Impact of previously failed extracorporeal shock wave lithotripsy on ureterorenoscopy outcomes in upper urinary tract stones: a prospective comparative study.
World J Urol
; 42(1): 392, 2024 Jul 10.
Article
em En
| MEDLINE
| ID: mdl-38985346
ABSTRACT
OBJECTIVE:
We sought to prospectively evaluate the impact of previously failed SWL on subsequent URS outcomes in the treatment of upper urinary tract stones. MATERIALS ANDMETHODS:
Between May 2021 and May 2023, one hundred thirty-six patients with proximal ureteral stones < 1.5 cm and renal stones < 2.5 cm who were candidates for URS were prospectively assigned to a non-SWL group, which included patients without a history of failed SWL before URS, and a post-SWL group, which included patients with a history of failed SWL before URS. The success rate was the primary outcome. The perioperative data of the two groups were compared.RESULTS:
The stone-free rate was 83.3% in the post-SWL group versus 81.3% in the non-SWL group, and 8.3% in the post-SWL group versus 9.4% in the non-SWL group had clinically insignificant residual fragments. There was no significant difference in the stone-free rate or success rate between the groups. No significant differences in intraoperative fluoroscopy time, operative time, intraoperative stone appearance, perioperative complications, or the presence of embedded fragments in the ureteral mucosa were detected between the two groups.CONCLUSION:
Compared with patients who underwent primary URS, patients who underwent salvage URS for upper urinary tract stones had similar stone-free rates, success rates, operative times, fluoroscopy times, and complication rates without any significant differences.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Litotripsia
/
Cálculos Renais
/
Cálculos Ureterais
/
Falha de Tratamento
/
Ureteroscopia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Egito