Hubungan volume, lokasi, dan kepadatan batu ureter dengan derajat hidronefrosis
Abstract
Background: Ureteral stones are common cases. Ureteral stones may have different degrees of hydronephrosis. CT stonography is now accepted as the gold standard for detecting the presence of stones in the urinary tract and can evaluate the characteristics of the stone
Objective: This study aims to determine the relationship between volume, location, and density of ureteral stones with the degree of hydronephrosis.
Methods: A total of 98 samples (80 males, 18 females) CT scan images of ureteral stone were analyzed for bivariate and multivariate analysis of volume, location, density based on MSD (Mean Stone Density) and SHI (Stone Heterogeneity Index) of ureteral stones with the degree of hydronephrosis.
Results: There was a statistically significant positive correlation of ureteral stone volume with the degree of hydronephrosis (r= 0.543, p<0.001). While other variables were not significant, the location of ureteral stones (p = 0.341), and density of ureteral stones based on MSD (p= 0.206), SHI (p= 0.934).
Conclusion: From The Characteristics of ureteral stones studied, only volume of ureteral stones has a correlation with the degree of hydronephrosis.
References
Goertz JK, Lotterman S. Can the degree of hydronephrosis on ultrasound predict kidney stone size?. American Journal of Emergency Medicine. 2010:813-6.
Wardana ING. Urolithiasis. [artikel]. Denpasar: Bagian Anatomi FK UNUD; 2017.
Brisbane W, Baliey M, Sorensen M. An overview of kidney stone imaging techniques. Nature Reviews Urology, 2016:1-9p.
Finch W, Johnston R, Shaida N, Winterbottom A, Wiseman O. Measuring stone volume – three-dimensional software reconstruction or an ellipsoid algebra formula?. BJU Int. 2014;113:610-4.
Timberlake M, Herndon A. Mild to moderate postnatal hydronephrosis –grading systems and management. Nat Rev Urol J. 2013:1-7.
Song HJ, Cho ST. Investigation of the location of the Ureteral Stone and Diameter of the Ureter in Patients with renal colic. Korean J Urol 2010;51:198-201.
Inci MF, Ozkan F, Boskurt S, Sucakli MH. Correlation of volume, position of stone, and hydronephrosis with microhematuria in patients with solitary urolithiasis. Med Sci Monit. 2013;19:295-9.
Song Y, Hernandez N, Gee MS, Noble VE, Eisner BH. Can ureteral stones cause pain without causing hydronephrosis?. World J Urol. 2015[4p].
Calabro JL, Raio CC, Theodoro D, Nelson MJ, Patel J, Lee DC. Does Kidney Stone Size Correlate With Degree of Hydronephrosis on Focused Emergency Department Ultrasonography?. Annuals of Emergency Medicine. 2004;44(4)368.
Jendeberg J, Geijer H, Alshamari M, Cierzniak B, Lidén M. Sizematters: The width and location of a ureteral stone accurately predict the chance of spontaneous passage. Eur Radiol J. 2016[8p].
Lee JY, Kim JH, Kang DH, et al. Stone heterogeneity index as the standard deviation of Hounsfield units: A novel predictor for shockwave lithotripsy outcomes in ureter calculi. Scientific Reports. 2016; 6:1-7.
Kosan P, Tangtiang K, Kwankua A. Correlation of the standard deviation of urinary stone density by non-contrast computed tomography and the shock wave lithotripsy outcomes. Science & Technology Asia. 2020;25(3):87-96.
Yamashita S, Kohjimoto Y, Iwahashi Y, et al. Noncontrast Computed Tomography Parameters for Predicting Shock Wave Lithotripsy Outcome in Upper Urinary Tract Stone Cases. BioMed Research International. 2018;1-6).
Coll DM, Varanelli MJ, Smith RC. Relationship of Spontaneous Passage of Ureteral Calculi to Stone Size and Location as Revealed by Unenhanced Helical CT. AJR 2002;178:101-3.
Sabuncu K. Evaluation of the relationship between hydronephrosis and inflammatory markers and ureteral stone size. EUR Urol Suppl. 2019;18(7):e2996.
Cakiroglu B, Eyyupoglu E, Tas Y, et al. The Influence of Stone Size, Skin to Stone Distance and Hydronephrosis on Extracorporeal Shock Wave Lithotripsy Session and Shock Wave Numbers in Ureteral Stones. World J Nephrol Urol 2013;2(2):60-64.
Articles received and published by the Media Ilmu Kesehatan are by the publication, the copyright of the article is fully transferred to the Media Ilmu Kesehatan. All operational forms such as printing, publication, and distribution of hard file journals are carried out by the Media Ilmu Kesehatan. Articles that have finished the review process and have been declared accepted by the journal manager or editor will be asked to fill out a statement of submission of copyright by the journal secretary to the main author or correspondent author. The statement of transfer of copyright is signed with a seal and sent via email to journalmik2018@gmail.com and contacted the admin of the journal to be followed up on archiving. Journal managers and editors have the right to edit the manuscript according to the provisions of the writing rules in the Media Ilmu Kesehatan.
Articles that have been declared accepted either online through the author's account on the OJS website https://ejournal.unjaya.ac.id/index.php/mik or a letter of receipt of the article (LOA), as well as those that have been published on OJS are not allowed to be published in other journals, or proceedings. The number of authors with more than one and as the main author or designated as the correspondent writer must have coordinated with members of the research team. The order of the authors submitted in the article as the author of one, two, three and so on cannot be changed when the article is published unless an error occurs in the technical operation of the journal.
