PD47-03 RELATIONSHIP BETWEEN SPONTANEOUS PASSAGE RATES OF URETERAL STONES LESS THAN 10 MM AND SERUM C-REACTIVE PROTEIN LEVEL AND NEUTROPHIL PERCENTAGE

Abstract

You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation II1 Apr 2016PD47-03 RELATIONSHIP BETWEEN SPONTANEOUS PASSAGE RATES OF URETERAL STONES LESS THAN 10 MM AND SERUM C-REACTIVE PROTEIN LEVEL AND NEUTROPHIL PERCENTAGE Maged Elsayed, Mohamed Radwan, Nader Elkhamisy, Mohamed Abo El-enen, Salah Naglah, and Magdy Sabaa Maged ElsayedMaged Elsayed More articles by this author , Mohamed RadwanMohamed Radwan More articles by this author , Nader ElkhamisyNader Elkhamisy More articles by this author , Mohamed Abo El-enenMohamed Abo El-enen More articles by this author , Salah NaglahSalah Naglah More articles by this author , and Magdy SabaaMagdy Sabaa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2691AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES conservative management of ureteral stones may fail after the patient had experienced several bouts of the severe renal colic, with the added problems of the cost and side effects of the drugs. So, an invasive treatment would have been better to start with. Therefore, we investigated the role of C- reactive protein (CRP) level and Neutrophil percentage as predictive factors of ureteral stone passage. METHODS One hundred and forteen patients treated by conservative treatment for ureteric stones, were prospectively divided into two groups according to stone size (less than 10 and less than 5 mm). According to serum C-reactive protein, patients were divided into three subgroups, with normal serum CRP levels of (0 - 4.9) mg/dL, mild elevation (5- 9.9) mg/dL, and high elevation (over 10) mg/dL. According to serum neutrophil patients were divided into two subgroups, with normal neutrophil percentages of (38-74%) and a group with higher neutrophil percentages (>74%). RESULTS Although the stone size was the major predicting factor for stone passage, the study demonstrated a significant relationship between spontaneous passage rates of ureteral stones and serum C - reactive protein levels and neutrophil percentage. This study showed that ureteral stone passage rates of the low serum CRP level group, the medium serum CRP level group, and the high serum CRP level group were 80.0% (48/60), 62.1% (18/29), and 44.0% (11/25), respectively. The passage rates of ureteral stones in the group with a normal neutrophil percentage and in the group with a higher neutrophil percentage were 50.0% (21/42) and 77.8% (56/72), respectively (p=0.011). CONCLUSIONS CRP and neutrophil percentage could be added to the diagnostic armamentarium of ureteral stone disease and could be considered as one of the factors that the urologist may rely on when recommending treatment to patients with ureteral calculi © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1171 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Maged Elsayed More articles by this author Mohamed Radwan More articles by this author Nader Elkhamisy More articles by this author Mohamed Abo El-enen More articles by this author Salah Naglah More articles by this author Magdy Sabaa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...