Loading…
Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country
To compare the management of large ureteric stones (>10 mm) with ureterorenoscopy (URS) and laser or pneumatic lithotripsy, and their associated costs. Our prospective study followed the tenets of the Declaration of Helsinki and included 101 patients with large mid-ureteric stones eligible for UR...
Saved in:
Published in: | Arab Journal of Urology 2020-07, Vol.18 (3), p.181-186 |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c468t-1f35fc7698337f1ac84d4951ec45a935ed549a71dd0b7cc8863292132b4caf363 |
---|---|
cites | |
container_end_page | 186 |
container_issue | 3 |
container_start_page | 181 |
container_title | Arab Journal of Urology |
container_volume | 18 |
creator | Nour, Hani H. Kamel, Ahmed I. Elmansy, Hazem Badawy, Mohamad H. Shabana, Waleed Abdelwahab, Ayman Elbaz, Ahmed Eleithy, Tarek Rushdy, Mamdouh |
description | To compare the management of large ureteric stones (>10 mm) with ureterorenoscopy (URS) and laser or pneumatic lithotripsy, and their associated costs.
Our prospective study followed the tenets of the Declaration of Helsinki and included 101 patients with large mid-ureteric stones eligible for URS and lithotripsy, and was conducted between January 2018 and August 2019. Patients were randomly divided into two groups: Group 1 had laser lithotripsy, while the Group 2 had lithotripsy using a pneumatic energy source.
Operative time was significantly longer in cases using pneumatic lithotripsy (P |
doi_str_mv | 10.1080/2090598X.2020.1749800 |
format | article |
fullrecord | <record><control><sourceid>pubmedcentral_infor</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7473316</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>pubmedcentral_primary_oai_pubmedcentral_nih_gov_7473316</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-1f35fc7698337f1ac84d4951ec45a935ed549a71dd0b7cc8863292132b4caf363</originalsourceid><addsrcrecordid>eNpVkd1KJDEQhcPissqsjyDkBXpMOunuZC8WZfAPBL1wwbuQyY8G0kmTpEfmJXzmTTMKelXFOVVfQR0AzjBaY8TQeYs46jh7XreordJAOUPoBzhZ9GYxjr70x-A0Z7dFlA4EIdb_AseEoJbTlp-A98dg5lEWp-AuQy-zSdC78hpLclPeQxsTHJ1u5mSKSXUqlxhM_gM33gWnpIcyaKhiLtBYa1RxO1P9DJPJsy8ZRgslnFLM08GEFVy3XKiyNjvj4-TCSyXMoaT9b_DTSp_N6UddgX_XV0-b2-b-4eZuc3nfKNqz0mBLOquGnjNCBoulYlRT3mGjaCc56YzuKJcD1hptB6UY60nLW0zaLVXSkp6swN8Dd5q3o9HK1OPSiym5Uaa9iNKJ705wr-Il7sRQn0jwArg4AFyoLxrlW0xeiyL3PiabZFAuC4KRWOISn3GJJS7xERf5D0BMjIk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country</title><source>Taylor & Francis Open Access</source><source>PubMed Central</source><creator>Nour, Hani H. ; Kamel, Ahmed I. ; Elmansy, Hazem ; Badawy, Mohamad H. ; Shabana, Waleed ; Abdelwahab, Ayman ; Elbaz, Ahmed ; Eleithy, Tarek ; Rushdy, Mamdouh</creator><creatorcontrib>Nour, Hani H. ; Kamel, Ahmed I. ; Elmansy, Hazem ; Badawy, Mohamad H. ; Shabana, Waleed ; Abdelwahab, Ayman ; Elbaz, Ahmed ; Eleithy, Tarek ; Rushdy, Mamdouh</creatorcontrib><description>To compare the management of large ureteric stones (>10 mm) with ureterorenoscopy (URS) and laser or pneumatic lithotripsy, and their associated costs.
Our prospective study followed the tenets of the Declaration of Helsinki and included 101 patients with large mid-ureteric stones eligible for URS and lithotripsy, and was conducted between January 2018 and August 2019. Patients were randomly divided into two groups: Group 1 had laser lithotripsy, while the Group 2 had lithotripsy using a pneumatic energy source.
Operative time was significantly longer in cases using pneumatic lithotripsy (P < 0.001). The stone-free rate (SFR) on the first postoperative day was 94% and 92.5% for laser and pneumatic lithotripsy respectively, and there were no statistically significant differences in terms of early (day 1) or late (day 30) SFRs between the groups. Complications were classified according to the Clavien-Dindo Grading System, all complications were Grade <III, with no statistically significant difference between the groups (P = 0.742). The use of pneumatic lithotripsy had lower treatment costs. The number of auxiliary procedures required to reach a stone-free status was statistically equivalent in both groups.
The type of lithotripsy did not affect the SFR or complications. However, laser lithotripsy was much more expensive than pneumatic lithotripsy.
