| Shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: a prospective study. | |
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MedLine Citation:
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PMID: 16446978 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We performed a prospective, non-randomised study to determine the appropriate first-line treatment modality for distal ureteral stones. Between 2003 and 2004, a total of 124 patients with distal ureteral calculi were entered into the study (mean age 48 years, 35 women and 99 men). Sixty-two patients were treated with shock wave lithotripsy (SWL) and 62 patients with ureteroscopy (URS). The average stone size was 6.9 mm (3-33 mm) for SWL and 7.2 mm (3-30 mm) for URS. The treatment decision depended on the patients' preference and clinical parameters (i.e. contraindications for anaesthesia). URS was performed under general anaesthesia, using semirigid 8 Fr instruments. SWL was performed under analgo-sedation using a Modulith SLX. Of patients treated with SWL, 84% had a treatment success within 7 days, 98% after URS. These results show a significant success (P=0.005) in favour of URS. The average in-patient stay after SWL was 3 days and for URS 4 days (not significant). The results show a high efficacy and a low complication rate for both modalities. The attained stone-free rate shows a significant advantage for primary URS. |
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Authors:
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P Honeck; A Häcker; P Alken; M S Michel; T Knoll |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article Date: 2006-01-31 |
Journal Detail:
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Title: Urological research Volume: 34 ISSN: 0300-5623 ISO Abbreviation: Urol. Res. Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-05-17 Completed Date: 2006-11-13 Revised Date: 2006-12-18 |
Medline Journal Info:
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Nlm Unique ID: 0364311 Medline TA: Urol Res Country: Germany |
Other Details:
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Languages: eng Pagination: 190-2 Citation Subset: IM |
Affiliation:
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Department of Urology, Mannheim University Hospital, Theodor-Kutzer-Ufer 1-3, 68135, Mannheim, Germany. Patrick.honeck@uro.ma.uni-heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Lithotripsy* Male Middle Aged Prospective Studies Ureteral Calculi / therapy* Ureteroscopy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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