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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Extracorporeal shock wave lithotripsy monotherapy for treatment of patients with urethral and bladder stones presenting with acute urinary retention
Urology, Volume 66, No. 6, Year 2005
Notification
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Description
Objectives. 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. Methods. 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. Results. 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. Conclusions. ESWL monotherapy is safe and effective for the treatment of urethral and bladder stones in patients with no other causes of infravesical obstruction. © 2005 Elsevier Inc.
Authors & Co-Authors
Al-Ansari, Abdulla Ali Asad
Qatar, Doha
Hamad Medical Corporation
Shamsodini, Ahmad
Qatar, Doha
Hamad Medical Corporation
Younis, Nagy
Qatar, Doha
Hamad Medical Corporation
Jaleel, Osama A.
Qatar, Doha
Hamad Medical Corporation
Al-Rubaiai, Ayad
Qatar, Doha
Hamad Medical Corporation
Shokeir, Ahmed Abdulrahman
Qatar, Doha
Hamad Medical Corporation
Egypt, Mansoura
Mansoura University, Urology and Nephrology Center
Statistics
Citations: 19
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1016/j.urology.2005.06.069
ISSN:
00904295
e-ISSN:
15279995
Research Areas
Health System And Policy
Participants Gender
Male
Female