, presence of urinary diversion, number of lithotripsy sessions, number of shock waves, fluoroscopy time, wave energy, applied focal energy coefficient, efficiency coefficient, lithiasic fragmentation, lithiasic clearance, residual lithiasis, presence of lithiasis and complications. The results were analyzed with SPSS 17.0 considering statistical significance p≤0.05. RESULTS:Of the 377 patients, 213 were men and 164 women, with a mean age of 51.28 ± 12.77 years. The mean size of the stones in maximum diameter was 11.77 ± 6.13 mm. Lithiasis fragmentation occurred in 81.9% of cases, with a percentage of residual lithiasis after the first session of 58.7% and a total or partial expulsion rate of lithiasis fragments of 68.3%, with global success at the end of sessions of lithotripsy of 69.8%. The overall Efficiency Ratio was 0.42, higher in upper calyx 0.51 and lower in medium calyx 0.35, with significant differences (p<0.05). The only differences were found in relation to the success of lithotripsy treatment (75% versus 64.6%, p=0.02), according to lithiasis size (≤10 mm maximum diameter in comparison to >10 mm). In patients with a DJ catheter there is a higher percentage of residual lithiasis (p=0.006). CONCLUSIONS:Treatment with extracorporeal lithotripsy in small lithiasis and in well-selected patients obtains good results with a low rate of complications regardless of sex and body mass index. OBJETIVOS:La litotricia extracorpórea por ondas de choque es una opción terapéutica mínimamente invasiva para el tratamiento de las litiasis reno-ureterales. El objetivo de este trabajo es analizar los resultados y complicaciones del tratamiento con litotricia extracorpórea con ondas de choque con el dispositivo de última generación Dornier Gemini® generador EMSE 220f-XXP en pacientes con litiasis renal y ureteral. MATERIAL Y MÉTODOS: Estudio retrospectivo en el que se incluyen 377 pacientes con litiasis renal o ureteral con indicación de tratamiento con litotricia extracorpórea con ondas de choque. Se analizan las siguientes variables que incluyen la edad, sexo, índice de masa corporal, tamaño litiásico, localización de la litiasis, presencia de derivación urinaria, número de sesiones de litotricia, número de ondas de choque, tiempo de escopia, energía de las ondas, coeficiente de energía focal aplicada, coeficiente de eficiencia, fragmentación litiásica, expulsión litiásica, litiasis residual, presencia de calle litiásica y complicaciones. Se analizan los resultados con programa SPSS 17.0 considerando significación estadística p≤0,05. RESULTADOS:De los 377 pacientes, 213 fueron hombres y 164 mujeres, con edad media 51,28 ± 12,77 años. El tamaño medio de las litiasis en diámetro máximo fue de 11,77 ± 6,13 mm. Se produce fragmentación de la litiasis en el 81,9% de los casos, con un porcentaje de litiasis residual tras la primera sesión de 58,7% y una tasa de expulsión total o parcial de fragmentos litiásicos del 68,3%, con un éxito global al finalizar las sesiones de litotricia del 69,8%. El Coeficiente de Eficiencia global fue de 0,42, más elevado en cáliz superior 0,51 y más bajo en cáliz medio 0,35, con diferencias significativas (pencontradas se observan según tamaño litiásico (≤10 mm de diámetro máximo con respecto a >10mm) en relación al éxito del tratamiento con litotricia (75% versus 64,6%, catéter DJ existe un mayor porcentaje de litiasis residual (p=0,006). CONCLUSIÓN: El tratamiento con litotricia extracorpórea en litiasis de pequeño tamaño y en pacientes bien seleccionados obtiene buenos resultados con un bajo índice de complicaciones independientemente del sexo y del índice de masa corporal.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Arrabal-Polo MA,Domínguez-Amillo A,Canales-Casco N,de la Torre-Trillo J,Morales Martínez A,Cano-García MC,Rodríguez-Herrera JJ,Hernández-Serrano M,Arrabal-Martín Msubject
Has Abstractpub_date
2019-05-01 00:00:00pages
353-359issue
4eissn
0004-0614issn
1576-8260pii
2019-72-4-d6e3aa492285c8e32f51c4fbe613fb8905d88c9fjournal_volume
72pub_type
杂志文章abstract::Urinary lithiasis is a prevalent disorder of uncertain origin which provokes health problems through potential harm to the urinary system, renal parenchyma or the body as a whole, with a frequent trend to relapse. Historically urinary calculi have been studied and treated as an isolated disease but nowadays we know mo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-01-01 00:00:00
