Top

World Journal of Urology

Published in:

01-12-2013 | Original Article

Shock wave lithotripsy versus ureteroscopy for ureteral calculi: a prospective assessment of patient-reported outcomes

Authors: Jinsung Park, Dong Wook Shin, Jae Hoon Chung, Seung Wook Lee

Published in: World Journal of Urology | Issue 6/2013

Abstract

Objective

To compare patient-reported outcomes (PROs) with objective outcomes after shock wave lithotripsy (SWL) and ureteroscopic surgery (URS) for ureteral calculi (UC).

Methods

We prospectively evaluated 160 consecutive patients who underwent SWL (n = 65) or URS (n = 95) for a single radiopaque UC ranging from 4 to 15 mm. For patients who underwent URS, a 6-Fr double-J stent was routinely placed for 2 weeks after surgery. To examine PRO, we used a self-administered nonvalidated questionnaire evaluating overall satisfaction and PRO in four domains (pain, hematuria, voiding symptom, and time to return to routine activity) and willingness to undergo the treatment procedure again. Propensity-score matching analysis was performed to adjust for potential confounding by discrepancy of pretreatment parameters between groups. Stone-free rates (SFRs) and complications were also compared.

Results

SFRs after the first, second, and third sessions of SWL were 61.5, 81.0, and 93.5 %, respectively. SFR after URS was 100 %, which was significantly better than SFRs for third-session SWL (p = 0.023). Complications were comparable. By propensity-score matching analysis, overall satisfaction was similar between groups, whereas PRO for voiding symptom and time to return to routine activity were significantly better in the SWL group (all p < 0.05). The two groups were not different in willingness to undergo the same procedure again.

Conclusions

Despite significantly higher SFR after URS for UC, overall patient satisfaction was comparable after SWL and URS, meanwhile PRO of the SWL group was better than URS for voiding symptom and time to return to routine activity. In addition of objective treatment outcomes, PROs should be considered in counseling treatment methods for UC.

Available only for authorised users

Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Turk C, Wolf JS Jr (2007) 2007 guideline for the management of ureteral calculi. J Urol 178:2418–2434PubMedCrossRef

Kijvikai K, Haleblian GE, Preminger GM, de la Rosette J (2007) Shock wave lithotripsy or ureteroscopy for the management of proximal ureteral calculi: an old discussion revisited. J Urol 178:1157–1163PubMedCrossRef

Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, Macaluso JN Jr (1997) Ureteral stones clinical guidelines panel summary report on the management of ureteral calculi. The American Urological Association. J Urol 158:1915–1921PubMedCrossRef

Matlaga BR (2009) Contemporary surgical management of upper urinary tract calculi. J Urol 181:2152–2156PubMedCrossRef

Stewart GD, Bariol SV, Moussa SA, Smith G, Tolley DA (2007) Matched pair analysis of ureteroscopy vs. shock wave lithotripsy for the treatment of upper ureteric calculi. Int J Clin Pract 61:784–788PubMedCrossRef

Christian C, Thorsten B (2009) The preferred treatment for upper tract stones is extracorporeal shock wave lithotripsy (ESWL) or ureteroscopic: pro ESWL. Urology 74:259–262PubMedCrossRef

Salem HK (2009) A prospective randomized study comparing shock wave lithotripsy and semirigid ureteroscopy for the management of proximal ureteral calculi. Urology 74:1216–1221PubMedCrossRef

Lam JS, Greene TD, Gupta M (2002) Treatment of proximal ureteral calculi: holmium:YAG laser ureterolithotripsy versus extracorporeal shock wave lithotripsy. J Urol 167:1972–1976PubMedCrossRef

Wu CF, Shee JJ, Lin WY, Lin CL, Chen CS (2004) Comparison between extracorporeal shock wave lithotripsy and semirigid ureterorenoscope with holmium:YAG laser lithotripsy for treating large proximal ureteral stones. J Urol 172:1899–1902PubMedCrossRef

10.

Wu CF, Chen CS, Lin WY, Shee JJ, Lin CL, Chen Y, Huang WS (2005) Therapeutic options for proximal ureter stone: extracorporeal shock wave lithotripsy versus semirigid ureterorenoscope with holmium:yttrium-aluminum-garnet laser lithotripsy. Urology 65:1075–1079PubMedCrossRef

11.

Barry MJ (2011) Helping patients make better personal health decisions: the promise of patient-centered outcomes research. JAMA 306:1258–1259PubMedCrossRef

12.

