Shockwave Lithotripsy for De-Novo Urolithiasis after Kidney Transplantation: A Systematic Review of the Literature.

SWL allograft de-novo urolithiasis renal transplant shockwave

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
29 Jun 2023
Historique:
received: 11 05 2023
revised: 27 06 2023
accepted: 28 06 2023
medline: 14 7 2023
pubmed: 14 7 2023
entrez: 14 7 2023
Statut: epublish

Résumé

Allograft urolithiasis is an uncommon, challenging, and potentially dangerous clinical problem. Treatment of allograft stones includes external shockwave lithotripsy (SWL), flexible ureteroscopy and lasertripsy (fURSL), or percutaneous nephrolithotomy (PCNL). A gap in the literature and guidelines exists regarding the treatment of patients in this setting. The aim of this systematic review was to collect preoperative and treatment characteristics and evaluate the outcomes of post-transplant SWL for stone disease. A systematic search in the literature was performed, including articles up to March 2023. Only original English articles were selected. Eight articles (81 patients) were included in the review. Patients were mainly male, with a mean age of 41.9 years (±7.07). The mean stone size was 13.18 mm (±2.28 mm). Stones were predominantly located in the kidney ( SWL is a safe and effective option to treat de novo stones after transplantation. Larger studies are needed to better address allograft urolithiasis management.

Sections du résumé

BACKGROUND BACKGROUND
Allograft urolithiasis is an uncommon, challenging, and potentially dangerous clinical problem. Treatment of allograft stones includes external shockwave lithotripsy (SWL), flexible ureteroscopy and lasertripsy (fURSL), or percutaneous nephrolithotomy (PCNL). A gap in the literature and guidelines exists regarding the treatment of patients in this setting. The aim of this systematic review was to collect preoperative and treatment characteristics and evaluate the outcomes of post-transplant SWL for stone disease.
METHODS METHODS
A systematic search in the literature was performed, including articles up to March 2023. Only original English articles were selected.
RESULTS RESULTS
Eight articles (81 patients) were included in the review. Patients were mainly male, with a mean age of 41.9 years (±7.07). The mean stone size was 13.18 mm (±2.28 mm). Stones were predominantly located in the kidney (
CONCLUSIONS CONCLUSIONS
SWL is a safe and effective option to treat de novo stones after transplantation. Larger studies are needed to better address allograft urolithiasis management.

Identifiants

pubmed: 37445423
pii: jcm12134389
doi: 10.3390/jcm12134389
pmc: PMC10342763
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Clara Cerrato (C)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.

Victoria Jahrreiss (V)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.
Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna General Hospital, 1090 Vienna, Austria.

Carlotta Nedbal (C)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.
Urology Unit, School of Urology, Faculty of Medicine, Università Politecnica delle Marche, 60121 Ancona, Italy.

Francesco Ripa (F)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.
Department of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, 20122 Milan, Italy.

Vincenzo De Marco (V)

Department of Urology, Azienda Ospedaliera Universitaria Integrata di Verona, 37126 Verona, Italy.

Manoj Monga (M)

Department of Urology, University of California San Diego, San Diego, CA 92037, USA.

Amelia Pietropaolo (A)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.
European Association of Urology-Young Academic Urologists (EAU-YAU), Urolithiasis and Endourology Working Group, NL-6803 AA Arnhem, The Netherlands.

Bhaskar Somani (B)

Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.

Classifications MeSH