Related Experiment Videos
[Distal ureteral lithiasis. ESWL versus ambulatory URS]
J L Miján Ortiz1, F Gutiérrez Tejero, F López Carmona
1Servicio de Urología, Hospital Universitario San Cecilio, C/Dr. Oloriz, 16 18012 Granada, España.
Archivos Espanoles De Urologia
|January 16, 2002
Summary
Extracorporeal shock wave lithotripsy (ESWL) and ureteroscopy (URS) are effective for distal ureteral stones. URS is recommended for specific cases like impacted or large stones, especially in female patients.
Area of Science:
- Urology
- Endourology
- Nephrolithiasis Management
Context:
- Distal ureteral stones present a common clinical challenge.
- Evaluating treatment outcomes for a large cohort is crucial for evidence-based practice.
Purpose:
- To analyze the efficacy and outcomes of extracorporeal shock wave lithotripsy (ESWL) and ureteroscopy (URS) for treating distal ureteral stones.
- To compare the success rates and retreatment needs of ESWL and URS.
Summary:
- A 10-year study of 1802 distal ureteral stones treated with ESWL or URS.
- Elective ESWL achieved a 93% resolution rate, comparable to URS as a primary treatment.
- URS demonstrated high success (98%) for ESWL failures, with a low retreatment rate for ESWL (1.3).
Impact:
- Provides comparative data on ESWL and URS for distal ureteral stones.
- Supports the use of outpatient ureteroscopy with sedation for specific patient profiles and stone characteristics.
- Informs clinical decision-making for optimizing treatment strategies in urolithiasis.