ArticleYonsei medical journal2017
Impact of Pretreatment Hydronephrosis on the Success Rate of Shock Wave Lithotripsy in Patients with Ureteral Stone.
Article in Yonsei medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Effectiveness of Percutaneous Nephrolithotomy, Retrograde Intrarenal Surgery, and Extracorporeal Shock Wave Lithotripsy for Treatment of Renal Stones: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2020Pooled it
- Does the presence or degree of hydronephrosis affect the stone disintegration efficacy of extracorporeal shock wave lithotripsy? A systematic review and meta-analysis.Urolithiasis · 2020Pooled it
- Pooled it
- Prostatic morphometric parameters and ureteral access sheath placement failure during retrograde intrarenal surgery: a retrospective cohort study.BMC urology · 2026Article
- Risk factors for steinstrasse formation after extracorporeal shock wave lithotripsy for renal pelvic stones.BMC urology · 2026Article
- Intelligent pressure-controlled ureteral access sheath combined with flexible ureteroscopy versus flexible ureteroscopy and percutaneous nephrolithotomy for renal stones less than 3 cm in diameter: a comparative efficacy study.World journal of urology · 2025Article
- Impact of hydronephrosis on shockwave lithotripsy outcomes for upper ureteral stones.International urology and nephrology · 2025Article
- Association Between Nephrolith Size and Location and Grade of Hydronephrosis.Life (Basel, Switzerland) · 2025Article
- Factors influencing the efficacy of ultrasound-guided extracorporeal shockwave lithotripsy in the treatment of ureteral stones: a retrospective study.Urolithiasis · 2023Article
- The First 100 Cases of Endoscopic Combined Intrarenal Surgery in Korea: Matched Cohort Analyses versus Shock-Wave Lithotripsy.Yonsei medical journal · 2022Article
- Does Early Retrograde Intrarenal Surgery Improve the Cost-Effectiveness of Renal Stone Management?Yonsei medical journal · 2020Article
- Traditional Chinese medicine on treating ureteral calculi: A systematic review and meta-analysis protocol.Medicine · 2019Article
- Predictors of Uric Acid Stones: Mean Stone Density, Stone Heterogeneity Index, and Variation Coefficient of Stone Density by Single-Energy Non-Contrast Computed Tomography and Urinary pH.Journal of clinical medicine · 2019Article
- Indications and contraindications for shock wave lithotripsy and how to improve outcomes.Asian journal of urology · 2018Review
- Predictive factors and treatment outcomes of Steinstrasse following shock wave lithotripsy for ureteral calculi: A Bayesian regression model analysis.Investigative and clinical urology · 2018Article
- Digital Videoscopic Retrograde Intrarenal Surgeries for Renal Stones: Time-to-Maximal Stone Length Ratio Analysis.Yonsei medical journal · 2018Article
- Review
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate predictors of the success rate for one session of shock wave lithotripsy (SWL), focusing on the relationships between pretreatment hydronephrosis grade and one-session SWL success rates. MATERIALS AND
methodsThe medical records of 1824 consecutive patients who underwent an initial session of SWL for treatment of urinary stones between 2005 and 2013 were reviewed. After exclusion, 700 patients with a single, 4-20 mm diameter radiopaque calculus were included in the study.
resultsThe mean maximal stone length (MSL) and skin-to-stone distance were 9.2±3.9 and 110.8±18.9 mm, respectively. The average values for mean stone density (MSD) and stone heterogeneity index (SHI) were 707.0±272.1 and 244.9±110.1, respectively. One-session success rates were 68.4, 75.0, 75.1, 54.0, and 10.5% in patients with hydronephrosis grade 0, 1, 2, 3, and 4, respectively. Patients were classified into success or failure groups based on SWL outcome. Multivariate logistic regression analyses revealed that MSL [odds ratio (OR) 0.888, 95% confidence intervals (CI): 0.841-0.934, p<0.001], MSD (OR 0.996, 95% CI: 0.995-0.997, p<0.001), SHI (OR 1.007, 95% CI: 1.005-1.010, p<0.001), and pretreatment hydronephrosis grade (OR 0.601, 95% CI: 0.368-0.988, p=0.043) were significantly associated with one-session success.
conclusionPretreatment grades 3 or 4 hydronephrosis were associated with failure of SWL in patients with a single ureteral stone. In the presence of severe hydronephrosis, especially hydronephrosis grade 4; physicians should proceed cautiously in choosing and offering SWL as the primary treatment for ureteral stone.
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