Journal List > Korean J Urol > v.49(3) > 1005075

Choi, Kim, Kim, Sohn, Kim, and Cho: Effectiveness of Emergency Ureterorenoscopic Lithotripsy for Distal Ureter Stones

Abstract

Purpose

We performed this study to determine the efficacy between the use of emergency ureterorenoscopic lithotripsy (URSL) and emergency shock wave lithotripsy (SWL) for distal ureter stones in terms of stone-free rates, complication rates and patient satisfaction.

Materials and Methods

This prospective study included 145 patients with distal ureter stones who underwent emergency URSL (URSL group, n=64) and emergency SWL (SWL group, n=81). All emergency URSL and SWL procedures were performed within eight hours of admission. Stone status was evaluated with either an intravenous pyelogram or the use of non-enhanced CT. URSL was performed with 7.5 Fr semirigid ureterorenosope and SWL was performed with Sonolith PRACTIS V.5.0(EDAP TECHNOMED). The stone-free rates, complication rates, visual analogue pain scale and patient satisfaction scores were analyzed for each group of patients.

Results

The overall stone-free rates of the URSL and SWL group of patients at two weeks were 96.8% and 74%, respectively (p=0.001). Complication rates were similar (28.1% versus 27.1%, p=0.897). The patient satisfaction score was statistically significant in favor of patients that underwent emergency URSL.

Conclusions

In our single-center study, treatment with emergency URSL provided higher stone-free rates and superior patient satisfaction, as compared with treatment with emergency SWL. Emergency URSL was considered as attractive modality for the management of distal ureter stones.

REFERENCES

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Fig. 1.
Evaluation of patient satisfaction. ∗: p-value<0.05. Scores for treatment results, cost and willingness were significantly lower in the emergency ureterorenoscopic lithotripsy (URSL) group than in the emergency shock wave lithotripsy (SWL) group of patients.
kju-49-257f1.tif
Table 1.
Questionnaire about patient satisfaction
0 0.5 1 2 3 4
1. Voiding symptom No A little Severe Revisit
2. Pain No A little Severe Revisit
3. Time to normal activity 0-1 day 1-3 days 3-5 days 5-7 days >7 days
4. Satisfaction for results of treatment Very satisfactory Satisfactory Average Disappointing Very disappointing
5. Satisfaction for cost of treatment Very satisfactory Satisfactory Average Disappointing Very disappointing
6. Wilingness to repeat treatment Yes No
Table 2.
Characteristics of the patients
Emergency URSL Emergency SWL
No. of patients 64 81
Mean age (years) 48.5 (19-72) 49.6 (23-75)
Sex ratio (Male:Female) 0.94:1 (31:33) 1.31:1 (46:35)
Stone site (Left:Right) 1.3:1 (36:27, bilat.:1) 0.76:1 (35:46)
Mean stone size (mm) 7.3 (4.1-21.1) 7.5 (4.3-22)

URSL: ureterorenoscopic lithotripsy, SWL: shock wave lithotripsy

Table 3.
Complications of emergency URSL and emergency SWL
Emergency URSL Emergency SWL p-value
Gross hematuria (>24 hrs) 6 9
Colic pain (>24 hrs) 6 8
UTI 3 3
Stricture 0 0
Ureter injury 2 0
Emergency URSL 0 2
Open ureterolithotomy 1 0
Total 18/64 (28.1%) 22/81 (27.1%) 0.897

URSL: ureterorenoscopic lithotripsy, SWL: shock wave lithotripsy, UTI: urinary tract infection

Table 4.
Patient satisfaction and changes of the visual analogue pain scale (VAPS)
Emergency URSL Emergency SWL p-value
Patient satisfaction 4.05 5.11 0.0007
VAPS
   Before procedure 8.6 8.3 0.0963
   2 hours after procedure 5.4 4.1 0.0001
   24 hours after procudure 1.9 1.7 0.1483

URSL: ureterorenoscopic lithotripsy, SWL: shock wave lithotripsy

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