Article
Health Care Sciences & Services
Radha Sehgal, Yasmin Abu-Ghanem, Christina Fontaine, Luke Forster, Anuj Goyal, Darrell Allen, Rajesh Kucheria, Paras Singh, Gidon Ellis, Leye Ajayi
Summary: This study analyzed the cost-effectiveness of primary ureteroscopy and ureteric stenting in emergency patients with ureteric calculi. It found that while primary treatment had higher procedural costs than stenting, it resulted in significantly lower additional expenses, particularly related to fewer emergency department revisits.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Health Care Sciences & Services
Yasmin Abu-Ghanem, Christina Fontaine, Radha Sehgal, Luke Forster, Neeta Verma, Gidon Ellis, Rajesh Kucheria, Darrell Allen, Paras Singh, Anuj Goyal, Leye Ajayi
Summary: This study retrospectively analyzed the implementation of the treatment recommendations in a well-resourced tertiary center based on NICE guidelines. Results showed differences in the rate of emergency intervention, risk factors for intervention, and treatment outcomes between the emergency stenting group and the primary definitive treatment group. These differences were mainly related to the size and location of the stones, as well as resident supervision during the procedure.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Review
Multidisciplinary Sciences
Gopal Sharma, Tarun Pareek, Shantanu Tyagi, Pawan Kaundal, Anuj Kumar Yadav, Yashasvi Thummala, Sudheer Kumar Devana
Summary: Based on 13 randomized studies, laparoscopic ureterolithotomy (LUL) and percutaneous nephrolithotomy (PNL) are superior in treating large upper ureter stones, with higher stone-free rates and less need for auxiliary treatments. There were no significant differences among various techniques in terms of surgical duration, and ureteroscopy (URS) had a shorter hospital stay compared to LUL.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Mathew D. Sorensen, Jonathan D. Harper, Michael S. Borofsky, Tariq A. Hameed, Kimberly J. Smoot, Barbara H. Burke, Branda J. Levchak, James C. Williams Jr, Michael R. Bailey, Ziyue Liu, James E. Lingeman
Summary: This study found that removing small, asymptomatic kidney stones during surgery for urinary or contralateral kidney stones can reduce the risk of relapse and result in a similar number of emergency department visits related to the surgery.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Urology & Nephrology
Christopher R. Haas, Shuang Li, Margaret A. Knoedler, Kristina L. Penniston, Stephen Y. Nakada
Summary: URS utilization has significantly increased and surpassed SWL utilization from 2012 to 2019 within the Medicare population. URS was increasingly used by both the general urologist population and high-volume stone urologists while SWL utilization has begun to decline.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Computer Science, Information Systems
William Finch, William K. Gray, Louisa Hermans, Andrew Boasman, Tim W. R. Briggs, Andrew Dickinson
Summary: This study compared the recorded patient management for patients with ureteric stones in England between a clinical audit and administrative dataset, and assessed the feasibility of using administrative data for routine audit. The results showed that the two data sources were generally well matched in terms of patient numbers, age, and management, but the administrative data had fewer records of ureteroscopy.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Review
Urology & Nephrology
Romain Boissier, Oscar Rodriguez-Faba, Rhana Hassan Zakri, Vital Hevia, Klemens Budde, Arnaldo Figueiredo, Enrique Lledo Garcia, Jonathon Olsburgh, Heinz Regele, Cathy Yuhong Yuan, Alberto Breda
Summary: This study aimed to systematically review the prevalence, presentation, and characteristics of de novo nephrolithiasis in renal transplant, and to evaluate the efficacy of stone treatments through a meta-analysis. The results showed that the prevalence of de novo nephrolithiasis in renal transplant was 1.0%, and the overall stone-free rate at 3 months was 82%, with the highest success rates observed in open surgery and antegrade ureteroscopy.