Bhagat SK, Chacko NK, Kekre NS, Gopalakrishnan G, Antonisamy B, Devasia A (2007) Is there a role for tamsulosin in shock wave lithotripsy for renal and ureteral calculi? J Urol 177:2185–2188PubMedCrossRef

13.

Zhu Y, Duijvesz D, Rovers MM, Lock TM (2010) Alpha-Blockers to assist stone clearance after extracorporeal shock wave lithotripsy: a meta-analysis. BJU Int 106:256–261PubMedCrossRef

14.

Beddingfield R, Pedro RN, Hinck B, Kreidberg C, Feia K, Monga M (2009) Alfuzosin to relieve ureteral stent discomfort: a prospective, randomized, placebo controlled study. J Urol 181:170–176PubMedCrossRef

15.

Damiano R, Autorino R, De Sio M, Giacobbe A, Palumbo IM, D’Armiento M (2008) Effect of tamsulosin in preventing ureteral stent-related morbidity: a prospective study. J Endourol 22:651–656PubMedCrossRef

16.

Park J, Hong B, Park T, Park HK (2007) Effectiveness of noncontrast computed tomography in evaluation of residual stones after percutaneous nephrolithotomy. J Endourol 21:684–687PubMedCrossRef

17.

D’Agostino RB Jr (1998) Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med 17:2265–2281PubMedCrossRef

18.

Park H, Park M, Park T (1998) Two-year experience with ureteral stones: extracorporeal shockwave lithotripsy v ureteroscopic manipulation. J Endourol 12:501–504PubMedCrossRef

19.

Parker BD, Frederick RW, Reilly TP, Lowry PS, Bird ET (2004) Efficiency and cost of treating proximal ureteral stones: shock wave lithotripsy versus ureteroscopy plus holmium:yttrium-aluminum-garnet laser. Urology 64:1102–1106 (discussion 1106)PubMedCrossRef

20.

Pollard SG, Macfarlane R (1988) Symptoms arising from Double-J ureteral stents. J Urol 139:37–38PubMed

21.

Joshi HB, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG, Barry MJ (2003) Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol 169:1065–1069 (discussion 1069)PubMedCrossRef

22.

Peschel R, Janetschek G, Bartsch G (1999) Extracorporeal shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: a prospective randomized study. J Urol 162:1909–1912PubMedCrossRef

23.

Pearle MS, Nadler R, Bercowsky E, Chen C, Dunn M, Figenshau RS, Hoenig DM, McDougall EM, Mutz J, Nakada SY, Shalhav AL, Sundaram C, Wolf JS Jr, Clayman RV (2001) Prospective randomized trial comparing shock wave lithotripsy and ureteroscopy for management of distal ureteral calculi. J Urol 166:1255–1260PubMedCrossRef

24.

Ibrahim HM, Al-Kandari AM, Shaaban HS, Elshebini YH, Shokeir AA (2008) Role of ureteral stenting after uncomplicated ureteroscopy for distal ureteral stones: a randomized, controlled trial. J Urol 180:961–965PubMedCrossRef

25.

Borboroglu PG, Amling CL, Schenkman NS, Monga M, Ward JF, Piper NY, Bishoff JT, Kane CJ (2001) Ureteral stenting after ureteroscopy for distal ureteral calculi: a multi-institutional prospective randomized controlled study assessing pain, outcomes and complications. J Urol 166:1651–1657PubMedCrossRef

Title: Shock wave lithotripsy versus ureteroscopy for ureteral calculi: a prospective assessment of patient-reported outcomes
Authors: Jinsung Park
Dong Wook Shin
Jae Hoon Chung
Seung Wook Lee
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 6/2013
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-012-0966-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Shock wave lithotripsy versus ureteroscopy for ureteral calculi: a prospective assessment of patient-reported outcomes

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2013

Hormone therapy for radiorecurrent prostate cancer

Outcomes of salvage prostate cryotherapy stratified by pre-treatment PSA: update from the COLD registry

Minimally invasive percutaneous nephrolithotomy: an alternative to retrograde intrarenal surgery and shockwave lithotripsy

Clinical features of supervoiders who suffer from lower urinary tract symptoms: a propensity score-matching study

The role of surgery for metastatic renal cell carcinoma in the era of targeted therapies

Cytoreductive nephrectomy for metastatic renal cell carcinoma in the era of targeted therapy in the United States: a SEER analysis