Outcomes of 10-20 mm Renal Stones: Shock Wave Lithotripsy versus Flexible Ureteroscopy.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

Urologia Internationalis Pub Date : 2025-03-07 DOI:10.1159/000545108

Erhan Erdoğan, Ahmet Fatih Kanberoğlu, Alper Aşık, Göksu Sarıca, Kemal Sarıca

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引用次数: 0

Abstract

Introduction: The aim of this study was to compare the efficacy and safety of shock wave lithotripsy (SWL) and flexible ureteroscopy (fURS) in treating unilateral moderate-sized (10-20 mm) kidney stones, with a focus on changes in quality of life (QoL).

Methods: This study included 112 patients with unilateral radiopaque kidney stones. Patients were divided into two groups: SWL (n = 64) and fURS (n = 48). Treatment outcomes, including QoL changes, were evaluated comparatively between the groups.

Results: Both groups were similar in terms of age, gender, stone size, and density. Short-term (4-week) stone-free rates (SFRs) were higher in the fURS group (79.17% vs. 51.56%, p = 0.003). However, at 3 months, there was no significant difference in SFRs (89.8% vs. 85.2%, p = 0.098). Pain levels, assessed using the Visual Analog Scale, showed no difference 1-h post-procedure (p = 0.338), but SWL had lower pain scores at 4 h (p = 0.002). QoL, assessed with the SF-36 questionnaire, indicated an advantage for SWL in energy/fatigue parameters (p = 0.017), with no significant differences in other domains. SWL was particularly beneficial for energy levels and emotional well-being.

Conclusions: SWL's noninvasive nature, reduced pain levels, and advantages in specific QoL parameters make it an effective treatment option for medium-sized kidney stones. While fURS offers better short-term stone clearance, SWL demonstrates comparable long-term efficacy with added QoL benefits.

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10- 20mm肾结石的预后：SWL vs输尿管软镜。

前言：比较冲击波碎石术（SWL）和输尿管镜术（fURS）治疗单侧中等大小（10- 20mm）肾结石的疗效和安全性，重点观察患者生活质量（QoL）的变化。方法：本研究纳入112例单侧不透光肾结石患者。患者分为两组：SWL （n=64）和fURS （n=48）。比较两组治疗结果，包括生活质量变化。结果：两组在年龄、性别、结石大小和密度方面相似。fURS组短期（4周）无结石率较高（79.17% vs. 51.56%, p=0.003）。然而，在3个月时，结石清除率无显著差异（89.8% vs. 85.2%, p=0.098）。使用视觉模拟量表（VAS）评估疼痛水平，术后1小时无差异（p=0.338），但SWL在4小时疼痛评分较低（p=0.002）。用SF-36问卷评估的生活质量表明，SWL在能量/疲劳参数方面具有优势（p=0.017），在其他领域没有显著差异。SWL对能量水平和情绪健康特别有益。结论：SWL的无创性、减轻疼痛程度以及在特定生活质量参数上的优势使其成为治疗中等肾结石的有效选择。虽然fURS提供了更好的短期结石清除，但SWL显示出相当的长期疗效，并增加了生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Internationalis 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.