Clinical comparison of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy in treating renal calculi.

Mays, Nicholas; Challah, Sabri; Patel, S.; Palfrey, E. L. H.; Creeser, Rosemary; Vadera, P.; Burney, Peter

doi:10.1136/bmj.297.6643.253

Cited by 34 publications

(13 citation statements)

References 15 publications

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“…With PCN the stone-free rate is better (89–100%) than with ESWL and is not size- or location-related [11, 16, 18, 21, 22]; however, PCN morbidity is higher than for ESWL.…”

Section: Discussionmentioning

confidence: 99%

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Single Stones of the Lower Pole of the Kidney

et al. 1998

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“…With PCN the stone-free rate is better (89–100%) than with ESWL and is not size- or location-related [11, 16, 18, 21, 22]; however, PCN morbidity is higher than for ESWL.…”

Section: Discussionmentioning

confidence: 99%

“…ESWL results are correlated to stone size. Usually, 20 mm seems to be an acceptable upper cut-off size [3, 16, 21]. Success could be obtained for larger stones but with a higher retreatment or additional procedure rate [18].…”

Section: Discussionmentioning

confidence: 99%

Single Stones of the Lower Pole of the Kidney

et al. 1998

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“…Our inability to distinguish struvite stones and the subtypes of calcium stones may have been due to real chemical overlap between stone compositions, differences in absorption among patients of different sizes, and the technologic limitations of current dual-energy CT systems. fragile and may be better treated with shock wave lithotripsy ( 12,13 ). Patients with uric acid stones may be treated medically by means of urine alkalization, with or without shock wave lithotripsy ( 14 ).…”

Section: Genitourinary Imaging: Dual-energy Ct Determination Of Renalmentioning

confidence: 99%

Determination of Renal Stone Composition with Dual-Energy CT: In Vivo Analysis and Comparison with X-ray Diffraction

Hidas

Eliahou²,

Duvdevani³

et al. 2010

Radiology

210

101

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“…A clinical comparison in the UK between 928 patients treated by ESWL or a combination of ESWL and PNL/ureteroscopy, and 195 similar patients treated by PNL alone, showed that after PNL significantly more patients were free of stones than after ESWL but their mean stay in hospital was longer (7). When the costs of the two methods were related to the number of patients free of stones after three months, ESWL was twice as expensive as PNL.…”

mentioning

confidence: 92%

Cost Effectiveness of Extracorporeal Shock Wave Lithotripsy and Percutaneous Nephrolithotomy for Medium-Sized Kidney Stones

Carlsson

Kinn

Tiselius

et al. 1992

Scandinavian Journal of Urology and Nephrology

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To evaluate percutaneous nephrolithotomy (PNL) and extracorporeal shock wave lithotripsy (ESWL) for their clinical effects, their cost effectiveness, their complication rates, and the patients' experiences, 55 consecutive patients were randomised to have one or other operation between October 1986 and October 1988. Six patients were excluded, 21 were treated with PNL and 28 with ESWL as primary treatment. Mean hospital stay and length of treatment were longer for PNL than for ESWL. Since 1 July 1987 all patients having ESWL have been treated without anaesthesia (n = 15), whereas epidural anaesthesia was used for all PNL. Slightly more of the ESWL patients experienced some pain during treatment. Minor complications or pain were more common after ESWL during the first 10 days after discharge from hospital. If patients with stone fragments of 4 mm or less were regarded as having a successful outcome, the success rates after one year were 94% for PNL and 77% for ESWL. The overall total cost was lower for ESWL than for PNL, the cost per successfully treated patient being 2172 pounds for PNL and 1810 pounds for ESWL. Medium sized kidney stones (6-30 mm, or 2-3 stones of 20 mm or less) can be efficiently and cheaply treated by both PNL and ESWL, though the cost of ESWL is lower. Even if effects other than cost (such as complications and patients' experience) are borne in mind, ESWL was superior to PNL for this group of patients.

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Clinical comparison of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy in treating renal calculi.

Cited by 34 publications

References 15 publications

Single Stones of the Lower Pole of the Kidney

Single Stones of the Lower Pole of the Kidney

Determination of Renal Stone Composition with Dual-Energy CT: In Vivo Analysis and Comparison with X-ray Diffraction

Cost Effectiveness of Extracorporeal Shock Wave Lithotripsy and Percutaneous Nephrolithotomy for Medium-Sized Kidney Stones

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