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A. Panah S. Patel A. Bourdoumis S. Kachrilas N. Buchholz J. Masood 《Urological research》2013,41(5):437-441
Few studies show that “emergency extracorporeal shockwave lithotripsy (eESWL)” reduces the incidence of ureteroscopy in patients with ureteric calculi. We assess success of eESWL and look to study and identify factors which predict successful outcome. We retrospectively studied patients presenting with their first episode of ureteric colic undergoing eESWL (within 72 h of presentation) over a 5-year period. Patient’s age, gender, stone size and location, time between presentation and ESWL, number of shock waves and ESWL sessions, and Hounsfield units (HU) were recorded. 97 patients (mean age 40 years; 76 males, 21 females) were included. 71 patients were stone free after eESWL (73.2 %) (group 1) and 26 patients failed treatment and proceeded to ureteroscopy (group 2). The two groups were well matched for age and gender. Mean stone size in group 1 and 2 was 6.4 mm and 7.7 mm, respectively, (p = 0.00141). Stone location was 34, 21, and 16 in upper, middle and lower ureter in group 1 compared to 11, 5, and 10 in group 2, respectively. Mean HU in group 1 was 480 and 612 in group 2 (p value 0.0036). In group 2, significantly, more patients received treatment after 24 h compared with group 1 (38 vs 22.5 %). The number of shock waves, maximal intensity, and ESWL sessions were not significantly different in the two groups. No complications were noted. eESWL is safe and effective in patients with ureteric colic. Stone size and Hounsfield units are important factors in predicting success. Early treatment (≤24 h) minimizes stone impaction and increases the success rate of ESWL. 相似文献
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Alkalinized lidocaine versus lidocaine gel as local anesthesia prior to intra‐vesical botulinum toxin (BoNTA) injections: A prospective,single center,randomized, double‐blind,parallel group trial of efficacy and morbidity 下载免费PDF全文
Arjun K. Nambiar Ayman Younis Zainab A. Khan Iona Hildrup Simon J. Emery Malcolm G. Lucas 《Neurourology and urodynamics》2016,35(4):522-527
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The Editors welcome topical correspondence from readers relating to articles published in the Journal. Responses should be sent electronically via the BJS website ( www.bjs.co.uk ). All letters will be reviewed and, if approved, appear on the website. A selection of these will be edited and published in the Journal. Letters must be no more than 250 words in length. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. 相似文献
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Giuseppe Morgia Giorgio I. Russo Salvatore Voce Fabiano Palmieri Marcello Gentile Antonella Giannantoni Franco Blefari Marco Carini Andrea Minervini Andrea Ginepri Giuseppe Salvia Giuseppe Vespasiani Giorgio Santelli Sebastiano Cimino Rosalinda Allegro Zaira Collura Eugenia Fragalà Salvatore Arnone Rosaria M. Pareo 《The Prostate》2014,74(15):1471-1480