Recent surgical treatments for urinary stone disease in a Korean population: National population‐based study

Abstract

Objectives To provide surgical treatment trends for urinary stone disease in Korea. Methods We analyzed medical service claim data of surgical treatments to urinary stone disease submitted by medical service providers from the Health Insurance Review and Assessment Service from 2009 to 2016. Results There was a significantly increasing trend among outpatients and inpatients for urinary stone disease from 2009 to 2016 (R2 = 0.643, P = 0.017; R2 = 0.575, P = 0.029). The number of shock wave lithotripsy for treating urinary stone disease increased by 16% from 89 553 in 2009 to 104 013 in 2016 (R2 = 0.684). The number of ureteroscopic lithotripsy increased by 97% from 6106 in 2009 to 12 057 in 2016 (R2 = 0.99). The number of flexible ureteroscopic lithotripsy increased by 16‐fold from 219 in 2009 to 3712 in 2016 (R2 = 0.756). The number of percutaneous nephrolithotomy increased by 99.7% from 919 in 2009 to 1835 in 2016 (R2 = 0.987). The use of non‐contrast and contrast‐enhanced computed tomography in the diagnostic codes for urinary stone disease increased by 394.8% and 263.3% from 2009 to 2016, respectively (R2 = 0.83; R2 = 0.967). Conversely, the use of intravenous pyelography decreased 26.2% over the same period (R2 = 0.945). Conclusions Outpatient and inpatient procedures for urinary stone disease have increased over the past 8 years in Korea. Shock wave lithotripsy is the most widely used treatment modality for urinary stone disease, and endoscopic surgical procedures are rapidly being implemented. There has been a steep increase in the use of computed tomography, whereas conventional intravenous pyelography is declining.

Large database study of urinary stone composition in South Korea: Korean Society of Endourology and Robotics (KSER) research series

“…The reason for this increase has been suggested to be the result of increased comorbidities along with lifestyle changes (Western dietary habits and a decreased level of physical activity) [ 8 ]. Also, it is believed that the number of stone analyses has increased recently due to the increase in the number of retrograde intrarenal surgeries in South Korea (the number of flexible ureteroscopic lithotripsy increased by 16-fold from 2009 to 2016) [ 26 ].…”

Recent Trends in Transurethral Surgeries and Urological Outpatient Procedures: a Nationwide Population-based Cohort Study

“…In the previous study, the use of ESWL for treating urolithiasis increased by 16% from 89,553 in 2009 to 104,013 in 2016 (B = 2,284; R 2 = 0.684; P = 0.011). 3 In recent, many urologists have chosen flexible ureterorenoscopic surgery to completely remove complex renal stones, and actively switching to ureteroscopic surgery for stones with delayed discharge even after ESWL. This is presumed to be because most urologists claim ureteral stent insertion when switching to ureteroscopic surgery due to delayed discharge of stones and severe pain after ESWL.…”

“… 1 2 We recently reported a rapid change in the recent 8 years of ureteroscopic surgery for symptomatic urolithiasis. 3 Transurethral surgery is a popular surgical method for urologists, and it is easily performed in hospital and clinic. 4 However, most recent reports of changes in the transurethral surgery have been limited to the prostate surgery.…”

One‐surgeon basketing technique for stone extraction during flexible ureteroscopy for urolithiasis: A comparison between novice and expert surgeons

“…1 The development of endoscopic technology and stone-retrieval devices has expanded the indications for minimally invasive retrograde endoscopic therapy in the management of urolithiasis. [2][3][4] The number of f-URS procedures for the treatment of urolithiasis has increased dramatically alongside ongoing improvements in laser and surgical instruments. [5][6][7] Two basic options exist for treating stones under ureteroscopy.…”

“…The incidence of urolithiasis has increased steadily in Japan, as a result of an aging population, and a shift toward a Westernized lifestyle and dietary habits 1 . The development of endoscopic technology and stone‐retrieval devices has expanded the indications for minimally invasive retrograde endoscopic therapy in the management of urolithiasis 2–4 . The number of f‐URS procedures for the treatment of urolithiasis has increased dramatically alongside ongoing improvements in laser and surgical instruments 5–7 .…”