abstract::A retrospective study was undertaken in 243 cases of transitional cell carcinoma of the bladder to determine the correlation of clinical parameters (sex, age, symptoms and duration of the disease) and tumor gross anatomic features (cystoscopic aspects, tumor number, size and site) with survival. The study comprised 14...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of a new renal lithiasis classification on the stone free rate. The new system would allow standarization of comparison between different series of percutaneous nephrolithotomy. MATERIAL AND METHODS:Patients undergoing NPCL between November 2011 and November 2016 were retrospectively a...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-01-01 00:00:00
abstract::We report on a 62-year-old female patient who consulted for G.I. tract disorders and was diagnosed as having renal oncocytoma. The rarity of this disease entity prompted us to report on this case, highlighting the malignant course of this tumor type despite its apparently benign features. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVE:To report a case of retroperitoneal bronchogenic cyst, an anomaly during the development of the primitive anterior intestine from which the bronchi and lungs are developed. METHODS/RESULTS:A 38-year-old male presented with left lumbar pain. Patient evaluation disclosed a left adrenal polycystic mass which wa...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-05-01 00:00:00
abstract::Macro-orchidism (MO) is the increase of the testicular volume, up to 25 ml in the adult male. It is frequently associated with mental retardation (MR) with fragile X-chromosome (FXC) (Martin-Bell syndrome). Sometimes it is of unknown origin and is called "benign idiopathic macro-orchidism" (BIMO). MO has also been des...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVES:To analyze the long-term results of treatment of urethral strictures by internal endoscopic urethrotomy, a simple, easily reproducible procedure that carries a low morbidity and requires a short period of convalescence. MATERIAL AND METHODS:We report our experience of 78 cases submitted to urethrotomy as pr...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVES:To study and to review the squamous cell carcinoma of the prostate (SCCP). METHODS:We report one case of squamous cell carcinoma of the prostate. RESULTS:A 78-year-old patient was diagnosed of having a squamous cell carcinoma of the prostate. Clinically, the patient presented with severe irritative lower u...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To analyze the information provided by computed tomography (CT) in Fournier's gangrene, particularly in regard to the early diagnosis of the disease, and its utility as a complementary diagnostic imaging technique. METHODS:A retrospective study identified five cases of Fournier's gangrene. These patients had...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract::Since the introduction of extracorporeal shock wave lithotripsy and the various modalities of endoscopic surgery, the number of open procedures for the treatment of urolithiasis has decreased dramatically. The use of these techniques in the management of easier cases leaves no doubt, but there is still some controvers...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:To determine the type and to quantify the DURR phenomena in the male. METHODS:We conducted a clinical and urodynamic study in 31 male patients with functional lower urinary tract symptoms. RESULTS:DURR is produced by two types of mechanisms: urethral rigidity and contraction of the urethral wall. The patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Hypogonadism may affect as much as 70% of the patients with chronic renal failure (CRF) in comparison with general population. Physiopathologically, it is a hypergonadotropic hypogonadism, with alterations in the pulsatile production of GnRH, FSH, LH and testicular testosterone, that is a general disorder of the hypot...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-09-01 00:00:00
abstract::Various surgical procedures have been described for correction of stress urinary incontinence (SUI) which have afforded different results. Modifications to these procedures have been made in an attempt to reduce morbidity and the operating time without detriment to the efficacy of the procedures. Herein we describe tw...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To report one case of bilharziasis treated at our centre and to briefly comment the literature in the current context of increase of parasitical diseases in Europe, imported from the Third World by immigrants and tourists. METHODS:We report the case of a male patient from a Central African country referred t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000700010
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:Serotonin and norepinephrine systems are involved in the neural control of lower urinary tract function. The aim of this study was to compare the response on striated anal sphincter electromyographic (SAS-EMG) activity and cystometric parameters, when duloxetine and clomipramine were intravenously administrat...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000800019
