The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy
Introduction. Urinary stone is a common cause of urinary tract disease. Stone excretion using ureteroscope is effective in inferior ureter. The aim of this study was to investigate the effects of aminophylline on ureteral spasm during ureteroscopy in acute phase of renal colic. Methods. In this doub...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/727843 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832546079612076032 |
|---|---|
| author | Ayyoub Barzegarnezhad Abolfazl Firouzian Seyed Abdollah Emadi Nadali Mousanejad Roksana Bakhshali |
| author_facet | Ayyoub Barzegarnezhad Abolfazl Firouzian Seyed Abdollah Emadi Nadali Mousanejad Roksana Bakhshali |
| author_sort | Ayyoub Barzegarnezhad |
| collection | DOAJ |
| description | Introduction. Urinary stone is a common cause of urinary tract disease. Stone excretion using ureteroscope is effective in inferior ureter. The aim of this study was to investigate the effects of aminophylline on ureteral spasm during ureteroscopy in acute phase of renal colic. Methods. In this double-blind randomized clinical trial, 120 patients with ureteral stones were enrolled and randomized into two groups. The bladder was drained and then received a 150 mL irrigation solution. Irrigation solution was saline and saline plus 10 mL aminophylline at 250 mg dose for control and case groups, respectively. Ureteroscopy and transureteral lithotripsy (TUL) were performed five minutes after irrigation. Results. The mean duration of TUL was 4.2±2.61 min and 8.4±2.9 min for control and case groups, respectively. The successful rate was 95% and 76.1% in case and control groups, respectively. Further extracorporeal shock wave lithotripsy (SWL) was performed in 5% and 30% for patients in case and control groups, respectively. Conclusion. Aminophylline facilitated ureteroscopy and increased the success rate in the treatment of renal colic using TUL. No significant complications from post-TUL were observed. Using aminophylline carries several advantages such as reducing procedure duration, decreasing the need for ureteral and double-J catheter, and reducing stone migration to the kidney and use of SWL. |
| format | Article |
| id | doaj-art-b6eba6aeefa243f08ced064197a2d903 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-b6eba6aeefa243f08ced064197a2d9032025-02-03T07:23:52ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/727843727843The Effects of Local Administration of Aminophylline on Transureteral LithotripsyAyyoub Barzegarnezhad0Abolfazl Firouzian1Seyed Abdollah Emadi2Nadali Mousanejad3Roksana Bakhshali4Department of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IranDepartment of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Science, Sari, IranDepartment of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Science, Sari, IranDepartment of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IranStudent Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari, IranIntroduction. Urinary stone is a common cause of urinary tract disease. Stone excretion using ureteroscope is effective in inferior ureter. The aim of this study was to investigate the effects of aminophylline on ureteral spasm during ureteroscopy in acute phase of renal colic. Methods. In this double-blind randomized clinical trial, 120 patients with ureteral stones were enrolled and randomized into two groups. The bladder was drained and then received a 150 mL irrigation solution. Irrigation solution was saline and saline plus 10 mL aminophylline at 250 mg dose for control and case groups, respectively. Ureteroscopy and transureteral lithotripsy (TUL) were performed five minutes after irrigation. Results. The mean duration of TUL was 4.2±2.61 min and 8.4±2.9 min for control and case groups, respectively. The successful rate was 95% and 76.1% in case and control groups, respectively. Further extracorporeal shock wave lithotripsy (SWL) was performed in 5% and 30% for patients in case and control groups, respectively. Conclusion. Aminophylline facilitated ureteroscopy and increased the success rate in the treatment of renal colic using TUL. No significant complications from post-TUL were observed. Using aminophylline carries several advantages such as reducing procedure duration, decreasing the need for ureteral and double-J catheter, and reducing stone migration to the kidney and use of SWL.http://dx.doi.org/10.1155/2012/727843 |
| spellingShingle | Ayyoub Barzegarnezhad Abolfazl Firouzian Seyed Abdollah Emadi Nadali Mousanejad Roksana Bakhshali The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy Advances in Urology |
| title | The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy |
| title_full | The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy |
| title_fullStr | The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy |
| title_full_unstemmed | The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy |
| title_short | The Effects of Local Administration of Aminophylline on Transureteral Lithotripsy |
| title_sort | effects of local administration of aminophylline on transureteral lithotripsy |
| url | http://dx.doi.org/10.1155/2012/727843 |
| work_keys_str_mv | AT ayyoubbarzegarnezhad theeffectsoflocaladministrationofaminophyllineontransureterallithotripsy AT abolfazlfirouzian theeffectsoflocaladministrationofaminophyllineontransureterallithotripsy AT seyedabdollahemadi theeffectsoflocaladministrationofaminophyllineontransureterallithotripsy AT nadalimousanejad theeffectsoflocaladministrationofaminophyllineontransureterallithotripsy AT roksanabakhshali theeffectsoflocaladministrationofaminophyllineontransureterallithotripsy AT ayyoubbarzegarnezhad effectsoflocaladministrationofaminophyllineontransureterallithotripsy AT abolfazlfirouzian effectsoflocaladministrationofaminophyllineontransureterallithotripsy AT seyedabdollahemadi effectsoflocaladministrationofaminophyllineontransureterallithotripsy AT nadalimousanejad effectsoflocaladministrationofaminophyllineontransureterallithotripsy AT roksanabakhshali effectsoflocaladministrationofaminophyllineontransureterallithotripsy |