Effectiveness and safety of ureteroscopic holmium laser lithotripsy for upper urinary tract calculi in elderly patients

Takashi Yoshioka, Hideo Otsuki, Shinya Uehara, Toshihiro Shimizu, Wataru Murao, Koji Fujio, Kei Fujio, Koichiro Wada, Motoo Araki, Yasutomo Nasu

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Upper urinary tract calculi are common; however, there is no recommended treatment selection for elderly patients. Ureteroscopic holmium laser lithotripsy (URS lithotripsy) is minimally invasive, and it provides a high stone-free rate (SFR) treatment for upper urinary tract calculi. Here, we retrospectively evaluated the surgical outcomes of URS lithotripsy after dividing the 189 cases into 3 groups by patient age: the '<65 group' (<65 years old, n = 108), the '65-74 group' (65-74 years old, n = 42), and the '≥75 group' (≥75 years old, n = 39). The patients' characteristics, stone status, and perioperative outcomes were assessed. The 65-74 group and the ≥75 group had a significantly higher prevalence of hypertension compared to the <65 group. Compared to the <65 group, the 65-74 group had a significantly higher prevalence of hyperlipidemia, and the ≥75 group had significantly higher the American Society of Anesthesiologists (ASA) scores. Despite these preoperative risk factors, SFR and postoperative pyelonephritis in the 65-74 group and the ≥75 group were similar to those of the <65 group. In conclusion, URS lithotripsy is the preferred treatment for upper urinary tract calculi, even for elderly patients who have multiple preoperative risk factors.

Original languageEnglish
Pages (from-to)159-166
Number of pages8
JournalActa medica Okayama
Volume70
Issue number3
Publication statusPublished - 2016

Keywords

  • Elderly patients
  • Holmium laser lithotripsy
  • Stone-free rate (SFR)
  • Upper urinary tract calculi
  • Ureteroscopy (URS)

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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    Yoshioka, T., Otsuki, H., Uehara, S., Shimizu, T., Murao, W., Fujio, K., Fujio, K., Wada, K., Araki, M., & Nasu, Y. (2016). Effectiveness and safety of ureteroscopic holmium laser lithotripsy for upper urinary tract calculi in elderly patients. Acta medica Okayama, 70(3), 159-166.