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Effect of Stone Density, Skin-Stone Distance and Stone Size on Extracorporeal Shock Wave Lithotripsy Success of Ureter Stones: A Clinical Investigation


 

1 Department of Urology, Sancaktepe Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye
2 Department of Medical Biochemistry, Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye
3 Department of Medical Biotechnology, Hacettepe University, Ankara, Türkiye
4 Department of Medical Biochemistry, Birecik State Hospital, Sanlıurfa, Türkiye
5 Department of Urology, Biruni University, Medical School, Istanbul, Türkiye


DOI : 10.33719/nju1560480
New J Urol. 2025;20(1):1-12.
Abstract

Abstract

Renal arteriovenous fistulas are uncom-mon lesions. Malignancies are one of the un-derlying cause of arteriovenous fistulas. The cli-nical manifestation of these lesions vary widely, from asymptomatic presentation to hypertensi-on. Herein we present the case of a 48-year-old man who was presented with heart failure and continuous murmur over the left costoverteb-ral angle. Contrast enhanced computerized to-mography showed enlarged left renal vein and arteriovenous fistula on the left kidney. Selecti-ve renal angiography confirmed the presence of extremely dilated left renal vein with high-flow arteriovenous fistula. We performed nephrec-tomy because of the large size and high-output of the fistula.The pathology revealed renal cell carcinoma. In the first month follow-up his symptoms were regressed.

Key Words: Heart failure; renal arteriove-nous fistula; renal cell carcinoma; nephrectomy.

Abstract

Renal arteriovenous fistulas are uncom-mon lesions. Malignancies are one of the un-derlying cause of arteriovenous fistulas. The cli-nical manifestation of these lesions vary widely, from asymptomatic presentation to hypertensi-on. Herein we present the case of a 48-year-old man who was presented with heart failure and continuous murmur over the left costoverteb-ral angle. Contrast enhanced computerized to-mography showed enlarged left renal vein and arteriovenous fistula on the left kidney. Selecti-ve renal angiography confirmed the presence of extremely dilated left renal vein with high-flow arteriovenous fistula. We performed nephrec-tomy because of the large size and high-output of the fistula.The pathology revealed renal cell carcinoma. In the first month follow-up his symptoms were regressed.

Key Words: Heart failure; renal arteriove-nous fistula; renal cell carcinoma; nephrectomy.

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