Abstract
decades later in patients who were treated with ESWL compared to controls. This study was undertaken to determine if patients treated with ESWL at our institution demonstrated an increased prevalence of hypertension and/or diabetes compared to patients treated with ureteroscopy(URS) or percutanteous nephrostolithotomy(PNL) after twenty years of follow up. METHODS: 948 patients who underwent treatment for renal or ureteral stones between 1986 and 1989 were contacted by mail and asked to complete a detailed health questionnaire. Patients over 80 years of age at the time of the initial procedure were excluded from analysis. Treatments included ESWL using the HM3 lithotripter, ureteroscopy, or percutaneous nephrostolithotomy. Frequencies of disease states were tabulated. The t test was used to compare the prevalence of hypertension and diabetes across treatment groups. RESULTS: 90 patients responded to the survey with a mean follow up time of 20 years. 4 patients declined to participate. 14 were deceased. Of these 14 patients, in 4 cases family members completed the survey on the deceased patient’s behalf. 19% of patients were female. 65 patients were treated with ESWL and 12 were treated with either PNL or URS. Prevalence of hypertension and diabetes is
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