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Treatment Options for Ureteral Calculi: Endourology or Extracorporeal Shock Wave Lithotripsy

1991; Lippincott Williams & Wilkins; Volume: 146; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)37700-5

1527-3792

Nelson Rodrígues Netto, Joaquim F.A. Claro, Gustavo Caserta Lemos, Pedro Luis Cortado,

Pediatric Urology and Nephrology Studies

No AccessJournal of Urology1 Jul 1991Treatment Options for Ureteral Calculi: Endourology or Extracorporeal Shock Wave Lithotripsy Nelson Rodrigues Netto, Joaquim F.A. Claro, Gustavo C. Lemos, and Pedro L. Cortado Nelson Rodrigues NettoNelson Rodrigues Netto , Joaquim F.A. ClaroJoaquim F.A. Claro , Gustavo C. LemosGustavo C. Lemos , and Pedro L. CortadoPedro L. Cortado View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37700-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Two therapeutic methods, endourology and extracorporeal shock wave lithotripsy (ESWL⁎ Dornier Medical Systems, Inc., Marietta, Georgia. ), can be used in the treatment of ureteral calculi. In a retrospective analysis during a 2-year period 236 patients treated with endourological procedures and 71 who underwent ESWL with a Siemens Lithostar† Siemens Medical Systems, Inc., Iselin, New Jersey. were analyzed as to the success rate, effectiveness quotient, complication rate and hospitalization. The mean stone size was 1.12cm. in the endourology group and 1.03cm. in the ESWL group. Complete removal of all stone fragments was achieved in 93.6% of the patients treated endourologically and without retreatment. In the ESWL group success was obtained in 90.1%, with an 11.2% retreatment rate. The retreatment rate was higher (25.0%) for calculi in the mid ureter. The group treated endourologically had a better success rate and no retreatment was necessary. On the other hand, the group treated with ESWL had a shorter hospitalization and a lower complication rate. Followup ranged from 11 to 60 months (mean 48 months) in the endourology group and 7 to 29 months (mean 11 months) in the ESWL group. These observations showed that in situ ESWL therapy with the Siemens Lithostar device is the method of choice for upper ureteral stones. Lower ureteral calculi should be treated endoscopically. Mid ureteral stones larger than 1cm. had better results with endoscopic procedures and those smaller than 1cm. had better results with ESWL. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySTAV K, COOPER A, ZISMAN A, LEIBOVICI D, LINDNER A and SIEGEL Y (2018) Retrograde Intrarenal Lithotripsy Outcome After Failure of Shock Wave LithotripsyJournal of Urology, VOL. 170, NO. 6, (2198-2201), Online publication date: 1-Dec-2003.LAM J, GREENE T and GUPTA M (2018) Treatment of Proximal Ureteral Calculi: Holmium:Yag Laser Ureterolithotripsy Versus Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 167, NO. 5, (1972-1976), Online publication date: 1-May-2002.PEARLE M, NADLER R, BERCOWSKY E, CHEN C, DUNN M, FIGENSHAU R, HOENIG D, McDOUGALL E, MUTZ J, NAKADA S, SHALHAV A, SUNDARAM C, WOLF J and CLAYMAN R (2018) PROSPECTIVE RANDOMIZED TRIAL COMPARING SHOCK WAVE LITHOTRIPSY AND URETEROSCOPY FOR MANAGEMENT OF DISTAL URETERAL CALCULIJournal of Urology, VOL. 166, NO. 4, (1255-1260), Online publication date: 1-Oct-2001.PESCHEL R, JANETSCHEK G and BARTSCH G (2018) EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY VERSUS URETEROSCOPY FOR DISTAL URETERAL CALCULI: A PROSPECTIVE RANDOMIZED STUDYJournal of Urology, VOL. 162, NO. 6, (1909-1912), Online publication date: 1-Dec-1999.FABRIZIO M, BEHARI A and BAGLEY D (2018) URETEROSCOPIC MANAGEMENT OF INTRARENAL CALCULIJournal of Urology, VOL. 159, NO. 4, (1139-1143), Online publication date: 1-Apr-1998.Netto N, de Almeida Claro J, Esteves S and Andrade E (2018) Ureteroscopic Stone Removal in the Distal Ureter. Why Change?Journal of Urology, VOL. 157, NO. 6, (2081-2083), Online publication date: 1-Jun-1997.Erhard M, Salwen J and Bagley D (2018) Ureteroscopic Removal of Mid and Proximal Ureteral CalculiJournal of Urology, VOL. 155, NO. 1, (38-42), Online publication date: 1-Jan-1996.Ostendorf N and Hertle L (2018) Improved Focusing for Extracorporeal Shock Wave Lithotripsy of Ureteral CalculiJournal of Urology, VOL. 153, NO. 3, (714-715), Online publication date: 1-Mar-1995.Preminger G (2018) Editorial: Technique Versus Technology: What is the Most Appropriate Method for the Removal of Ureteral Calculi?Journal of Urology, VOL. 152, NO. 1, (66-67), Online publication date: 1-Jul-1994.Chang S, Ho C and Kuo H (2018) Ureteroscopic Treatment of Lower Ureteral Calculi in the Era of Extracorporeal Shock Wave Lithotripsy: From a Developing Country Point of ViewJournal of Urology, VOL. 150, NO. 5 Part 1, (1395-1398), Online publication date: 1-Nov-1993.Preminger G (2018) Management of Ureteral Calculi: The Debate Continues ...Journal of Urology, VOL. 148, NO. 3 Part 2, (1102-1104), Online publication date: 1-Sep-1992. Volume 146Issue 1July 1991Page: 5-7 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsextracorporeal Shockwave lithotripsylithotripsycalculiureterMetricsAuthor Information Nelson Rodrigues Netto More articles by this author Joaquim F.A. Claro More articles by this author Gustavo C. Lemos More articles by this author Pedro L. Cortado More articles by this author Expand All Advertisement PDF downloadLoading ...