Ferraro PM et al, 2018: Shock-wave lithotripsy or ureterorenoscopy for renal stones?
Ferraro PM, Pinto F, Gambaro G.
Nefrologia, Urologia, Fondazione Policlinico Universitario A. Gemelli-Università Cattolica del Sacro Cuore, Roma, Italy.
Abstract
Kidney stones are a common condition with high direct and indirect costs; to date, the optimal urological approach for some particular presentations including non-lower pole kidney stones between 10 and 20 mm of diameter is not clear. A limited number of randomized controlled trials and observational longitudinal studies suggests that ureterorenoscopy (URS) could be superior to shock-wave lithotripsy (SWL) in achieving stone-free rates in this setting; however, such reports are generally weakened by a number of limitations including small sample size and scarce control for confounding. In this issue, Fankhauser et al. [1] report the results of a large observational retrospective study on the comparative efficacy and safety of URS and SWL for the treatment of previously untreated kidney stones.
Clin Kidney J. 2018 Jun;11(3):362-363. doi: 10.1093/ckj/sfy025. Epub 2018 Apr 11.
Comments 1
This is an editorial comment to the article by Frankhauser et al [1]. The comparative efficacy and safety of URS and SWL for treatment of renal stones is emphasised.
Reference
1. Frankhauser CD et al. Extracorporeal shock wave lithotripsy versus flexible ureterorenoscopy in the treatment of 15 (?) untreated renal calculi. Clin Kidney J 2018: 1-6