Ureteroscopic Lithoclast Lithotripsy: A Cost-Effective Option
- 1 August 1998
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 12 (4), 341-344
- https://doi.org/10.1089/end.1998.12.341
Abstract
Seventy-four consecutive cases of ureteral stones listed for ureteroscopic lithotripsy were studied prospectively. In all cases, the Wolf 7.5F or 9F ureteroscope was used in conjunction with the Swiss Lithoclast system. Dormia baskets were employed on four occasions to prevent forward propulsion of fragments. Ureteroscopic access to the stones was successful in 70 patients (95%). Lithoclast lithotripsy was successfully applied in 68 patients (92%), with complete fragmentation noted in 62 patients (91%), one requiring two sessions. The 6-week stone-free rate was 96% for these patients. Five patients with partial fragmentation had successful adjuvant SWL. The overall successful fragmentation rate was thus 84% (62 of 74) and 91% (67 of 74) in combination with adjuvant SWL. Cost analysis indicated a three-fold advantage for the Lithoclast over Candela lasertripsy. Ureteroscopic Lithoclast lithotripsy is a cost-effective treatment modality for ureteral stones.Keywords
This publication has 14 references indexed in Scilit:
- Intracorporeal Electrohydraulic Lithotripsy of Ureteral and Renal Calculi Using Small Caliber (1.9F) Electrohydraulic Lithotripsy ProbesJournal of Urology, 1996
- Ureteroscopy with Intravenous Sedation for Treatment of Distal Ureteral Calculi: A Safe and Effective Alternative to Shock Wave LithotripsyJournal of Urology, 1996
- The Lithovac: New Suction Device for the Swiss LithoclastJournal of Endourology, 1995
- Endoscopic Management of the Symptomatic Caliceal Diverticular CalculusJournal of Urology, 1995
- The case for primary endoscopic management of upper urinary tract calculi: II. Cost and outcome assessment of 112 primary ureteral calculiUrology, 1995
- Intracorporeal lithotripsy with the Swiss lithoclastBritish Journal of Urology, 1994
- Treatment of ureteric stones. Comparison of laser and pneumatic lithotripsyBritish Journal of Urology, 1994
- Minimally invasive therapy of ureteric calculiMinimally Invasive Therapy, 1992