Urinary stone characteristics of patients treated with extracorporeal shock wave lithotripsy in Cipto Mangunkusumo Hospital Jakarta, 2008–2014: a gender analysis

Endrika Noviandrini, Ponco Birowo, Nur Rasyid



DOI: https://doi.org/10.13181/mji.v24i4.1258

Abstract


Background: The incidence of urinary stone patient in Indonesia has increased every year in both genders. Data showed that urolithiasis was higher in male rather than female. The aimed of this study was to describe the characteristics of urinary stone found in patient who underwent extracorporeal shock wave lithotripsy (ESWL) at Cipto Mangunkusumo Hospital, Jakarta from 2008–2014.

Methods: Data obtained from ESWL medical record Cipto Mangunkusumo Hospital, Jakarta from 2008–2014. We obtained 5,174 out of 6,020 data due to incompleteness data record. We sorted data records by gender, age, stone location, stone opacity, size of the stone, and history of ESWL, and analyzed by statistic tools (SPSS v 20 for Mac).

Results: From 5,174 records, we found that the incidence of urinary stones was two times higher in male rather than female (66.3%:33.64%), occurred mostly in productive age (65.2% male, 65.9% female). Unilateral kidney stone was most common location found for both gender (50.2% male, 57.2% female), and most frequent site located in calyx inferior (24.8% male, 28.9% female). About 72.9% stone was radiopaque (73.7% male and 71.5% female). The mean size of the stone in male and female was 11.34±7.15 mm and 11.90±7.54 mm, respectively. This study also showed that 79.3% patients came for first ESWL.

Conclusion: Urinary stone founds two times higher in male than female, and mostly occurs on their productive ages. Unilateral kidney stone in calyx inferior become the most common stone found in both gender. Most of the stone has radiopaque opacity.


Keywords


ESWL; female; male; urinary stone; urolithiasis

Full Text:

