Article Data

  • Views 748
  • Dowloads 136

Original Research

Open Access

Comparison of the effects of different lithotripsy protocols under ureteroscope on ureteral calculi and their effects on stress status and renal function of patients

  • Rongjie Liang1,*,
  • Zengmou Chen1
  • Fenbo Chen1
  • Yanglin Lai1
  • Binming Zhang1
  • Yongsi Qin1
  • Zhi Chen1

1Department of Urology, Wuzhou People’s Hospital, 543003 Wuzhou, Guangxi Zhuang Autonomous Region, China

DOI: 10.22514/jomh.2024.062 Vol.20,Issue 4,April 2024 pp.133-138

Submitted: 12 January 2024 Accepted: 23 April 2024

Published: 30 April 2024

*Corresponding Author(s): Rongjie Liang E-mail: liangrongjie888@163.com

Abstract

In order to explore the therapeutic effect of holmium laser and pneumatic lithotripsy on ureteric stones, as well as their effects on stress status and renal function, 100 patients with ureteral calculi admitted to the hospital from January 2021 to January 2023 were selected into a pneumatic lithotripsy group (n = 50) and a holmium laser lithotripsy group (n = 50). The results showed that Holmium laser lithotripsy had a significantly higher primary lithotripsy success rate (92.00%) than pneumatic lithotripsy (76.00%) (p < 0.05). However, a slightly higher postoperative stone clearance rate was observed in the pneumatic lithotripsy group with no significant differences between both groups. Significantly shorter operation time and average hospital stays were observed in the holmium laser lithotripsy group than in the pneumatic lithotripsy group. 3 days after surgery, C-reactive protein (CRP) and interleukin-6 (IL-6) levels in the holmium laser lithotripsy group were evidently lower than the pneumatic lithotripsy group. Holmium laser lithotripsy produced significantly lower malondialdehyde (MDA) levels (p < 0.05) and significantly higher superoxide dismutase (SOD) levels than pneumatic lithotripsy (p < 0.05). Both groups had similar preoperative renal function indexes (serum creatinine (Scr) and blood urea nitrogen (BUN)) (p > 0.05). Lastly, holmium laser lithotripsy had a considerably lower incidence of complications at 6.00% than pneumatic lithotripsy at 26.00% (p < 0.05). The results indicate that, compared with pneumatic ballistic lithotripsy, holmium laser lithotripsy can effectively improve the lithotripsy effect of ureteral stones, shorten the operation and hospitalization time, effectively reduce the inflammatory and oxidative stress status of the body, and effectively reduce the risk of postoperative complications.


Keywords

Ureteral calculi; Pneumatic lithotripsy; Holmium laser lithotripsy; Lithotripsy effect


Cite and Share

Rongjie Liang,Zengmou Chen,Fenbo Chen,Yanglin Lai,Binming Zhang,Yongsi Qin,Zhi Chen. Comparison of the effects of different lithotripsy protocols under ureteroscope on ureteral calculi and their effects on stress status and renal function of patients. Journal of Men's Health. 2024. 20(4);133-138.

References

[1] Chen H, Pan Y, Xiao M, Yang J, Wei Y. The outcomes of pre-stenting on renal and ureteral stones: a meta-analysis. Urologia Internationalis. 2022; 106: 495–503.

[2] Tomer N, Garden E, Small A, Palese M. Ureteral stent encrustation: epidemiology, pathophysiology, management and current technology. The Journal of Urology. 2021; 205: 68–77.

[3] Sunaryo PL, May PC, Holt SK, Sorensen MD, Sweet RM, Harper JD. Ureteral strictures following ureteroscopy for kidney stone disease: a population-based assessment. Journal of Urology. 2022; 208: 1268–1275.

[4] Hou CP, Lin YH, Juang HH, Chang PL, Chen CL, Yang PS, et al. Effect of ureteral calculus in outpatients receiving semirigid ureteroscope laser lithotripsy. Medicine. 2020; 99: e19324.

[5] Ulvik Ø, Æsøy MS, Juliebø-Jones P, Gjengstø P, Beisland C. Thulium fibre laser versus holmium: YAG for ureteroscopic lithotripsy: outcomes from a prospective randomised clinical trial. European Urology. 2022; 82: 73–79.

[6] Wu Z, Liu T, Wang X, Wang Y, Zheng H, Zhang Y, et al. Negative-pressure ureteroscopic holmium-YAG laser lithotripsy for ureteral stones. Urologia Internationalis. 2020; 104: 752–757.

[7] Pérez-Castro Ellendt E. Editorial comment of: pneumatic lithotripsy vs holmium: YAG laser lithotripsy for the treatment of ureteral stones. Archivos Espanoles De Urologia. 2021; 74: 774. (In Spanish)

[8] Allam CL, Aden JK, Reed AM. The role of routine ureteral stenting following uncomplicated ureteroscopic treatment for upper ureteral and renal stones: a randomized control trial. Journal of Endourology. 2023; 37: 257–263.

[9] Bongrand B, Millet I, Autissier C, Faget C, Robert M. Efficacy of electromagnetic extracorporeal shockwave lithotripsy on high-density ureteral stones. Progres En Urologie. 2022; 32: 608–615.

[10] Thomas F, Córdoba A, López Silva M, Caruso D, Hernández R, Sanguinetti H. Pneumatic lithotripsy vs Holmium: YAG Laser lithotripsy for the treatment of ureteral stones. Archivos Espanoles De Urologia. 2021; 74: 768–773. (In Spanish)

[11] Wu ZH, Wang YZ, Liu TZ, Wang XH, Zhang C, Zhang WB, et al. Comparison of vacuum suction ureteroscopic laser lithotripsy and traditional ureteroscopic laser lithotripsy for impacted upper ureteral stones. World Journal of Urology. 2022; 40: 2347–2352.

[12] Harris WN, Cao L, Tasian GE. Comparative effectiveness of high-power holmium laser lithotripsy for pediatric patients with kidney and ureteral stones. Journal of Pediatric Urology. 2022; 18: 463.e1–463.e8.

[13] Inoue T, Hamamoto S, Okada S, Yamamichi F, Fujita M, Tominaga K, et al. Evaluating predictive factor of systemic inflammatory response syndrome and postoperative pain in patients without ureteral stent placement after ureteral access sheath use in flexible ureteroscopy for stone management. Journal of Endourology. 2022; 36: 169–175.

[14] Zhang Z, Wang X, Chen D, Peng N, Chen J, Wang Q, et al. Minimally invasive management of acute ureteral obstruction and severe infection caused by upper urinary tract calculi. Journal of X-Ray Science and Technology. 2020; 28: 125–135.

[15] Gao SL, Wu H, Su QX, Zhang ZY, Zhang Z, Lu C, et al. Comparison of the effects of retroperitoneoscopic ureterolithotomy and ureteroscopic lithotripsy in the treatment of upper ureteral calculi. Medicine. 2021; 100: e27328.

[16] Washino S, Hosohata K, Miyagawa T. Roles played by biomarkers of kidney injury in patients with upper urinary tract obstruction. International Journal of Molecular Sciences. 2020; 21: 5490.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.7 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top