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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.issued2014en_US
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.2014.05.012en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.urihttps://dx.doi.org/10.1016/j.urology.2014.05.012
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4052
dc.descriptionWOS: 000341366000015en_US
dc.descriptionPubMed ID: 25168532en_US
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.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectResidual Fragmentsen_US
dc.subjectQuality of Lifeen_US
dc.subjectLithotripsyen_US
dc.titleDo the residual fragments after shock wave lithotripsy affect the quality of life?en_US
dc.typearticleen_US
dc.relation.ispartofUrologyen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.authorid0000-0001-8014-2321en_US
dc.identifier.volume84en_US
dc.identifier.issue3en_US
dc.identifier.startpage549en_US
dc.identifier.endpage554en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1016/j.urology.2014.05.012en_US
dc.identifier.wosqualityQ3en_US
dc.identifier.scopusqualityQ1en_US


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