In Situ Extracorporeal Shock Wave Lithotripsy v Ureteroscopy The Case for Ureteroscopy
The issue at hand is the appropriate use of ureteroscopy for the treatment of ureteral calculi and the advantages to the patient of this modality, when compared to in situ extracorporeal shock wave lithotripsy (ESWL†) The discussion will be divided into two segments: upper ureteral calculi (defined as those above the level of the pelvic bones and below the level of the ureteropelvic junction); and lower ureteral calculi (which include calculi from the iliac crest to the ureterovesical junction). The primary considerations in the management of the patient with a ureteral calculus are: the successful removal of the calculus, the number of procedures required to accomplish removal, the efficiency of removal or the time required to achieve a stone-free state, the availability of the treatment, and (of increasing importance) the cost of treatment.
KeywordsShock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ureteral Stone Ureteral Calculus Laser Lithotripsy
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