Do the residual fragments after shock wave lithotripsy affect the quality of life?

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dc.authorid0000-0001-8014-2321
dc.contributor.authorŞahin, Cahit
dc.contributor.authorTuncer, Murat
dc.contributor.authorYazıcı, Özgür
dc.contributor.authorHoruz, Rahim
dc.contributor.authorÇetinel, Ali Cihangir
dc.contributor.authorEryıldırım, Bilal
dc.contributor.authorTarhan, Fatih
dc.contributor.authorSarıca, Kemal
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:04:27Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:04:27Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000341366000015
dc.descriptionPubMed ID: 25168532
dc.description.abstractOBJECTIVE To evaluate the possible effects of residual fragments on the health-related quality of life in patients undergoing extracorporeal shockwave lithotripsy for renal stones. PATIENTS AND METHODS Seventy-one patients with residual fragments were divided into 2 further groups; group 1 (n = 42; fragment size, <= 4 mm) and group 2 (n = 29; fragment size, >4 mm). During 3-month follow-up, spontaneous passage rates; number of emergency department visits, amount of the analgesic required, additional procedures, and the changes in the quality of life were evaluated. Quality of life was evaluated using the Short Form 36 survey. Statistical analyses included independent sample t tests. RESULTS Of the 42 cases with fragments <= 4 mm, although 92.8% patients passed the fragments spontaneously, fragments resided until 3 months in 4.8% patients. Again, after 2 sessions of extracorporeal shockwave lithotripsy, of the 29 cases with fragments >4 mm, 55% were stone free, whereas 14% still had residual fragments. Mean number of emergency department visit was found to be 0.07 and 0.5 in both groups, respectively. Mean analgesic need was 138.75 mg in group 1 and 375 mg in group 2. Although significantly lower scores were noted only for one parameter during 1-month evaluation in cases with larger fragments, they were present in all 8 parameters during 3-month evaluation. CONCLUSION Larger residual fragments could significantly affect the quality of life. Emergency department visits and colic attacks are the causes of discomfort. Effective stone disintegration by an experienced urologist should be aimed to limit the negative effects of residual fragments on the quality of life.
dc.identifier.citationŞahin, C., Tuncer, M., Yazıcı, Ö., Horuz, R., Çetinel, A. C., Eryıldırım, B., Tarhan, F. ... Sarıca, K. (2014). Do the residual fragments after shock wave lithotripsy affect the quality of life? Urology, 84(3), 549-554. https://dx.doi.org/10.1016/j.urology.2014.05.012
dc.identifier.doi10.1016/j.urology.2014.05.012
dc.identifier.endpage554
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage549
dc.identifier.urihttps://dx.doi.org/10.1016/j.urology.2014.05.012
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4052
dc.identifier.volume84
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofUrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectResidual Fragments
dc.subjectQuality of Life
dc.subjectLithotripsy
dc.titleDo the residual fragments after shock wave lithotripsy affect the quality of life?
dc.typeArticle

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