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A comparison of ureteroscopy to in situ extracorporeal shock wave lithotripsy for the treatment of distal ureteral calculi.
J Urol. 1999 Jan; 161(1):45-6; discussion 46-7.JU

Abstract

PURPOSE

The optimal treatment for distal ureteral calculi remains controversial. Most urologists offer extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy for stones that require intervention. We present data from our institution on these modalities since 1990.

MATERIALS AND METHODS

We treated 187 distal ureteral calculi with ESWL (91 cases) on a Dornier HM3 or MFL 5000 lithotriptor, or with ureteroscopy (96 cases) using basket extraction with or without pulsed dye laser lithotripsy.

RESULTS

Fragmentation and stone-free rates for ESWL were 80 and 73%, respectively, with no complications. For ureteroscopy the stone-free rate was 95% with a 5.2% short-term complication rate and no long-term complications.

CONCLUSIONS

At our institution ureteroscopy is more efficacious than ESWL for the treatment of distal ureteral calculi.

Authors+Show Affiliations

Department of Urology, University of Virginia, Charlottesville, USA.No affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

10037364

Citation

Turk, T M., and A D. Jenkins. "A Comparison of Ureteroscopy to in Situ Extracorporeal Shock Wave Lithotripsy for the Treatment of Distal Ureteral Calculi." The Journal of Urology, vol. 161, no. 1, 1999, pp. 45-6; discussion 46-7.
Turk TM, Jenkins AD. A comparison of ureteroscopy to in situ extracorporeal shock wave lithotripsy for the treatment of distal ureteral calculi. J Urol. 1999;161(1):45-6; discussion 46-7.
Turk, T. M., & Jenkins, A. D. (1999). A comparison of ureteroscopy to in situ extracorporeal shock wave lithotripsy for the treatment of distal ureteral calculi. The Journal of Urology, 161(1), 45-6; discussion 46-7.
Turk TM, Jenkins AD. A Comparison of Ureteroscopy to in Situ Extracorporeal Shock Wave Lithotripsy for the Treatment of Distal Ureteral Calculi. J Urol. 1999;161(1):45-6; discussion 46-7. PubMed PMID: 10037364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of ureteroscopy to in situ extracorporeal shock wave lithotripsy for the treatment of distal ureteral calculi. AU - Turk,T M, AU - Jenkins,A D, PY - 1999/2/26/pubmed PY - 1999/2/26/medline PY - 1999/2/26/entrez SP - 45-6; discussion 46-7 JF - The Journal of urology JO - J Urol VL - 161 IS - 1 N2 - PURPOSE: The optimal treatment for distal ureteral calculi remains controversial. Most urologists offer extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy for stones that require intervention. We present data from our institution on these modalities since 1990. MATERIALS AND METHODS: We treated 187 distal ureteral calculi with ESWL (91 cases) on a Dornier HM3 or MFL 5000 lithotriptor, or with ureteroscopy (96 cases) using basket extraction with or without pulsed dye laser lithotripsy. RESULTS: Fragmentation and stone-free rates for ESWL were 80 and 73%, respectively, with no complications. For ureteroscopy the stone-free rate was 95% with a 5.2% short-term complication rate and no long-term complications. CONCLUSIONS: At our institution ureteroscopy is more efficacious than ESWL for the treatment of distal ureteral calculi. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/10037364/A_comparison_of_ureteroscopy_to_in_situ_extracorporeal_shock_wave_lithotripsy_for_the_treatment_of_distal_ureteral_calculi_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)62056-1 DB - PRIME DP - Unbound Medicine ER -