Treatment success was mainly dependent on stone size and treatment modality. URS might be the better treatment option for previously untreated kidney stones 5–20 mm, with similar morbidity but higher stone-free rates and fewer reinterventions than ESWL.
There is limited evidence to suggest that URS is less expensive than SWL. However, due to lack of standardization, studies seem to be contradictory and further randomized studies are needed to address this issue.
In this paper, the relative benefits and harms of the two most commonly offered treatment options for urinary stones located in the upper ureter were reviewed. We found that both treatments are safe and effective options that should be offered based on individual patient circumstances and preferences.
The two types of lithotripsy are extracorporeal shock wave lithotripsy (ESWL) and laser lithotripsy.
Laser lithotripsy is sometimes abbreviated as FURSL (flexible ureteroscopy and laser lithotripsy) because doctors use a tool called a ureteroscope.
The use of shock waves to pulverize kidney stones into sand-like material significantly increases the risk for diabetes and high blood pressure later in life, according to the longest follow-up study of the popular therapy.
The sound waves, directed by the surgeon on a video-game like screen, will come from many directions and travel through the jelly bag that will be against my lower back to collide at the point of the stone. Voila! No more kidney stone!
Within 120 days of the initial procedure, approximately one in five of the patients needed a second treatment. The researchers focused their comparison on patients who were equally qualified for either procedure. Among that group, 11 percent of patients undergoing shock wave lithotripsy needed a second procedure, while less than 1 percent of ureteroscopy patients needed an additional treatment.
An improved method of eliminating the agonizing pellets.
Today, common medical procedures to remove kidney stones include sending shock waves to the stone to break it up ― a procedure called lithotripsy ― or removal with a long tool. Though those procedures are still the gold standard, Wartinger suggested patients might want to talk to their doctors about riding a roller coaster as a first intervention.
Recent advances in endourology and utilization of shock wave physics in urological stone disease have changed the management of urolithiasis altogether. With the emergence of fine ureteroscopes, intracorporeal lithotripsy with ureterorenoscopy has emerged as treatment of choice for ureteric (especially mid and lower) stones.
In the treatment of stone disease, the choice between ureteroscopy and shock wave lithotripsy can be difficult and complex.
The advantage of this treatment approach is that instruments may not need to be introduced into your body (unless your stone is large, in which case a stent is usually placed at the time of surgery).
The risks of cystoscopy and ureteroscopy include
•a burning feeling or pain during urination
•injury to the urethra, bladder, or ureters...
Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®.