KUB: plain abdominal radiograph of the kidneys, ureters and bladder; SFR: stone-free rate; SWL: shockwave lithotripsy; URS: Ureterorenoscopy; US: ultrasonography</description><identifier>ISSN: 2090-598X</identifier><identifier>EISSN: 2090-598X</identifier><identifier>EISSN: 2090-5998</identifier><identifier>DOI: 10.1080/2090598X.2020.1749800</identifier><identifier>PMID: 33029429</identifier><language>eng</language><publisher>Taylor & Francis</publisher><subject>costs ; laser ; pneumatic ; stone ; Stones/Endourology ; Ureter</subject><ispartof>Arab Journal of Urology, 2020-07, Vol.18 (3), p.181-186</ispartof><rights>2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2020</rights><rights>2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2020 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-1f35fc7698337f1ac84d4951ec45a935ed549a71dd0b7cc8863292132b4caf363</citedby><orcidid>0000-0002-2593-2723</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473316/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473316/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Nour, Hani H.</creatorcontrib><creatorcontrib>Kamel, Ahmed I.</creatorcontrib><creatorcontrib>Elmansy, Hazem</creatorcontrib><creatorcontrib>Badawy, Mohamad H.</creatorcontrib><creatorcontrib>Shabana, Waleed</creatorcontrib><creatorcontrib>Abdelwahab, Ayman</creatorcontrib><creatorcontrib>Elbaz, Ahmed</creatorcontrib><creatorcontrib>Eleithy, Tarek</creatorcontrib><creatorcontrib>Rushdy, Mamdouh</creatorcontrib><title>Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country</title><title>Arab Journal of Urology</title><description>To compare the management of large ureteric stones (>10 mm) with ureterorenoscopy (URS) and laser or pneumatic lithotripsy, and their associated costs.
Our prospective study followed the tenets of the Declaration of Helsinki and included 101 patients with large mid-ureteric stones eligible for URS and lithotripsy, and was conducted between January 2018 and August 2019. Patients were randomly divided into two groups: Group 1 had laser lithotripsy, while the Group 2 had lithotripsy using a pneumatic energy source.
Operative time was significantly longer in cases using pneumatic lithotripsy (P < 0.001). The stone-free rate (SFR) on the first postoperative day was 94% and 92.5% for laser and pneumatic lithotripsy respectively, and there were no statistically significant differences in terms of early (day 1) or late (day 30) SFRs between the groups. Complications were classified according to the Clavien-Dindo Grading System, all complications were Grade <III, with no statistically significant difference between the groups (P = 0.742). The use of pneumatic lithotripsy had lower treatment costs. The number of auxiliary procedures required to reach a stone-free status was statistically equivalent in both groups.
The type of lithotripsy did not affect the SFR or complications. However, laser lithotripsy was much more expensive than pneumatic lithotripsy.
KUB: plain abdominal radiograph of the kidneys, ureters and bladder; SFR: stone-free rate; SWL: shockwave lithotripsy; URS: Ureterorenoscopy; US: ultrasonography</description><subject>costs</subject><subject>laser</subject><subject>pneumatic</subject><subject>stone</subject><subject>Stones/Endourology</subject><subject>Ureter</subject><issn>2090-598X</issn><issn>2090-598X</issn><issn>2090-5998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><recordid>eNpVkd1KJDEQhcPissqsjyDkBXpMOunuZC8WZfAPBL1wwbuQyY8G0kmTpEfmJXzmTTMKelXFOVVfQR0AzjBaY8TQeYs46jh7XreordJAOUPoBzhZ9GYxjr70x-A0Z7dFlA4EIdb_AseEoJbTlp-A98dg5lEWp-AuQy-zSdC78hpLclPeQxsTHJ1u5mSKSXUqlxhM_gM33gWnpIcyaKhiLtBYa1RxO1P9DJPJsy8ZRgslnFLM08GEFVy3XKiyNjvj4-TCSyXMoaT9b_DTSp_N6UddgX_XV0-b2-b-4eZuc3nfKNqz0mBLOquGnjNCBoulYlRT3mGjaCc56YzuKJcD1hptB6UY60nLW0zaLVXSkp6swN8Dd5q3o9HK1OPSiym5Uaa9iNKJ705wr-Il7sRQn0jwArg4AFyoLxrlW0xeiyL3PiabZFAuC4KRWOISn3GJJS7xERf5D0BMjIk</recordid><startdate>20200702</startdate><enddate>20200702</enddate><creator>Nour, Hani H.</creator><creator>Kamel, Ahmed I.</creator><creator>Elmansy, Hazem</creator><creator>Badawy, Mohamad H.</creator><creator>Shabana, Waleed</creator><creator>Abdelwahab, Ayman</creator><creator>Elbaz, Ahmed</creator><creator>Eleithy, Tarek</creator><creator>Rushdy, Mamdouh</creator><general>Taylor & Francis</general><scope>0YH</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2593-2723</orcidid></search><sort><creationdate>20200702</creationdate><title>Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country</title><author>Nour, Hani H. ; Kamel, Ahmed I. ; Elmansy, Hazem ; Badawy, Mohamad H. ; Shabana, Waleed ; Abdelwahab, Ayman ; Elbaz, Ahmed ; Eleithy, Tarek ; Rushdy, Mamdouh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-1f35fc7698337f1ac84d4951ec45a935ed549a71dd0b7cc8863292132b4caf363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>costs</topic><topic>laser</topic><topic>pneumatic</topic><topic>stone</topic><topic>Stones/Endourology</topic><topic>Ureter</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nour, Hani H.