Japanese Journal of Endourology
Online ISSN : 2187-4700
Print ISSN : 2186-1889
ISSN-L : 2186-1889
The safety and efficacy of transurethral lithotripsy in elderly patients with upper urinary tract stone
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2019 Volume 32 Issue 2 Pages 190-193

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Abstract

  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.

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© 2019 Japanese Society of Endourology
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