Comparative Study of Renal Damage Produced After Extracorporeal Lithotripsy in Patients of the Urology Service of the Hospital Virgen de la Puerta Alta Complejidad, Trujillo – Peru

Authors

  • Guido Murrieta Rojas Hospital de Alta Complejidad Virgen de la Puerta
  • Edgar Fermín Yan Quiróz Hospital de Alta Complejidad Virgen de la Puerta
  • Jinger Mendoza Hospital de Alta Complejidad Virgen de la Puerta
  • Javier Humberto Ruiz Murga Hospital de Alta Complejidad Virgen de la Puerta
  • Percy Orlando Cerín Saavedra Hospital de Alta Complejidad Virgen de la Puerta
  • Christian Rafael Bravo Castillo Hospital de Alta Complejidad Virgen de la Puerta
  • Fiorella Patricia Sánchez Guanilo Hospital de Alta Complejidad Virgen de la Puerta

DOI:

https://doi.org/10.54212/27068048.v10i2.63

Keywords:

Extracorporeal shock wave lithotripsy, Nephrolithiasis, Kidney injury, Glomerular function

Abstract

Introduction: extracoporeal shock wave lithotripsy (ESWL) is a type of kidney stone management. Despite this, there is evidence in this regard related to an apparent damage to the renal parenchyma. The idea of ​​this work is to identify the incidence of renal lesions, as well as the location of the stone and its influence on renal damage. Material and Methods: Based on the work carried out by Ma. J. Cancho Gil et. al. a prospective longitudinal study was conducted in 22 patients with normal renal function undergoing ESWL. The basal level of microalbuminuria was determined, at 24 hours, at the 4th. and at 10th. day post-ESWL. Results: The baseline levels of microalbuminuria did not show a significant difference with respect to the location of the renal lithiasis (with a p value >0.05). An increase in the level of microalbuminuria was observed only at 24 hours post ESWL (with a statistically significant value of p<000.1). No significant differences were observed in the variation of microalbuminuria levels with treatment in relation to stone location (with a value of p>0.05). Conclusions: Our series showed that glomerular damage occurs after ESWL. This damage is independent of the location of the stone, whether in the renal pelvis or in the upper and middle calyx. In patients with previous normal kidney function, kidney damage recovers on day 4 post ESWL.

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References

Ayuso PP. Una historia de la Urología. Madrid. IM & C, 2002.

Chaussy C, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet. 2019; 2:1265-126. https://doi.org/10.1016/S0140-6736(80)92335-1 DOI: https://doi.org/10.1016/S0140-6736(80)92335-1

Pereira-Arias JG, Gamarra Quintanilla M, Urdaneta-Salegui LF, et al. Estado actual de la litotricia extracorpórea por ondas de choque en la litiásis urinaria. Arch Esp Urol. 2017; 70 (2).

Medrano-Urtecho HM, Sánchez-Núñez JE, Acevedo-García CC, et al. Eficacia del manejo de la litiasis renal con litotricia extracorpórea por ondas de choque (LEOCh) en la población pediátrica de un hospital de tercer nivel en México. Rev Mex Urol. 2019;79(6):1-11. https://doi.org/10.48193/rmu.v79i6.452 https://doi.org/10.48193/revistamexicanadeurologa.v79i6.452 DOI: https://doi.org/10.48193/revistamexicanadeurologa.v79i6.452

Zheng, C., et al. Extracorporeal shock wave lithotripsy versus retrograde intrarenal surgery for treatment for renal stones 1-2 cm: a meta-analysis. Urolithiasis, 2015. 43: 549. https://doi.org/10.1007/s00240-015-0799-8 PMid:26211003 DOI: https://doi.org/10.1007/s00240-015-0799-8

Dhar, N.B., et al. A multivariate analysis of risk factors associated with subcapsular hematoma formation following electromagnetic shock wave lithotripsy. J Urol, 2004. 172: 2271. https://doi.org/10.1097/01.ju.0000143459.03836.2d PMid:15538247 DOI: https://doi.org/10.1097/01.ju.0000143459.03836.2d

Skolarikos, A., et al. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol, 2006. 50: 981. https://doi.org/10.1016/j.eururo.2006.01.045 PMid:16481097

Ather, M.H., et al. Does ureteral stenting prior to shock wave lithotripsy influence the need for intervention in steinstrasse and related complications? Urol Int, 2009. 83: 222. https://doi.org/10.1159/000230028 PMid:19752621 DOI: https://doi.org/10.1159/000230028

Skolarikos, A., et al. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol, 2016. 50: 981. https://doi.org/10.1016/j.eururo.2006.01.045 PMid:16481097 DOI: https://doi.org/10.1016/j.eururo.2006.01.045

Akdas A, Turkeri LN, Ilker Y, Simsek F, Emerk K. Shortterm bioeffects of extracorporeal shockwave lithotripsy. J Endourol 1994;8(3):187-190. https://doi.org/10.1089/end.1994.8.187 PMid:7951281 DOI: https://doi.org/10.1089/end.1994.8.187

Cancho Gil Mª J., Díz Rodríguez R., Vírseda Chamorro M., Alpuente Román C., Cabrera Cabrera J.A., Paños Lozano P. Estudio comparativo del daño renal producido tras la litotricia según la localización litiásica. Actas Urol Esp. 2005; 29(4): 373-37. https://doi.org/10.4321/S0210-48062005000400007 https://doi.org/10.1016/S0210-4806(05)73258-7 DOI: https://doi.org/10.1016/S0210-4806(05)73258-7

Martínez Martín M, Del Río Brito S, Castañer Moreno J, et al. Valor de la microalbuminuria en la detección precoz de la enfermedad renal crónica. Revista Cubana de Medicina Militar 2013;42(1):12-20.

Figueroa-Montes Luis Edgardo, Ramos-García Mariza Yolanda. Diagnóstico de albuminuria en pacientes mayores de 55 años en una red asistencial. Acta méd. peruana. 2014; 31( 1 ): 7-14.

Caramelo C, Vásquez A, Casado S, Sierra M. Microalbuminuria: mecanismos y significado. Nefrología. Vol. XVII. Núm. 4. 2017.

Sen S, Erdem Y, Oymak O, Yalcin AU, Turgan C, Ersoy H, Bingol N, Tamer S. Effect of extracorporeal shock wave lithotripsy on glomerular and tubular functions. Int Urol Nephrol. 2016;28(3):309-313. https://doi.org/10.1007/BF02550491 PMid:8899469 DOI: https://doi.org/10.1007/BF02550491

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Published

2023-02-15

How to Cite

Murrieta Rojas, G., Yan Quiróz, E. F., Mendoza, J., Ruiz Murga, J. H., Cerín Saavedra, P. O., Bravo Castillo, C. R., & Sánchez Guanilo, F. P. (2023). Comparative Study of Renal Damage Produced After Extracorporeal Lithotripsy in Patients of the Urology Service of the Hospital Virgen de la Puerta Alta Complejidad, Trujillo – Peru. Revista Guatemalteca De Urología, 10(2), 8–11. https://doi.org/10.54212/27068048.v10i2.63

Issue

Vol. 10 No. 2 (2022)

Section

original articles

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Copyright (c) 2023 Guido Murrieta Rojas, Edgar Fermín Yan Quiroz, Jinger Mendoza, Javier Humberto Ruiz Murga, Percy Orlando Cerín Saavedra, Christian Raphael Bravo Castillo y Fiorella Patricia Sánchez Guanilo

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