</creatorcontrib><creatorcontrib>Kamel, Ahmed I.</creatorcontrib><creatorcontrib>Elmansy, Hazem</creatorcontrib><creatorcontrib>Badawy, Mohamad H.</creatorcontrib><creatorcontrib>Shabana, Waleed</creatorcontrib><creatorcontrib>Abdelwahab, Ayman</creatorcontrib><creatorcontrib>Elbaz, Ahmed</creatorcontrib><creatorcontrib>Eleithy, Tarek</creatorcontrib><creatorcontrib>Rushdy, Mamdouh</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Arab Journal of Urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nour, Hani H.</au><au>Kamel, Ahmed I.</au><au>Elmansy, Hazem</au><au>Badawy, Mohamad H.</au><au>Shabana, Waleed</au><au>Abdelwahab, Ayman</au><au>Elbaz, Ahmed</au><au>Eleithy, Tarek</au><au>Rushdy, Mamdouh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country</atitle><jtitle>Arab Journal of Urology</jtitle><date>2020-07-02</date><risdate>2020</risdate><volume>18</volume><issue>3</issue><spage>181</spage><epage>186</epage><pages>181-186</pages><issn>2090-598X</issn><eissn>2090-598X</eissn><eissn>2090-5998</eissn><abstract>To compare the management of large ureteric stones (>10 mm) with ureterorenoscopy (URS) and laser or pneumatic lithotripsy, and their associated costs.
Our prospective study followed the tenets of the Declaration of Helsinki and included 101 patients with large mid-ureteric stones eligible for URS and lithotripsy, and was conducted between January 2018 and August 2019. Patients were randomly divided into two groups: Group 1 had laser lithotripsy, while the Group 2 had lithotripsy using a pneumatic energy source.
Operative time was significantly longer in cases using pneumatic lithotripsy (P < 0.001). The stone-free rate (SFR) on the first postoperative day was 94% and 92.5% for laser and pneumatic lithotripsy respectively, and there were no statistically significant differences in terms of early (day 1) or late (day 30) SFRs between the groups. Complications were classified according to the Clavien-Dindo Grading System, all complications were Grade <III, with no statistically significant difference between the groups (P = 0.742). The use of pneumatic lithotripsy had lower treatment costs. The number of auxiliary procedures required to reach a stone-free status was statistically equivalent in both groups.
The type of lithotripsy did not affect the SFR or complications. However, laser lithotripsy was much more expensive than pneumatic lithotripsy.
KUB: plain abdominal radiograph of the kidneys, ureters and bladder; SFR: stone-free rate; SWL: shockwave lithotripsy; URS: Ureterorenoscopy; US: ultrasonography</abstract><pub>Taylor & Francis</pub><pmid>33029429</pmid><doi>10.1080/2090598X.2020.1749800</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2593-2723</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2090-598X |
ispartof | Arab Journal of Urology, 2020-07, Vol.18 (3), p.181-186 |
issn | 2090-598X 2090-598X 2090-5998 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7473316 |
source | Taylor & Francis Open Access; PubMed Central |
subjects | costs laser pneumatic stone Stones/Endourology Ureter |
title | Pneumatic vs laser lithotripsy for mid-ureteric stones: Clinical and cost effectiveness results of a prospective trial in a developing country |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T09%3A03%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmedcentral_infor&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pneumatic%20vs%20laser%20lithotripsy%20for%20mid-ureteric%20stones:%20Clinical%20and%20cost%20effectiveness%20results%20of%20a%20prospective%20trial%20in%20a%20developing%20country&rft.jtitle=Arab%20Journal%20of%20Urology&rft.au=Nour,%20Hani%20H.&rft.date=2020-07-02&rft.volume=18&rft.issue=3&rft.spage=181&rft.epage=186&rft.pages=181-186&rft.issn=2090-598X&rft.eissn=2090-598X&rft_id=info:doi/10.1080/2090598X.2020.1749800&rft_dat=%3Cpubmedcentral_infor%3Epubmedcentral_primary_oai_pubmedcentral_nih_gov_7473316%3C/pubmedcentral_infor%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c468t-1f35fc7698337f1ac84d4951ec45a935ed549a71dd0b7cc8863292132b4caf363%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/33029429&rfr_iscdi=true |