Comparing the efficacy of extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy in the treatment of proximal ureteral stones in children: A retrospective study

Author:

Bağcı Uygar1ORCID,Dinçkal Mustafa2,Tekin Ali1ORCID,Kızılay Fuat2ORCID,Nazlı Oktay2,Ulman İbrahim1

Affiliation:

1. Department of Pediatric Urology, Faculty of Medicine Ege University Izmir Turkey

2. Department of Urology, Faculty of Medicine Ege University Izmir Turkey

Abstract

ObjectivesUreteroscopic lithotripsy and extracorporeal shock wave lithotripsy methods are commonly used in the treatment of proximal ureteral stones. There are no adequate studies showing which method is more effective in children. In our study, we aimed to evaluate and compare the efficacy of two treatment methods, commonly used for proximal ureteral stones in children.MethodsA total of 78 patients who underwent ureteroscopic lithotripsy (n = 38) and extracorporeal shock wave lithotripsy (n = 40) due to stones located in the proximal ureter between 2010 and 2021 were included in the study. Demographic data, clinical characteristics, and treatment outcomes were retrospectively analyzed. Kolmogorov–Smirnov, Chi‐square, and Mann–Whitney U tests were used for statistical analysis.ResultsThere was no statistical difference between the demographic characteristics of the groups, except for the mean age values (p = 0.008). A statistically significant difference was found in favor of the extracorporeal shock wave lithotripsy group in terms of stone‐free rates after the first intervention, complication rates requiring intervention, re‐intervention rates, and the average number of anesthesia sessions per patient until stone‐free status (p = 0.043, p = 0.009, p = 0.017, and p < 0.001, respectively).ConclusionsThe results of this retrospective study suggest that extracorporeal shock wave lithotripsy is the primary treatment option for single, non‐complicated proximal ureteral stones.

Publisher

Wiley

Subject

Urology

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