EUROPEAN UROLOGY FOCUS
(2023)
Article
Urology & Nephrology
Ahmad A. Al-Dessoukey, Mohammed S. ElSheemy, Mahmoud Abdallah, Ayman S. Moussa, Osama Sayed, Rabie Abdallah, Amr M. Massoud, Mohamed H. Abdelhamid, Ahmed M. Ragheb, Waleed Ghoneima, Ahmed M. Abdelbary, Akram A. Elmarakbi
Summary: Ultraslow full-power shock wave lithotripsy has a significantly higher stone-free rate for high attenuation value upper ureteric stones, with mild complications comparable to standard shock wave lithotripsy.
INTERNATIONAL JOURNAL OF UROLOGY
(2021)
Review
Surgery
Xianyanling Yi, Dehong Cao, Pinghong You, Xingyu Xiong, Xiaonan Zheng, Tao Jin, Ge Peng, Hang Xu, Dazhou Liao, Qiang Wei, Hong Li, Lu Yang, Jianzhong Ai
Summary: Comparing the efficacy and safety of FURS and SWL in treating urolithiasis in horseshoe kidney patients, this study found that FURS had higher initial and overall stone-free rates compared to SWL. Additionally, FURS demonstrated higher stone clearance rates and lower complication rates in patients with stones less than 20mm.
FRONTIERS IN SURGERY
(2021)
Article
Urology & Nephrology
Mohammed Hegazy, Ahmed El-Assmy, Bedeir Ali-El-Dein, Khaled Z. Sheir
Summary: A comparative study showed that using the alternating bidirectional approach for shock wave lithotripsy in the first session for upper lumbar ureteric stones resulted in higher rates of stone disintegration and stone-free outcome, albeit with longer procedural duration.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Gregory E. Tasian, Mitchell G. Maltenfort, Kyle Rove, Christina B. Ching, Puneeta Ramachandra, Bob DeFoor, Nicolas Fernandez, Christopher B. Forrest, Jonathan S. Ellison
Summary: The study aimed to evaluate the impact of ureteral stents on youth undergoing stone surgery. Results showed that the placement of ureteral stents was associated with increased rates of emergency department visits and opioid prescriptions. These findings suggest that ureteral stents may not be necessary in young patients.
JOURNAL OF UROLOGY
(2023)
Article
Medicine, Research & Experimental
Catalin Pricop, Marius Ivanuta, George Daniel Radavoi, Cristian-Valentin Toma, Alin Cumpanas, Viorel Jinga, Nicolae Bacalbasa, Dragos Puia
Summary: The study aimed to determine whether shock wave lithotripsy (SWL) as a second-line treatment for ureteric stones has any harmful effects. Retrospective evaluation of medical records of 158 patients showed that SWL did not negatively affect the rate of intraoperative complications or the success rate of URS, indicating its similar safety profile to first-line endourological intervention.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2022)
Article
Medicine, General & Internal
Mehmet Oguz Sahin, Volkan Sen, Bora Irer, Sakir Ongun, Guner Yildiz
Summary: This study found that the Hounsfield unit and stone area values calculated on non-contrast computed tomography (NCCT) are effective factors in predicting the success of medical expulsive therapy (MET) for distal ureteric stones treated with silodosin. Considering these parameters may be useful in selecting appropriate treatment methods.
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
(2021)
Article
Urology & Nephrology
Sagar R. Patel, Cameron Futral, Caroline A. Miller, Rupali Bose, James Kearns, Peter E. Clark, Ornob P. Roy
Summary: Socioeconomic status has a significant impact on the choice of urolithiasis surgeries, with higher income brackets overutilizing SWL and underutilizing PCNL, and black patients more likely to undergo PCNL surgery. Private insurance payers are more likely to undergo SWL surgery.
Article
Urology & Nephrology
Khurshid R. Ghani, Oluyemi O. Olumolade, Stephanie Daignault-Newton, Adam Cole, Patrick Yang, Susan Linsell, Brian Seifman, Dave Wenzler, Casey Dauw
Summary: Based on the analysis of real-world practice data, it was found that patients who underwent ureteroscopy and stenting with a string had shorter dwell times. If the dwell time was less than 4 days, there was an increased risk of postoperative emergency department visits during stent removal. It is recommended to have a stenting duration of at least 5 days in nonpre-stented patients.
JOURNAL OF UROLOGY
(2023)