, Volume 46, Issue 2, pp 203–210 | Cite as

Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy

  • Shuzo Hamamoto
  • Rei Unno
  • Kazumi Taguchi
  • Taku Naiki
  • Ryosuke Ando
  • Atsushi Okada
  • Takaaki Inoue
  • Shinsuke Okada
  • Mostafa AbdelRazek
  • Kenjiro Kohri
  • Takahiro Yasui
  • On behalf of the SMART Study Group
Original Paper



To compare the longitudinal health-related quality of life (HRQoL) after surgical intervention with ureteroscopic lithotripsy (URSL) and shock wave lithotripsy (SWL) and to evaluate the factors affecting HRQoL in urolithiasis patients.


A total of 262 patients who underwent lithotripsy (SWL, n = 61; URSL, n = 201) for upper urinary tract calculi treatment between June 2012 and January 2015 were evaluated. All patients were administered the Short-Form 36-item survey (SF-36) to assess HRQoL at four timepoints: before surgery, on the day of discharge, and 1 and 6 months after lithotripsy. Stone-free rates, complications, and analgesic requirements were evaluated to compare the effects of the two procedures on HRQoL.


At the day of discharge, patients in the URSL group had significantly lower mean scores on five different subscales of the SF-36 questionnaire, namely, physical functioning, role-physical, social functioning, role-emotional, and mental health. The stone-free rate at 3 months after lithotripsy was significantly lower in the SWL group (72.1% vs. URSL, 93.0%; p < 0.001). The hospital stay was shorter in the SWL group (2.1 ± 0.07 vs. URSL, 4.1 ± 0.13 days; p < 0.001), and the analgesia requirements were also lower in the SWL group (0.3 ± 0.08 vs. URSL, 0.9 ± 0.20; p < 0.001).


The post-lithotripsy HRQoL was superior for SWL compared to URSL on the discharge date despite the lower stone-free rate of the former. The longer hospital stay and higher postoperative pain appeared to be the determinants of the lower HRQoL in the URSL group.


Health-related quality of life Ureteroscopic lithotripsy Shock wave lithotripsy The Short-Form 36-item survey Analgesia requirements 



Health-related quality of life


Ureteroscopic lithotripsy


Shock wave lithotripsy


Role component score


Physical component score


Mental component score


European Association of Urology


American Urological Association




Physical function


Role limitation because of physical health


Social function


Role limitation because of emotional problems


Mental health


Postoperative month



We would like to thank Ms. K. Ichikawa and Ms. M. Noda for secretarial assistance, including their contribution in data input and analysis.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Shuzo Hamamoto
    • 1
    • 2
  • Rei Unno
    • 1
  • Kazumi Taguchi
    • 1
  • Taku Naiki
    • 1
  • Ryosuke Ando
    • 1
  • Atsushi Okada
    • 1
  • Takaaki Inoue
    • 3
  • Shinsuke Okada
    • 4
  • Mostafa AbdelRazek
    • 1
    • 5
  • Kenjiro Kohri
    • 1
  • Takahiro Yasui
    • 1
  • On behalf of the SMART Study Group
  1. 1.Department of Nephro-urologyNagoya City University Graduate School of Medical SciencesNagoyaJapan
  2. 2.Department of UrologyToyota Kosei HospitalToyotaJapan
  3. 3.Department of UrologyKansai Medical University Medical CenterOsakaJapan
  4. 4.Department of UrologyGyotoku General HospitalChibaJapan
  5. 5.Department of UrologyQena University HospitalQenaEgypt

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