PDF

References


  1. Rahardjo D, Hamid R. Perkembangan penatalaksanaan batu ginjal di RSCM tahun 1997–2002. J I Bedah Indones. 2004;32(2):58–63. Indonesian.
  2. Politis G, Griffith DP. ESWL: stone-free efficacy based upon stone size and location. World J Urol. 1987;5:255–8. http://dx.doi.org/10.1007/BF00327230
  3. Junuzovic D, Prstojevic JK, Hasanbegovic M, Lepara Z. Evaluation of extracorporeal shock wave lithotripsy (ESWL): efficacy in treatment of urinary system stones. Acta Inform Med. 2014;22(5):309–14. http://dx.doi.org/10.5455/aim.2014.22.309-314
  4. Elkholy MM, Ismail H, Abdelkhalek MA, Badr MM, Elfeky MM. Efficacy of extracorporeal shockwave lithotripsy using Dornier SII in different levels of ureteral stones. Urol Ann. 2014;6(4):346–51. http://dx.doi.org/10.4103/0974-7796.141003
  5. Menon M.Parulkar BG, Drach GW. Urinary lithiasis: etiology, diagnosis, and medical management. In: Walsh CP, Retik AB, Vaughan ED, Wein AJ, editors. Campbell's urology.7th ed. Philadelphia: WB Saunders; 1998. p. 2662–5.
  6. Pal RP, Mellon JK. Renal Stone Disease. Foundation Years. 2008;4(5):199–203. http://dx.doi.org/10.1016/j.mpfou.2008.06.025
  7. Kalbu DU, Golan S, Livne PM, Pode D, Duvdevani M, Lifshitz D. Urinary stone composition in Israel: current status and variation with age and gender-A bicenter study. J Endourol. 2013;27(12):1539–42. http://dx.doi.org/10.1089/end.2013.0236
  8. Wu W, Yang B, Ou L, Liang Y, Wan S, Li S, et al. Urinary stone analysis on 12,846 patients: a report from a single center in China. Urolithiasis. 2014;42(1):39–43. http://dx.doi.org/10.1007/s00240-013-0633-0
  9. Huang WY, Chen YF, Carter S, Chang HC, Lan CF, Huang KH. Epidemiology of upper urinary tract stone disease in a Taiwanese population: a nationwide, population based study. J Urol. 2013;189(6):2158–63. http://dx.doi.org/10.1016/j.juro.2012.12.105
  10. Strope SA, Wolf JS Jr, Hollenbeck BK. Changes in gender distribution of urinary stone disease. Urology. 2010;75(3):543–6. http://dx.doi.org/10.1016/j.urology.2009.08.007
  11. Burnett AL, Rodriguez R, Jarrett TW. Genitourinary system: male anatomy and physiologi. In: Greenfield LJ, Mulholland MW, Oldham KT, Zelenock GB, Lilimoe KD, editors. Essentials of Surgery Scientific Principles and Practice. 2nd ed. New York: Lippincott Williams & Wilkins; 1997. p.1111–8.
  12. Nowfar S, Pallazi-Churas K, Chang DC, Sur RL. The relationship of obesity and gender prevalence changes in United States inpatient nephrolithiasis. Urology. 2011;78(5):1029–33. http://dx.doi.org/10.1016/j.urology.2011.04.011
  13. Negri AL, Spivacow FR, Del Valle EE, Forrester M, Rosende G, Pinduli I. Role of overweight and obesity on the urinary excretion of promoters and inhibitors of stone formation in stone formers. Urol Res. 2008;36(6):303–7. http://dx.doi.org/10.1007/s00240-008-0161-5
  14. Skolarikos A, Straub M, Knoll T, Sarica K, Seitz C, Petřík A, et al. Metabolic evaluation and recurrence prevention for urinary stone patients: EAU guidelines. Eur Urol. 2015;67(4):750–63. http://dx.doi.org/10.1016/j.eururo.2014.10.029
  15. Pearle MS, Lotan Y. Urinary lithiasis: etiology, epidemiology, and pathogenesis. In: Wein AJ, Kavoussi LR, editors. Campbell-Walsh Urology. Philadelphia: Elsevier Saunders; 2012. p.1257–60. http://dx.doi.org/10.1016/B978-1-4160-6911-9.00045-1
  16. Taylor EN, Curhan GC. Diet and fluid prescription in stone disease. Kidney Int. 2006;70(5):835–9. http://dx.doi.org/10.1038/sj.ki.5001656
  17. Sarada B, Satyanarayana U. Urinary composition in men and women and the risk of urolithiasis. Clin Biochem. 1991;24(6):487–90. http://dx.doi.org/10.1016/S0009-9120(05)80007-4
  18. Kato Y, Yamaguchi S, Kakizaki H, Yachiku S. Influence of estrus status on urinary chemical parameters related to urolithiasis. Urol Res. 2005;33(6):476–80. http://dx.doi.org/10.1007/s00240-005-0511-5
  19. Eprints.undip.ac.id [Internet}. Semarang: Batu saluran kemih suatu problema gaya hidup dan pola makan serta analisis ekonomi pada pengobatannya. [update 2007 Mar 3; cited 2015 Jun 15]. Available from: http://eprints.undip.ac.id/340/1/rifki_muslim.pdf
  20. Gault MH, Chafe L. Relationship of frequency, age, sex, stone weight and composition in 15,624 stones: comparison of results for 1980 to 1983 and 1995 to 1998. J Urol. 2000;164(2):302–7. http://dx.doi.org/10.1016/S0022-5347(05)67345-4
  21. Renner C, Rassweiler J. Treatment of renal stones by extracorporeal shock wave lithotripsy. Nephron. 1999;81(suppl1):71–81. http://dx.doi.org/10.1159/000046302
  22. Türk C, Knoll T, Petrik A, Sarica K, Seitz C, Straub M. Indication for active stone removal and selections of procedures. In: EAU Guidelines on Urolithiasis. 2014. p. 48. Available from: http://uroweb.org/wp-content/uploads/20-Urolithiasis.pdf
  23. Tarawneh E, Awad Z, Hani A, Haroun AA, Hadidy A, Mahafza W, et al. Factors affecting urinary calculi treatment by extracorporeal shock wave lithotripsy. Saudi J Kidney Dis Transpl. 2010 Jul; 21(4):660–5.





Copyright (c) 2015 Endrika Noviandrini, Ponco Birowo, Nur Rasyid

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All articles and issues in Medical Journal of Indonesia have unique DOI number registered in Crossref.
 
Romeo
 
http://mji.ui.ac.id/journal/index.php/mji/pages/view/stat 
Unique Visitors