Document Detail

Shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: a prospective study.
MedLine Citation:
PMID:  16446978     Owner:  NLM     Status:  MEDLINE    
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.
P Honeck; A Häcker; P Alken; M S Michel; T Knoll
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article     Date:  2006-01-31
Journal Detail:
Title:  Urological research     Volume:  34     ISSN:  0300-5623     ISO Abbreviation:  Urol. Res.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-17     Completed Date:  2006-11-13     Revised Date:  2006-12-18    
Medline Journal Info:
Nlm Unique ID:  0364311     Medline TA:  Urol Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  190-2     Citation Subset:  IM    
Department of Urology, Mannheim University Hospital, Theodor-Kutzer-Ufer 1-3, 68135, Mannheim, Germany.
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MeSH Terms
Middle Aged
Prospective Studies
Ureteral Calculi / therapy*

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