2009
DOI: 10.1089/lap.2008.0299
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Which Is the Best Option to Treat Large (>1.5 cm) Midureteric Calculi?

Abstract: SWL gives the least clearance for large midureteric calculi. Statistically, URS and laparoscopic ureterolithotomy give equal results; hence, URS still remains the treatment of choice for the treatment of large midureteric calculi considering the low morbidity and acceptable stone-free rate of the procedure. Though laparoscopic ureterolithotomy can be considered as a treatment option, prospective, randomized trials are needed to confirm the efficacy of one modality of treatment over the other.

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Cited by 22 publications
(20 citation statements)
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“…The most common complication is perirenal, intrarenal, or subcapsular hemorrhage caused by direct tissue damage. [20] Acute pancreatitis is an additional, although rare, complication. [21] Hemorrhage manifested as hematuria in patients in the current study.…”
Section: Discussionmentioning
confidence: 99%
“…The most common complication is perirenal, intrarenal, or subcapsular hemorrhage caused by direct tissue damage. [20] Acute pancreatitis is an additional, although rare, complication. [21] Hemorrhage manifested as hematuria in patients in the current study.…”
Section: Discussionmentioning
confidence: 99%
“…The removal of double-J catheter was on average seven weeks after the procedure, which is near the four to six weeks recommended by most authors 25,29 . Finally, the group without catheter had prolonged drainage of urine through the wound on four of 16 of the patients (25%), which were considered as early complications.…”
Section: Results Results Results Resultsmentioning
confidence: 61%
“…Other authors have reported that large calculus (> 15 mm) and especially those who are impacted for long periods are prime candidates for this technique, due to the high failure rate of other methods 23,24,25 . The operative time was 133 minutes in the global average, not statistically different between groups (a = 130 min, 2 = 136 min).…”
Section: Results Results Results Resultsmentioning
confidence: 99%
“…A power analysis based on previous studies 2,3 showed that groups with an average of 48 patients each would be required to demonstrate the outcomes with a Type I error of 0.05.…”
Section: Methodsmentioning
confidence: 99%
“…Even though some researchers recommend extracorporeal shock wave lithotripsy (SWL) as first-line treatment, 1 it has a 40% success rate in larger proximal ureteral calculi. 2 With the common use of flexible devices in urology, ureteroscopy has gained popularity in the treatment of upper ureteral stones. For stones larger than 1 cm and fully obstructing the passage in the ureter, open or laparoscopic surgery may be an option with success rates up to 100%.…”
Section: Introductionmentioning
confidence: 99%