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Does the Endoscopic Treatment of Lower Ureter Stones Affect Uroflowmetric Values? A Prospective Clinical Trial    
Yazarlar
Doç. Dr. Mümtaz DADALI
Ahi Evran Üniversitesi, Türkiye
Yasin Aydoğmuş
Türkiye
Levent Emir
Arif Aydın
Necmettin Erbakan Üniversitesi, Türkiye
Ahmet Metin Hasçiçek
Prof. Dr. Muhammet Şahin BAĞBANCI
Ahi Evran Üniversitesi, Türkiye
Özet
Objectives:The aim of this study was to document if stones at the lower ureter alter the micturition capability of the patients and to investigate whether endoscopic removal of these stones restores normal urinary flow rates or not in the 3 months of follow-up. Methods: Forty patients with lower ureteral stone (group 1) and 20 control subjects with proximal ureteral stone (group 2) were enrolled into the study. All patients underwent uroflowmetry testing before and 3 months after the treatment for endoscopic stone removal. The mean average and peak flow rates with a sufficient voided volume (>= 150 ml) were evaluated before and after surgery and compared between the groups. Results: Mean values of the peak flow rates before and after surgery were 20.3 and 27.5 ml/s in group 1 and 22.5 and 23.6 ml/s in group 2, and the mean average flow rate values before and after surgery were 10.5 and 13.6 ml/s in group 1 and 11.4 and 12.1 ml/s in group 2. Statistically significant differences were determined between before and after ureteroscopy values were determined in terms of average (p < 0.05) and peak flow rates (p < 0.01) in group I; however, there no significant difference was seen in the control group. Conclusion: We document for the first time in the literature that patients with lower ureteric stones have a reduction in their urinary stream which resolves with endoscopic removal of the stones. Copyright (C) 2013 S. Karger AG, Basel
Anahtar Kelimeler
Uroflowmetry, Ureteric stones, Sympathetic nervous system, Low urinary tract symptoms
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Urologia Internationalis
Dergi ISSN 0042-1138
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 10-2013
Cilt No 91
Sayı 3
Sayfalar 315 / 319
Doi Numarası 10.1159/000353090
Makale Linki http://dx.doi.org/10.1159/000353090