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Comparison of ESWL and ureteroscopic holmium laser lithotripsy in management of ureteral stones.
PLoS One. 2014; 9(2):e87634.Plos

Abstract

BACKGROUND

There are many options for urologists to treat ureteral stones that range from 8 mm to 15 mm, including ESWL and ureteroscopic holmium laser lithotripsy. While both ESWL and ureteroscopy are effective and minimally invasive procedures, there is still controversy over which one is more suitable for ureteral stones.

OBJECTIVE

To perform a retrospective study to compare the efficiency, safety and complications using ESWL vs. ureteroscopic holmium laser lithotripsy in management of ureteral stones.

METHODS

Between October 2010 and October 2012, 160 patients who underwent ESWL or ureteroscopic holmium laser lithotripsy at Suzhou municipal hospital for a single radiopaque ureteral stone (the size 8-15 mm) were evaluated. All patients were followed up with ultrasonography for six months. Stone clearance rate, costs and complications were compared.

RESULTS

Similarity in stone clearance rate and treatment time between the two procedures; overall procedural time, analgesia requirement and total cost were significantly different. Renal colic and gross hematuria were more frequent with ESWL while voiding symptoms were more frequent with ureteroscopy. Both procedures used for ureteral stones ranging from 8 to 15 mm were safe and minimally invasive.

CONCLUSION

ESWL remains first line therapy for proximal ureteral stones while ureteroscopic holmium laser lithotripsy costs more. To determining which one is preferable depends on not only stone characteristics but also patient acceptance and cost-effectiveness ratio.

Authors+Show Affiliations

Department of Urology, Suzhou Municipal Hospital, Suzhou, China.Department of Urology, Suzhou Municipal Hospital, Suzhou, China.Department of Urology, Suzhou Municipal Hospital, Suzhou, China.Department of Urology, Suzhou Municipal Hospital, Suzhou, China.Center for Cancer Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America.Wake Forest Institute for Regenerative Medicine, Wake Forest University Health Sciences, Winston-Salem, North Carolina, United States of America.Department of Urology, Suzhou Municipal Hospital, Suzhou, China.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24498344

Citation

Cui, Yon, et al. "Comparison of ESWL and Ureteroscopic Holmium Laser Lithotripsy in Management of Ureteral Stones." PloS One, vol. 9, no. 2, 2014, pp. e87634.
Cui Y, Cao W, Shen H, et al. Comparison of ESWL and ureteroscopic holmium laser lithotripsy in management of ureteral stones. PLoS One. 2014;9(2):e87634.
Cui, Y., Cao, W., Shen, H., Xie, J., Adams, T. S., Zhang, Y., & Shao, Q. (2014). Comparison of ESWL and ureteroscopic holmium laser lithotripsy in management of ureteral stones. PloS One, 9(2), e87634. https://doi.org/10.1371/journal.pone.0087634
Cui Y, et al. Comparison of ESWL and Ureteroscopic Holmium Laser Lithotripsy in Management of Ureteral Stones. PLoS One. 2014;9(2):e87634. PubMed PMID: 24498344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of ESWL and ureteroscopic holmium laser lithotripsy in management of ureteral stones. AU - Cui,Yon, AU - Cao,Wenzhou, AU - Shen,Hua, AU - Xie,Jianjun, AU - Adams,Tamara S, AU - Zhang,Yuanyuan, AU - Shao,Qiang, Y1 - 2014/02/03/ PY - 2013/08/25/received PY - 2013/12/29/accepted PY - 2014/2/6/entrez PY - 2014/2/6/pubmed PY - 2014/12/15/medline SP - e87634 EP - e87634 JF - PloS one JO - PLoS One VL - 9 IS - 2 N2 - BACKGROUND: There are many options for urologists to treat ureteral stones that range from 8 mm to 15 mm, including ESWL and ureteroscopic holmium laser lithotripsy. While both ESWL and ureteroscopy are effective and minimally invasive procedures, there is still controversy over which one is more suitable for ureteral stones. OBJECTIVE: To perform a retrospective study to compare the efficiency, safety and complications using ESWL vs. ureteroscopic holmium laser lithotripsy in management of ureteral stones. METHODS: Between October 2010 and October 2012, 160 patients who underwent ESWL or ureteroscopic holmium laser lithotripsy at Suzhou municipal hospital for a single radiopaque ureteral stone (the size 8-15 mm) were evaluated. All patients were followed up with ultrasonography for six months. Stone clearance rate, costs and complications were compared. RESULTS: Similarity in stone clearance rate and treatment time between the two procedures; overall procedural time, analgesia requirement and total cost were significantly different. Renal colic and gross hematuria were more frequent with ESWL while voiding symptoms were more frequent with ureteroscopy. Both procedures used for ureteral stones ranging from 8 to 15 mm were safe and minimally invasive. CONCLUSION: ESWL remains first line therapy for proximal ureteral stones while ureteroscopic holmium laser lithotripsy costs more. To determining which one is preferable depends on not only stone characteristics but also patient acceptance and cost-effectiveness ratio. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/24498344/Comparison_of_ESWL_and_ureteroscopic_holmium_laser_lithotripsy_in_management_of_ureteral_stones_ L2 - https://dx.plos.org/10.1371/journal.pone.0087634 DB - PRIME DP - Unbound Medicine ER -