Can we predict the need for intervention in steinstrasse following shock wave lithotripsy?
Introduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS. Materials and Methods: This was...
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Wolters Kluwer Medknow Publications
2017-01-01
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doaj-a21e4123094e45c4a91a6bf545499bd22020-11-25T01:39:05ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342017-01-0191515410.4103/0974-7796.198870Can we predict the need for intervention in steinstrasse following shock wave lithotripsy?Chandan PhukanT J NirmalCornerstone V WannJ ChandrasinghSantosh KumarNitin S KekreAntony DevasiaIntroduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS. Materials and Methods: This was a retrospective study of all patients who developed steinstrasse following SWL at our center. They were divided into two groups: a) Those cleared spontaneously and b) Those required intervention. The two groups were compared with regard to demographic profile, stone factors and factors related to steinstrasse. Results: Out of 2436 cases of SWL, 89 (3%) formed steinstrasse. The majority of the patients (35%) who required intervention had stone sizes of 10-14 mm. Coptcoat type III steinstrasse required significantly more interventions for clearance (P = 0.001). The site and the size of the SS was not a predictor of intervention for SS. Conclusions: Early intervention is warranted in patients with steinstrasse where the lead fragment is >5 mm (Coptcoat type III).http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=1;spage=51;epage=54;aulast=PhukanInterventionsshock wave lithotripsysteinstrasse |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia |
spellingShingle |
Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? Urology Annals Interventions shock wave lithotripsy steinstrasse |
author_facet |
Chandan Phukan T J Nirmal Cornerstone V Wann J Chandrasingh Santosh Kumar Nitin S Kekre Antony Devasia |
author_sort |
Chandan Phukan |
title |
Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
title_short |
Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
title_full |
Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
title_fullStr |
Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
title_full_unstemmed |
Can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
title_sort |
can we predict the need for intervention in steinstrasse following shock wave lithotripsy? |
publisher |
Wolters Kluwer Medknow Publications |
series |
Urology Annals |
issn |
0974-7796 0974-7834 |
publishDate |
2017-01-01 |
description |
Introduction: Steinstrasse (SS) is a known complication of shock wave lithotripsy (SWL). Although the majority of SS clears spontaneously, about 6% require intervention. This study was carried out to identify the factors that determine the need for intervention in SS.
Materials and Methods: This was a retrospective study of all patients who developed steinstrasse following SWL at our center. They were divided into two groups: a) Those cleared spontaneously and b) Those required intervention. The two groups were compared with regard to demographic profile, stone factors and factors related to steinstrasse.
Results: Out of 2436 cases of SWL, 89 (3%) formed steinstrasse. The majority of the patients (35%) who required intervention had stone sizes of 10-14 mm. Coptcoat type III steinstrasse required significantly more interventions for clearance (P = 0.001). The site and the size of the SS was not a predictor of intervention for SS.
Conclusions: Early intervention is warranted in patients with steinstrasse where the lead fragment is >5 mm (Coptcoat type III). |
topic |
Interventions shock wave lithotripsy steinstrasse |
url |
http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=1;spage=51;epage=54;aulast=Phukan |
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