Evidence map›Paper›PMID 42667356›Full record

ArticleWorld journal of urology2026

Does ultrasound-guided ESWL improve stone-free rates for distal ureteral stones? A multicentric analysis.

Giulio Rossin, Federico Zorzi, Andrea Piasentin, Arianna Biasatti, Luca Braulin, Alberto Quarà, Stefano Moretto, Paolo Umari, Steeve Doizi, Michele Rizzo and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Giulio RossinDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy. giulio.rossin@asugi.sanita.fvg.it.ORCID http://orcid.org/0009-0000-9823-3774
Federico ZorziService d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0009-0000-5593-5995
Andrea PiasentinDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0000-0001-6678-669X
Arianna BiasattiDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0009-0007-9647-7506
Luca BraulinDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0009-0002-3310-9929
Alberto QuaràService d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0000-0003-1160-278X
Stefano MorettoService d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0000-0003-3418-5202
Paolo UmariDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0000-0001-7025-1559
Steeve DoiziService d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0000-0002-7700-5622
Michele RizzoDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0000-0001-5074-2043
Olivier TraxerService d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0000-0002-2459-3803
Stefano BucciDepartment of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0000-0002-6613-0081
Frederic Panthier *Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.ORCID http://orcid.org/0000-0003-3055-2984
Giovanni Liguori *Department of Urology, University of Trieste, Strada di Fiume 447, Trieste, 34149, Italy.ORCID http://orcid.org/0000-0003-2431-5296

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeShock wave lithotripsy (SWL) remains the main alternative to endoscopic surgery for distal ureteral stones. This study evaluated whether ultrasound (US)-guided SWL improves stone-free rates (SFR) compared with radiographic (RX) targeting.

methodsWe conducted a multicenter retrospective analysis of patients undergoing SWL for distal ureteral stones. Two cohorts were compared according to targeting modality (US-guided vs. RX-guided). Baseline characteristics, stone parameters, and procedural details were collected. SFR was assessed via US or CT scan at first follow-up and at 3 months. Multivariable logistic regression identified predictors of SFR.

resultsA total of 151 patients were included (77 US-guided, 74 RX-guided). Baseline demographic and stone characteristics were comparable between groups. US-guided SWL achieved significantly higher SFRs at first follow-up (76.7% vs. 44.6%, p < 0.001) and at 3 months (83.1% vs. 56.8%, p < 0.001). Stone size was the only independent predictor of SFR for both cohorts (US-group: OR 1.400 [95% CI 1.177-1.995], p = 0.011; RX-group: OR 1.487 [95% CI 1.434-2.227], p = 0.024). BMI and stone density were not associated with SFR. No severe complications occurred in either group.

conclusionUS-guided SWL for distal ureteral stones was associated with a higher SFR than RX-guided targeting. Stone size was the only independent predictor of treatment success. Further prospective studies are needed to validate these findings.

Indexed as

LithotripsyUltrasonography, InterventionalUreteral CalculiFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeRadiographyShockwave lithotripsyStone-free rateUltrasoundUreteral calculi

Identifiers

PMID42667356

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.