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Cost and Efficacy of Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy in the Treatment of Lower Ureteral Calculi

1992; Lippincott Williams & Wilkins; Volume: 148; Issue: 3 Part 2 Linguagem: Inglês

10.1016/s0022-5347(17)36829-5

1527-3792

Deepak Kapoor, John E. Leech, Wen T. Yap, John F. Rose, Ronald L. Kabler, Joseph J. Mowad,

Ureteral procedures and complications

No AccessJournal of Urology1 Sep 1992Cost and Efficacy of Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy in the Treatment of Lower Ureteral Calculi Deepak A. Kapoor, John E. Leech, Wen T. Yap, John F. Rose, Ronald Kabler, and Joseph J. Mowad Deepak A. KapoorDeepak A. Kapoor , John E. LeechJohn E. Leech , Wen T. YapWen T. Yap , John F. RoseJohn F. Rose , Ronald KablerRonald Kabler , and Joseph J. MowadJoseph J. Mowad View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36829-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We retrospectively reviewed the extracorporeal shock wave lithotripsy (ESWL†) and ureteroscopy experience relative to cost and efficacy of a group of practitioners skilled in the use of both procedures for the treatment of lower ureteral stones. Although the initial success rate was higher with ureteroscopy, no significant difference could be found in final success or complication rates. The cost of ESWL was approximately 60% higher than that for ureteroscopy (mean $7,320.26 versus $4,568.47, p <0.005). Given the current restraints on resources, and the equal efficacy and morbidity of both procedures, ureteroscopy must be considered the procedure of choice in the management of lower ureteral stones. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byBowen D, Song L, Faerber J, Kim J, Scales C and Tasian G (2020) Re-Treatment after Ureteroscopy and Shock Wave Lithotripsy: A Population Based Comparative Effectiveness StudyJournal of Urology, VOL. 203, NO. 6, (1156-1162), Online publication date: 1-Jun-2020.WU C, SHEE J, LIN W, LIN C and CHEN C (2018) COMPARISON BETWEEN EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND SEMIRIGID URETERORENOSCOPE WITH HOLMIUM: YAG LASER LITHOTRIPSY FOR TREATING LARGE PROXIMAL URETERAL STONESJournal of Urology, VOL. 172, NO. 5, (1899-1902), Online publication date: 1-Nov-2004.Lotan Y, Gettman M, Roehrborn C, Cadeddu J and Pearle M (2018) Management Of Ureteral Calculi: A Cost Comparison And Decision Making AnalysisJournal of Urology, VOL. 167, NO. 4, (1621-1629), Online publication date: 1-Apr-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.HOLLENBECK B, SPENCER S and FAERBER G (2018) USE OF A WORKING CHANNEL CATHETER DURING FLEXIBLE URETEROSCOPIC LASER LITHOTRIPSYJournal of Urology, VOL. 163, NO. 6, (1808-1809), Online publication date: 1-Jun-2000.HOLLOWELL C, PATEL R, BALES G and GERBER G (2018) INTERNET AND POSTAL SURVEY OF ENDOUROLOGIC PRACTICE PATTERNS AMONG AMERICAN UROLOGISTSJournal of Urology, VOL. 163, NO. 6, (1779-1782), Online publication date: 1-Jun-2000.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.Singal R, Razvi H and Denstedt J (2018) SECONDARY URETEROSCOPY: RESULTS AND MANAGEMENT STRATEGY AT A REFERRAL CENTERJournal of Urology, VOL. 159, NO. 1, (52-55), Online publication date: 1-Jan-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.Ehreth J, Drach G, Arnett M, Barnett R, Govan D, Lingeman J, Loening S, Newman D, Tudor J and Saada S (2018) Extracorporeal Shock Wave Lithotripsy: Multicenter Study of Kidney and Upper Ureter Versus Middle and Lower Ureter TreatmentsJournal of Urology, VOL. 152, NO. 5 Part 1, (1379-1385), Online publication date: 1-Nov-1994.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.Thomas R, Macaluso J, Vandenberg T and Salvatore F (2018) An Innovative Approach to Management of Lower Third Ureteral CalculiJournal of Urology, VOL. 149, NO. 6, (1427-1430), Online publication date: 1-Jun-1993. Volume 148 Issue 3 Part 2 September 1992 Page: 1095-1096 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordsureteral calculilithotripsycost effectivenessMetrics Author Information Deepak A. Kapoor Current address: Department of Urologie Surgery, University of Minnesota Hospital and Clinic, Box 394, Mayo Memorial Bldg., 420 E. Delaware St., S. E., Minneapolis, Minnesota 55455. More articles by this author John E. Leech More articles by this author Wen T. Yap More articles by this author John F. Rose More articles by this author Ronald Kabler More articles by this author Joseph J. Mowad More articles by this author Expand All Advertisement PDF downloadLoading ...