ArticleBMC urology2023
Value of preoperative ureteral wall thickness in prediction of impaction of ureteric stones stratified by size in laser ureteroscopic lithotripsy.
Article in BMC urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 16 citations in OpenAlex.
- Soft Tissue Safety Assessment of Pulsed Solid-State Thulium:YAG Versus Holmium:YAG Lasers: A Quantitative Porcine Model Simulation.Lasers in surgery and medicine · 2026Article
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- Can ureteric stone impaction be predicted preoperatively using noninvasive parameters? A prospective study.Arab journal of urology · 2026Article
- Development and validation of a non-invasive nomogram for predicting proximal ureteral impacted calculi.World journal of urology · 2025Article
- Prediction of the Impaction of Proximal Ureteral Stones: A Critical Evaluation of the Patient- and Stone-Related Factors Affecting the Ureteral Wall Thickness.Journal of clinical medicine · 2025Article
- Ureteral wall thickness at the ureterovesical junction as a significant factor in predicting medical expulsive therapy of ureterovesical junction stones.BMC urology · 2025Article
- Ureteral Wall Thickness Measurement and Spontaneous Stone Passage A Narrative Review.Current urology reports · 2025Review
- Predictive value of NCCT quantitative analysis for proximal and middle impacted ureteral stones.Urolithiasis · 2024Article
- Predictive role of ureteral wall thickness and patient characteristics in endoscopic treatment outcomes for ureteral stricture disease following stone surgery.World journal of urology · 2024Article
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Authors and funding
13 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the role of preoperative UWT in the prediction of impaction of ureteral stones stratified according to stone size in ureteroscopic laser lithotripsy. PATIENT AND
methodsThis study included 154 patients submitted to URSL for ureteral stones. Radiological data comprised the presence of hydronephrosis, anteroposterior pelvic diameter (PAPD), proximal ureteric diameter (PUD), and maximum UWT at the stone site. Collected stone characteristics were stone size, side, number, site, and density.
resultsThe study included 154 patients subjected to URSL. They comprised 74 patients (48.1%) with impacted stones and 80 (51.9%) with non-impacted stones. Patients were stratified into those with stone size ≤ 10 mm and others with stone size > 10 mm. In the former group, we found that stone impaction was significantly associated with higher PAPD, PUD, and UWT. In patients with stone size > 10 mm, stone impaction was related to higher UWT, more stone number, and higher frequency of stones located in the lower ureter. ROC curve analysis revealed good power of UWT in discrimination of stone impaction in all patients [AUC (95% CI) 0.65 (0.55-0.74)] at a cut-off of 3.8 mm, in patients with stone size ≤ 10 mm [AUC (95% CI) 0.76 (0.61-0.91)] at a cut-off of 4.1 mm and in patients with stone size > 10 mm [AUC (95% CI) 0.72 (0.62-0.83)] at a cut-off of 3.0 mm.
conclusionsStratifying ureteric stones according to size would render UWT a more practical and clinically-oriented approach for the preoperative prediction of stone impaction.
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