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Advances in Urology
Volume 2013 (2013), Article ID 978180, 4 pages
http://dx.doi.org/10.1155/2013/978180
Clinical Study

Do Renal Cysts Affect the Success of Extracorporeal Shockwave Lithotripsy? A Retrospective Comparative Study

1Department of Urology, Abant Izzet Baysal University Faculty of Medicine, 14200 Bolu, Turkey
2Department of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey

Received 15 March 2013; Revised 24 May 2013; Accepted 27 May 2013

Academic Editor: M. Hammad Ather

Copyright © 2013 Adnan Gücük et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study was to assess the effect of simple renal cysts on extracorporeal shockwave lithotripsy (SWL) in patients with calyceal renal calculi. Patients with simple renal cysts >35 mm and ipsilateral renal calculi <20 mm that were treated with SWL constituted group 1 (cyst + calculi). The control group included patients aged >40 years that had renal calculi <20 mm and no cysts that were treated with SWL. The 2 groups were compared according to age, gender, body mass index, calculi size, localization, and density, the calculi fragmentation rate, and the percentage of stone-free patients. Mean cyst size in group 1 was  mm. Mean age in group 1 was years versus years in the control group; the difference was significant ( ). There were not any other significant differences between the 2 groups, except for the stone-free rate ( ), which was 33.3% in group 1 and 68.2% in the control group ( ). The presence of renal cysts in a patient with calculi requires that an individualized treatment plan be devised, so as to provide the patient with the most effective treatment.