What are the Benefits and Harms of Ureteroscopy Compared with Shock-wave Lithotripsy in the Treatment of Upper Ureteral Stones? A Systematic Review

Drake, Tamsin; Grivas, Nikolaos; Dabestani, Saeed; Knoll, Thomas; Lam, Thomas; MacLennan, Steven; Petřík, Aleš; Skolarikos, Andreas; Straub, Michael; Tuerk, Christian; Yuan, Yuhong; Sarıca, Kemal

doi:10.1016/j.eururo.2017.04.016

Cited by 110 publications

(87 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The summarized flow chart for treatment algorithm is shown in Figure 4. 135,[207][208][209][210][211][212][213][214] CQ 30. How can we manage urinary stones in specific situations, such as children and pregnant women?…”

Section: Commentarymentioning

confidence: 99%

The Urological Association of Asia clinical guideline for urinary stone disease

et al. 2019

Self Cite

View full text Add to dashboard Cite

The Urological Association of Asia, consisting of 25 member associations and one affiliated member since its foundation in 1990, has planned to develop Asian guidelines for all urological fields. The field of stone diseases is the third of its guideline projects. Because of the different climates, and social, economic and ethnic environments, the clinical practice for urinary stone diseases widely varies among the Asian countries. The committee members of the Urological Association of Asia on the clinical guidelines for urinary stone disease carried out a surveillance study to better understand the diversity of the treatment strategy among different regions and subsequent systematic literature review through PubMed and MEDLINE database between 1966 and 2017. Levels of evidence and grades of recommendation for each management were decided according to the relevant strategy. Each clinical question and answer were thoroughly reviewed and discussed by all committee members and their colleagues, with suggestions from expert representatives of the American Urological Association and European Association of Urology. However, we focused on the pragmatic care of patients and our own evidence throughout Asia, which included recent surgical trends, such as miniaturized percutaneous nephrolithotomy and endoscopic combined intrarenal surgery. This guideline covers all fields of stone diseases, from etiology to recurrence prevention. Here, we present a short summary of the first version of the guideline – consisting 43 clinical questions – and overview its key practical issues.

show abstract

Section: Commentarymentioning

confidence: 99%

The Urological Association of Asia clinical guideline for urinary stone disease

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…2 The recent evidence of a nationwide survey on urolithiasis in Japan showed a drastic shift in the treatment modalities in the past 10 years. 3 Extracorporeal shock wave lithotripsy reduced from 90.9% to 60.4%, whereas percutaneous nephrolithotomy and/or ureteroscopy increased from 8.3% to 39.1%. As a principal investigator, one of the significant limitations was that the data were obtained from 301 selected hospitals.…”

mentioning

confidence: 97%

“…1 This trend might be the result of patient preference, doctor preference, availability of the equipment and accessories, evolution of flexible URS, holmium laser, training of staff, or differing SFRs. 2,3 In the present study, we carried out epidemiological studies to examine the endurological treatment trend for upper urinary urolithiasis using the national patient database, DPC Database.We carried out a national, population-based, time series study in Japan from 2008 to 2012. 4 The DPC Database is administrative healthcare databases representing approximately 55% of acute care hospitalizations throughout Japan.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Endurological treatment trend of upper urinary urolithiasis in Japan from the Japanese Diagnosis Procedure Combination Database

et al. 2019

View full text Add to dashboard Cite

“…Complete stone clearance and low therapy-associated morbidity are considered the optimal outcomes when treating urolithiasis by retrograde intrarenal surgery [1,2]. Thanks to extensive improvements in the endoscopic technology (smaller diameter, better visualisation), as well as lithotriptors and other assisting devices (guide wires, stone-capturing baskets), the role of ureteroscopy (URS) has grown dramatically in recent years and is now considered the standard therapy for stones measuring ≤2 cm in the upper urinary tract (UT) [3].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Ureteral Damage in Ureteroscopic stone Treatment: Results of the German Prospective Multicentre Benchmarks of Ureterorenoscopic Stone Treatment-Results in Terms of Complications, Quality of Life, and Stone-Free Rates Project

et al. 2018

View full text Add to dashboard Cite

Background: The Post-Ureteroscopic Lesion Scale (PULS) is a validated, standardised scale that classifies iatrogenic ureteral lesions during ureteroscopy (URS). Objective: To determine risk factors for the various PULS-grades caused by URS. Method: We prospectively investigated the independent influence of various risk factors in correlation with PULS-Grade 1+ and 2+ on 307 patients with ureterorenoscopic stone treatment from 14 German urologic departments. Results: The following are the outcomes of the study: 117 (38.4%) and 188 (61.6%) of the calculi (median stone size 6 mm) were found in the kidney or ureter; 70% and 82.4% underwent preoperative or postoperative ureteral stenting; 44.3 and 7.2% received laser or ballistic lithotripsy; 60% of the patients presented with PULS grade 1+ and 8% with PULS grade of 2+. Only intracorporal lithotripsy revealed a significant independent risk factor for PULS grade 1+ or 2+. Both laser and ballistic therapies raised the probability of PULS grade 1+ by the factors 3.6 (p < 0.001) and 3.9 (p = 0.021), respectively. The ORs in conjunction with PULS grade 2+ were 3.1 (p = 0.038) and 5.8 (p = 0.014) respectively. Neither endpoint exhibited a significant difference regarding the lithotripsic procedure (laser vs. ballistic). Conclusion: Intracorporal lithotripsy is associated with a significant increase in damage to the ureter; further research is needed to determine its long-term effects.

show abstract

What are the Benefits and Harms of Ureteroscopy Compared with Shock-wave Lithotripsy in the Treatment of Upper Ureteral Stones? A Systematic Review

Cited by 110 publications

References 61 publications

The Urological Association of Asia clinical guideline for urinary stone disease

The Urological Association of Asia clinical guideline for urinary stone disease

Endurological treatment trend of upper urinary urolithiasis in Japan from the Japanese Diagnosis Procedure Combination Database

Risk Factors for Ureteral Damage in Ureteroscopic stone Treatment: Results of the German Prospective Multicentre Benchmarks of Ureterorenoscopic Stone Treatment-Results in Terms of Complications, Quality of Life, and Stone-Free Rates Project

Contact Info

Product

Resources

About