[Compare the outcome of ureteroscopic lithotripsy with ureteroscopic management after failed extracorporeal shock wave lithotripsy for ureteral calculi].
OBJECTIVE
To compare the efficacy and complication of ureteroscopic lithotripsy and ureteroscopic management for ureteral calculi after failed extracorporeal shock wave lithotripsy (ESWL).


METHODS
One hundred and thirty-six cases with ureteral calculi after failed ESWL and 189 cases with ureteral calculi were treated with ureteroscopic lithotripsy (URSL). Clinical data of two groups were analyzed retrospectively.


RESULTS
The mean operating time and therapeutic time in ESWL-URSL group was longer than that in URSL group, while the rate of polypi hyperplasia and open-surgery in ESWL-URSL group was 34.6%, 5.88% versus 28.3%, 1.59% in URSL group. There is no significant statistical difference in stone-free rate between two groups.


CONCLUSIONS
Ureteroscopic management can be preferred for the patients with disadvantage of ESWL in some condition.
Wang
Dong-Wen
DW
Department of Urology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China. Email: urology2007@126.com.
Wang
Jing-Yu
JY
Cao
Xiao-Ming
XM
D000328:Adult; D005260:Female; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000601:surgery* / Q000628:therapy; D018666:Ureteroscopy