ArticleInternational urology and nephrology2020
Early ureteroscopic lithotripsy in acute renal colic caused by ureteral calculi.
Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Timing of definitive stone management in acute obstructive urolithiasis: does early intervention improve outcomes? A meta-analysis.World journal of urology · 2026Pooled it
- Efficacy of emergency extracorporeal shock wave lithotripsy in the treatment of ureteral stones: a meta-analysis.BMC urology · 2023Pooled it
- Efficacy of sexual stimulation in the treatment of distal ureteral stones: A meta-analysis.Heliyon · 2024Article
- The initial experience of 4.5/6.5 Fr ureteroscopic laser lithotripsy under topical intraurethral anesthesia supplemented by preoperative and intraoperative medications.International urology and nephrology · 2023Article
- Is conservative management safe in patients with acute ureterolithiasis and perirenal stranding?Urolithiasis · 2023Article
- Complementary Ureterorenoscopy after extracorporeal Shock Wave Lithotripsy in proximal ureteral stones: success and complications.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Determining whether previous SWL for ureteric stones influences the results of ureteroscopy as the second-line treatment: A clinical study.Experimental and therapeutic medicine · 2022Article
- Clinician training level impacts prescribing practices for the conservative management of acute renal colic: a contemporary update.International urology and nephrology · 2021Article
- Gender and side distribution of urinary calculi using ultrasound imaging.Journal of family medicine and primary care · 2020Article
- Incidence of urinary infections and urosepsis after ureteroscopy for stone disease: a systematic review of literature.Therapeutic advances in urologyReview
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed at comparing the success and complications of early semirigid ureteroscopy (URS) and elective URS in ureteral calculi with renal colic that do not respond to analgesics.
methodsWe retrospectively analyzed the data of 690 patients with obstructive ureteral stones who underwent URS with stone retrieval. 247 patients who underwent early URS within the first 12 h were classified as group I and 443 patients who underwent elective URS as group II. Both groups were compared in terms of age, sex, creatinine, eGFR, stone size, laterality, location and number of stones, type of lithotriptor, presence of hydronephrosis and success and complication rates.
resultsThe mean age of the patients was 50.4 (18-89 years) (p > 0.05). There was no statistically significant difference between the groups in terms of age, eGFR, side, presence of hydronephrosis, fever, mucosal damage, stone migration, perforated ureter, ureteral avulsion, ureteral stent insertion at the end of the surgery and sepsis (p > 0.05). Both groups had male dominance (p > 0.05). Creatinine was significantly lower in Group I (p < 0.05). The mean stone size was also significantly lower in Group I (p < 0.05). Middle and proximal ureteral calculi were more common in Group II (p < 0.05). Multiple stones were higher in Group II (p < 0.05). The dominant type of lithotriptor used was pneumatic in Group I and laser in Group II (p < 0.05). Stone-free rates (SFRs) were higher in Group I (98% vs 90% in the first month) (p < 0.05). Postoperative hematuria and infection were more common in Group II (p < 0.05).
conclusionsIn selected cases, early ureteroscopy is an effective and safe method for distal ureteral calculi smaller than 10 mm that are painful and resistant to analgesic treatment.
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