A Multicenter, Randomized, Controlled Trial of Transureteral and Shock Wave Lithotripsy—Which is the Best Minimally Invasive Modality to Treat Distal Ureteral Calculi in Children?

Basiri, Abbas; Zare, Samad; Tabibi, Ali; Sharifiaghdas, Farzaneh; Aminsharifi, Alireza; Mousavi-Bahar, Seyed Habibollah; Ahmadnia, Hassan

doi:10.1016/j.juro.2010.05.021

Cited by 20 publications

(15 citation statements)

References 25 publications

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“…The available methods include medical expulsive therapy, SWL, ureterolithotripsy using semirigid or flexible tools and pneumatic or laser lithotriptor, PAU, laparoscopic ureterolithotomy, and open surgery [7]. Current literature data suggest variable success rates [7, 8]. The aim of treatment should be to provide freedom of stones as soon and as safely as possible and with the least invasive procedure possible.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Antegrade Percutaneous and Laparoscopic Approaches in the Treatment of Proximal Ureteral Stones

Topaloğlu

Karakoyunlu

Sarı

et al. 2014

BioMed Research International

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Purpose. To compare the effectiveness and safety of retroperitoneal laparoscopic ureterolithotomy (RLU) and percutaneous antegrade ureteroscopy (PAU) in which we use semirigid ureteroscopy in the treatment of proximal ureteral stones. Methods. Fifty-eight patients with large, impacted stones who had a history of failed shock wave lithotripsy (SWL) and, retrograde ureterorenoscopy (URS) were included in the study between April 2007 and April 2014. Thirty-seven PAU and twenty-one RLU procedures were applied. Stone-free rates, operation times, duration of hospital stay, and follow-up duration were analyzed. Results. Overall stone-free rate was 100% for both groups. There was no significant difference between both groups with respect to postoperative duration of hospital stay and urinary leakage of more than 2 days. PAU group had a greater amount of blood loss (mean hemoglobin drops for PAU group and RLU group were 1.6 ± 1.1 g/dL versus 0.5 ± 0.3 g/dL, resp.; P = 0.022). RLU group had longer operation time (for PAU group and RLU group 80.1 ± 44.6 min versus 102.1 ± 45.5 min, resp.; P = 0.039). Conclusions. Both PAU and RLU appear to be comparable in the treatment of proximal ureteral stones when the history is notable for a failed retrograde approach or SWL. The decision should be based on surgical expertise and availability of surgical equipment.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Antegrade Percutaneous and Laparoscopic Approaches in the Treatment of Proximal Ureteral Stones

Topaloğlu

Karakoyunlu

Sarı

et al. 2014

BioMed Research International

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“…SFR was remarkably higher in the transurethral lithotripsy group than in the SWL group (respectively P < 0.004 and P < 0.001) and need to repeat the treatment in SWL was higher than transurethral lithotripsy (TUL) (P < 0.004). 33 In a case report, Hosseini et al in 2011 presented a patient with a solid stony mass which was in the perineum after Two-Stage Urethroplasty. They concluded that Ho: YAG laser is a minimally invasive modality which is suitable for management of urethral stones in such cases.…”

Section: Treatment Of Urolithiasis With Lasermentioning

confidence: 99%

Laser Application in Iran Urology: A Narrative Review

Razzaghi

Ghiasy

et al. 2017

J Lasers Med Sci

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The usage of laser in medicine is not recent, and its history in urology goes back to 40 years ago. For the last 2 decades, common uses of laser have been treatments of subjects with urolithiasis, bladder tumors, benign prostatic enlargement, le sions of the genitalia and urinary tract strictures. To evaluate laser application in urology in Iran, we reviewed all of the Iranian literature on the topic. This study was designed to retrieve all studies on laser application in urology in Iran, regardless of publication status or language, covering years 1990-2017. Twentysix articles were identified: 12 about urolithiasis, 8 about benign prostatic hyperplasia (BPH), 2 case reports, 1 paper about prostate cancer, 1 on female urethral stricture, 1 review and 1 basic sciences study. We conclude that the use of this technology has not yet found its position in Iran, especially in the field of urology. The main causes for it are the difficult accessibility and disturb of laser devices and its accessories, as well as the lack of adequate knowledge of the medical community about this modality.

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“…However, effi cacy rates were higher in the ureteroscopy group. Two patients sustained ureteral perforation during ureteroscopy, other complications in both groups were minor [ 33 ]. In our opinion, the small size of urethra und ureter in young children favors SWL as primary treatment in children with ureteral stones.…”

Section: Ureteric Stones In Childrenmentioning

confidence: 66%