Emergency management of ureteral stones: Evaluation of two different approaches with an emphasis on patients' life quality

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dc.authoridTürkoğlu, Ozlem/0000-0001-7712-2899
dc.authorwosidTürkoğlu, Ozlem/ABC-3002-2020
dc.contributor.authorSarica, Kemal
dc.contributor.authorEryildirim, Bilal
dc.contributor.authorSahin, Cahit
dc.contributor.authorTurkoglu, Ozlem Kolcak
dc.contributor.authorTuncer, Murat
dc.contributor.authorCoskun, Alper
dc.contributor.authorAkdere, Hakan
dc.date.accessioned2024-06-12T11:00:16Z
dc.date.available2024-06-12T11:00:16Z
dc.date.issued2016
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: To evaluate the emergency management of obstructing ureteral calculi with two different techniques (SWL and URS) with an emphasis on patients life quality. Methods: A total of 80 patients presenting with acute colic pain due to a single obstructing ureteral stone were treated within 24 hours following the onset of pain with two different approaches in a randomized manner. Patients requiring DJ stent placement and/or auxiliary measures after both procedures were excluded and the remaining 65 patients were evaluated [Group1: ESWL (n = 34); Group 2: URS (n = 31)]. Patients were followed during 4-weeks period with respect to the analgesic requirement, number of renal colic attacks and emergency department visits along with the HRQOL scores. Results: While 26 patients treated with URS (83.9%) were stone-free, 24 cases in SWL were stone-free (70.6%) after 4 weeks. Evaluation of the cases during this follow-up period demonstrated that cases undergoing SWL required significantly higher amount of analgesics when compared with URS group (p < 0.001). In addition to the lower mean number of renal colic attacks and emergency department visits in URS group; both the mean HRQOL in terms of EQ-5D index and mean EQ-5D VAS values were also significantly higher in these cases when compared with the cases tretaed with SWL. Conclusions: Due to the negative impact of stone related events after emergency SWL on patients HRQOL, emergency URS may be applied more effectively with the advantages of prompt fragmentation of the calculi along with the immediate relief of obstruction and pain.en_US
dc.identifier.doi10.4081/aiua.2016.3.201
dc.identifier.endpage205en_US
dc.identifier.issn1124-3562
dc.identifier.issn2282-4197
dc.identifier.issue3en_US
dc.identifier.pmid27711094en_US
dc.identifier.scopus2-s2.0-85018905258en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage201en_US
dc.identifier.urihttps://doi.org/10.4081/aiua.2016.3.201
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20772
dc.identifier.volume88en_US
dc.identifier.wosWOS:000406053100009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPagepress Publen_US
dc.relation.ispartofArchivio Italiano Di Urologia E Andrologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency Treatmenten_US
dc.subjectUreteral Stoneen_US
dc.subjectUreteroscopyen_US
dc.subjectSWLen_US
dc.subjectHRQOLen_US
dc.subjectShock-Wave Lithotripsyen_US
dc.subjectOf-Lifeen_US
dc.subjectUreteroscopyen_US
dc.subjectCalculien_US
dc.subjectRemovalen_US
dc.subjectTrialen_US
dc.titleEmergency management of ureteral stones: Evaluation of two different approaches with an emphasis on patients' life qualityen_US
dc.typeArticleen_US

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