Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Oct;22(5):309-14.
doi: 10.5455/aim.2014.22.309-314. Epub 2014 Oct 29.

Evaluation of Extracorporeal Shock Wave Lithotripsy (ESWL): Efficacy in Treatment of Urinary System Stones

Dzelaludin Junuzovic  1 , Jelena Kovacevic Prstojevic  1 , Munira Hasanbegovic  1 , Zahid Lepara  1
Affiliations

Evaluation of Extracorporeal Shock Wave Lithotripsy (ESWL): Efficacy in Treatment of Urinary System Stones

Dzelaludin Junuzovic et al. Acta Inform Med. 2014 Oct.

Abstract

Introduction: Elimination of stone is determined by size and its localization. Stone from the ureter in 80% of cases can be eliminated spontaneously. If the stone by its characteristics is not spontaneously eliminated, taken are further steps and therapeutic protocols to solve this problem.

Material and methods: The study was prospective, open and comparative. It was conducted at the Urology Clinic Clinical Center of Sarajevo University in the period from 2007 to 2013. The study included 404 patients with urinary tract lithiasis treated by ESWL. ESWL treatment is performed on the machine Siemens Model Lithostar Multiline, which has a combined ultrasonographic and fluoroscopic display, large energy density in order to obtain optimum focus (without damaging surrounding tissue) and minimal pain that on rare occasions requires for mild sedation-sedation.

Results: From a total of 404 patients included in the study there were 234 (57.92%) male and 170 (42.08%) female patients. The most common type of stone both in female and male patients was calcium type. From a total of 262 calcium stones, 105 of them (40.07%) was present in female patients and 157 (59.92%) in male. Share of infectious type of stone in female patients was 63 (49.60%) and 64 among males (50.39%). Other stones were less abundant in both the gender groups and their total number was only 17. In women their frequency was 2 (13.33%) and 13 among males (86.67%). There was a significant difference in the frequency of different types of stones by gender (x2 = 11.47, p = 0.009).

Conclusion: There was no statistically significant correlation between the number of treatments and localization of stones in the ureter, as well as a statistically significant correlation between the size of the stone and the localization of calculus in the ureter.

Keywords: ESWL method of urinary stone treatment; stone in urinary tract.

PubMed Disclaimer

Conflict of interest statement

CONFLICT OF INTEREST: NONE DECLARED.

Figures

Figure 1
Figure 1
Treatment of Urinary Stone by ESWL
See this image and copyright information in PMC

References

    1. Kovačević-Prstojević J. Magistarski rad. Sarajevo: Medicinski fakultet Univerziteta u Sarajevu; 2014. Broj vantjelesnih razbijanja kamenaca u odnosu na veličinu kamenca, njegovu lokalizaciju u urinarnom traktu, te morfološku strukturu kamenca.
    1. Kovacevic-Prstojevic J, Junuzovic Dz, Hasanbegovic M, Lepara Z, Selimovic M, Zunic L. Characteristics of Calculi in the Urinary Tract. Mater Sociomed. 2014 Oct;26(5):297–302. doi: 10.5455/msm.2014.26.297-302. - PMC - PubMed
    1. Kim YJ, Kim CH, Sung EJ, Kim SR, Shin HC, Jung WJ. Association of nephrolithiasis with metabolic syndrome and its components. Metabolism. 2013 Jun;62(6):808–813. - PubMed
    1. Hesse A, Brande E, Wilbert D, Kohrmann KU, Alken D. Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1977 vs. 2000. Eur Urol. 2003 Dec;44(6):709–713. - PubMed
    1. Babenko AI, Murakhovsky AG, Tomtchuk AL, Bravve YI. About the formation of patients’ flow in multi-type hospital. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2012 Nov-Dec;6:35–38. - PubMed

LinkOut - more resources