更新日期:2006-10-01 00:00:00
abstract::The present study was undertaken to determine the reliability of CAT scanning in the preoperative evaluation to detect or discard pelvic lymph node involvement in patients with infiltrating bladder tumor. We compared the radiologic findings with the results of histopathologic examination of the lymph nodes following l...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::A case of a patient with renal schistosomiasis and clear cell renal carcinoma involving the same organ is reported herein. To our knowledge, the foregoing association has not been reported in the literature. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::We report on a 72-year-old male patient with fibrous ureteral polyp which had been diagnosed following the incidental finding of a ureteral filling defect on radiographic evaluation for prostatism and gross intermittent hematuria of several months. We underscore the low frequency of this disorder and the therapeutic i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVES:To update the topic of endourethral prosthesis for the treatment of recurrent urethral stenosis comprehensively, focusing on current indications, materials and types of prosthesis in use nowadays. METHODS:We used the PubMed database (1995-2013) with the terms "endourethral ", "prostheses","endourethral pros...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To assess the likelihood of overlooking the diagnosis of prostate cancer (PCA), using current screening methods, in patients treated for benign prostatic hyperplasia (BPH) with medical or minimally invasive treatment modalities, which do not produce tissue specimens for histologic review. To appraise this, we...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::We report a case of retroperitoneal ganglioneuroma that had been incidentally discovered during ultrasound evaluation in a young female patient. The plain X-ray, IVP and ultrasonography only revealed the presence of a retroperitoneal mass and its approximate size. CT and arteriography provided further information rela...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:The influence of psychogenic factors on voiding generally manifests as an irritative syndrome and rarely in the form of acute or chronic urinary retention. The diagnosis and treatment of this uncommon urological pathology are reviewed and our experience is presented. METHODS:We conducted a retrospective stud...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract:INTRODUCTION:Fluoroscopy is used for access sheath insertion and postoperative control during retrograde intrarenal surgery (RIRS) operation but with this technique both patient and operation team are exposed to radiation. The use of fluoroscopy is disadvantage for both patient and surgeon. Considering results of recen...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the influence of receptor's age on the outcomes of kidney transplants with organs from non heart beating donors. METHODS:Observational study of the historic cohort of 570 kidney transplants performed at the Hospital Clínico San Carlos between 1991 and 1999. Receptor's were divided into two age g...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To present our experience with free graft buccal mucosa substitution urethroplasties. METHODS:Between June, 1992 and December, 1997, we performed 18 urethroplasties with buccal mucosa in 17 patients (double urethroplasty in the same stage in one): 8 for the repair of urethral strictures, 9 for the repair of ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-04-01 00:00:00
abstract::El nuevo coronavirus tipo 2 (SARS-CoV-2)del síndrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1). En Marzo de 2020, la dispersión mundialde este nuevo patógeno, condujo a la declaració...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness and tolerability of intravesical epirubicin treatment to prevent recurrence and progression of superficial bladder tumor after TUR. METHODS:44 patients with superficial bladder tumor, 28 primary and 16 recurrent cases were given 50 mg intravesical epirubicin once a week for 8 we...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Patients on anticoagulant therapy may develop urologic complications, the most common being hematuria. Other less common but more severe complications are spontaneous hemorrhage arising from urological structures, as spontaneous perirenal hematoma, or from extra-urological structures, such as the iliac psoas muscle or...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-01 00:00:00