Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Renal and ureteral stones constitute a significant urological challenge with multiple treatment modalities available. This study compares the efficacy and safety of Shockwave Lithotripsy (SWL) and Ureteroscopy (URS), two predominant treatments for renal and ureteral stones. A retrospective study was conducted with a total sample size of 140 patients, equally divided between those undergoing SWL and URS at a tertiary care hospital. Efficacy was primarily assessed through stone‐free rates post‐treatment at one and three months, while safety was evaluated by comparing complication rates. Patient‐reported outcomes were measured to assess satisfaction and quality of life improvements. URS demonstrated significantly higher stone‐free rates at one month (92.9% vs. 64.3%, P<0.001) and three months (97.1% vs. 71.4%, P<0.001) compared to SWL. Although URS showed a lower complication rate (12.9% vs. 18.6%), this difference was not statistically significant (P=0.231). Patient‐reported outcomes favored URS, with higher satisfaction (97.1% vs. 78.6%, P=0.001) and better quality of life scores (92.9% vs. 64.3%, P<0.001). Ureteroscopy is superior to Shockwave Lithotripsy in achieving stone‐free status in patients with renal and ureteral stones, with better patient satisfaction and quality of life outcomes. Despite its invasive nature, URS does not increase the risk of complications compared to SWL. These findings support the preferential use of URS for treating renal and ureteral stones, especially in cases requiring prompt and complete stone removal.
How to cite this article:
Dhirajkumar S. Hedda. Comparative Efficacy of Shockwave Lithotripsy and Ureteroscopy in Treating Renal and Ureteral Stones.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.108.112
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.108.112