Compare the outcome of ureteroscopic lithotripsy with ureteroscopic management after failed extracorporeal shock wave lithotripsy for ureteral calculi.
- Author:
Dong-Wen WANG
1
;
Jing-Yu WANG
;
Xiao-Ming CAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Humans; Lithotripsy; Male; Middle Aged; Retrospective Studies; Treatment Outcome; Ureteral Calculi; surgery; therapy; Ureteroscopy
- From: Chinese Journal of Surgery 2009;47(4):258-260
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the efficacy and complication of ureteroscopic lithotripsy and ureteroscopic management for ureteral calculi after failed extracorporeal shock wave lithotripsy (ESWL).
METHODSOne hundred and thirty-six cases with ureteral calculi after failed ESWL and 189 cases with ureteral calculi were treated with ureteroscopic lithotripsy (URSL). Clinical data of two groups were analyzed retrospectively.
RESULTSThe mean operating time and therapeutic time in ESWL-URSL group was longer than that in URSL group, while the rate of polypi hyperplasia and open-surgery in ESWL-URSL group was 34.6%, 5.88% versus 28.3%, 1.59% in URSL group. There is no significant statistical difference in stone-free rate between two groups.
CONCLUSIONUreteroscopic management can be preferred for the patients with disadvantage of ESWL in some condition.
