Determining whether previous SWL for ureteric stones influences the results of ureteroscopy as the second-line treatment: A clinical study

xlomafota13 shared this article with you from Inoreader Determining whether previous SWL for ureteric stones influences the results of ureteroscopy as the second-line treatment: A clinical study Via Experimental and therapeutic medicine Exp Ther Med. 2022 Jan;23(1):38. doi: 10.3892/etm.2021.10960. Epub 2021 Nov 11. ABSTRACT The purpose of the study was to establish whether shock wave lithotripsy (SWL) is a potential harmful first-line treatment for ureteric stones where ureteroscopy (URS) is necessary as a second-line treatment. Medical records of patients with ureteric stones who underwent either URS as the only therapy applied or SWL followed by URS over two years were retrospectively evaluated. In total, 158 patients were included: 79 patients in Group A (no SWL) and 79 in Group B (prior SWL before URS). There was no difference in major complications, Group A had higher stone-free rates, Group B had higher rates of ureteral edema and similar intraoperative ureteral lesions. In conclusion, the failure of SWL for lumbar or pelvic ureteral lithiasis does not appear to have a negative effect on the rate of intraoperative complications or the success rate of semi-rigid retrograde URS for this category of calculi, with the same safety profile as first-line endourological intervention. PMID:34849153 | PMC:PMC8613534 | DOI:10.3892/etm.2021.10960 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.