Abstract：
PURPOSE:To compare the efficacy of ureteroscopy and extracorporeal shock wave lithotripsy (ESWL) in treating distal ureteral calculi and evaluate the best treatment alternative for this disease. MATERIAL AND METHODS:A total of 104 patients with distal ureteral calculi requiring surgical intervention were enrolled and observed in a prospective follow-up. For ESWL, a Modulix SLX Storz lithotriptor was used and for ureteroscopy, a Storz 33 cm semi-rigid ureteroscope with a diameter of 7,5 to 9,5 french and a 6-degree optic. Out of the patient total, 54 patients underwent ESWL and 50 underwent ureteroscopy. 62 patients were men and 42 women; mean age in the ESWL group was 49.72, and in the ureteroscopy group, 52,16. Mean calculus size for ESWL was 8.29 mm and 8,96 mm for ureteroscopy. A P< .05 was considered statistically significant. RESULTS:Mean procedure time for ESWL was 55 minutes in men and 45 minutes in women. For ureteroscopy, procedure time was 80 minutes for men and 55 minutes for women. For ESWL, the mean hospital stay was 4.8 hours (same-day discharge for all patients). Mean hospital stay for ureteroscopy patients was 22 hours. 7% of ESWL patients experienced complications compared with 7.9% of those undergoing ureteroscopy. At the 30-day follow up, 74.3% of ESWL patients were stone free, while 92,3% of the ureteroscopy patients were stone free (P< .05). CONCLUSIONS:Based on the results of this study, ureteroscopy is a better method for treating distal ureteral calculi because of its stone free rates and because the difference in complication rates was not significant.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Marchant F,Storme O,Osorio F,Benavides J,Palma C,Ossandón Edoi
10.1016/s0210-4806(09)72874-8subject
Has Abstractpub_date
2009-09-01 00:00:00pages
869-72issue
8eissn
0210-4806issn
1699-7980pii
13142629journal_volume
33pub_type
临床试验,杂志文章abstract：:One of the various therapeutic options currently used in erectile dysfunction (ED), vacuum is a procedure that should not be ruled out as it can benefit certain types of patient. To understand each patient's response and usage readiness, a vacuum test is routinely performed by the andrology service as part of the diag...
journal_title：Actas urologicas espanolas
pub_type： 临床试验,杂志文章
doi：10.1016/s0210-4806(00)72437-5
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abstract：:We describe a case of urothelial carcinoma of renal pelvis in a 48 years old woman affected of autosomal dominant polycystic kidney disease (ADPKD). We discuss the difficulty of the radiological diagnostic and we revise the incidence of renal tumors in this entity. Association between urothelial carcinoma and ADPKD is...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
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abstract：:Primary tumors of extragonadal origin are rare, with fewer than 1000 cases described in the literature. Although the exact incidence of EGTs is unknown, clinical data suggest that roughly 3% to 5% of all germ cell tumors. We expose a case report of EGT with unusually clinic presentation. We present our diagnostic and ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
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abstract：:Urethral duplication is a rare congenital anomaly affecting mainly males and being usually diagnosed during paedriatric age. We report a 20 year old male complaining of double urethral meatus with double urinary stream. Physical examination confirmed and additional hypospadic meatus below a normally placed urethral me...
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pub_type： 杂志文章
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,随机对照试验
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更新日期：2018-04-01 00:00:00
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.07.021
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,随机对照试验
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
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更新日期：2008-05-01 00:00:00
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pub_type： 杂志文章
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2015.01.005
更新日期：2015-09-01 00:00:00
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
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journal_title：Actas urologicas espanolas
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journal_title：Actas urologicas espanolas
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journal_title：Actas urologicas espanolas
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