2019 Volume 32 Issue 2 Pages 190-193
Purpose : We evaluated the safety and efficacy of transurethral lithotripsy (TUL) for elderly patients with upper urinary tract stones.
Material and Methods : Between 2007 and 2017, 955 TULs were performed at Gifu Prefectural General Medical Hospital. Elderly patients were defined as those aged 75 years or older.
Results : In the elderly group, 145 TULs were performed ; the median age and stone size were 79 years and 8 mm, respectively. In the younger group, 810 TULs were performed ; the median age and stone size were 58 years and 10 mm, respectively. The stone-free rate was 92.8% in the elderly group and 96.2% in the younger group (P=0.239). Sixty-six cases (6.9%) developed urinary tract infections (UTIs) with fevers ; however, there was no significant difference between the elderly and younger groups for incidence of UTIs.
Conclusion : TUL was as safe and effective for elderly patients as it was for younger patients.