Document Detail

Extracorporeal shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: a prospective randomized study.
MedLine Citation:
PMID:  10569535     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We performed a prospective randomized study to determine appropriate first line treatment for distal ureteral stones. MATERIAL AND METHODS: Between January 1996 and October 1997, 80 patients with distal ureteral stones (40 smaller than 5 mm. and 40 larger than 5 mm.) were randomized and treated with extracorporeal shock wave lithotripsy or ureteroscopy with a 9.5 or 6.5F semirigid ureteroscope. RESULTS: Ureteroscopy was significantly better in terms of operative time, fluoroscopy time and time to achieve a stone-free state. The smaller the stones, the greater the difference between the 2 treatment modalities. CONCLUSIONS: For distal ureteral stones we recommend ureteroscopy as first line treatment.
R Peschel; G Janetschek; G Bartsch
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of urology     Volume:  162     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-06     Completed Date:  2000-01-06     Revised Date:  2010-02-12    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1909-12     Citation Subset:  AIM; IM    
Department of Urology, University of Innsbruck, Austria.
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MeSH Terms
Middle Aged
Prospective Studies
Ureteral Calculi / pathology,  therapy*
Ureteroscopy / methods*
Comment In:
J Urol. 1999 Dec;162(6):1920-1   [PMID:  10569537 ]

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