Does laparoscopic ureterolithotomy replace shock-wave lithotripsy or ureteroscopy for ureteral stones?
Ureteral stones are a major cause of morbidity and anxiety among urologic patients. Before the 1980s, ureteral stones were managed by open ureterolithotomy. Since then, second- and third-generation shock-wave lithotriptors, small-caliber ureteroscopes, and laparoscopic procedures have evolved as options for the treatment of ureteral calculi. Each technique is highly effective when implemented for the appropriate indication. Stone size, location, composition, and surgeon's and patient's preferences each play a major role in the decision-making process. Currently, ureteroscopy and shock-wave lithotripsy are regarded by many as the first-line treatment modalities for the management of ureteral stones, and the exact role of laparoscopic ureterolithotomy remains poorly defined. The present review addresses the most recent literature, and highlights the advantages and disadvantages of each surgical option.
Rofeim
O
O
Departments of Urology, Albert Einstein College of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, USA. omidrofeim@mail.com
Yohannes
P
P
Badlani
G H
GH
D006801:Humans; D010535:Laparoscopy; D008096:Lithotripsy; D014514:Ureteral Calculi / Q000628:therapy*; D018666:Ureteroscopy