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• W2087565710 abstract "Background: To establish the best treatment modality in our hospitals for patients with proximal-ureteral calculi 5 to 10 mm, we compared the treatment outcome in those who underwent primary ureteroscopy (URS) with that in patients who underwent primary in-situ SWL. The primary endpoints were stone-free rates at 3 weeks and 3 months and the subjective patient experience. Patients and Methods: The study was a prospective patient-preference trial. From September 2002 to May 2005, 80 patients were included, of whom 71 could be evaluated. Thirty-three patients were treated with SWL and 38 with semirigid or flexible URS. Stone status was evaluated with excretory urography or noncontrast helical CT. The bother score of urinary-tract symptoms was recorded on a visual analog scale. Results: The stone-free rate at 3 weeks was 58% and 78% (P = 0.061) and at 3 months 88% and 89% (P = 1) for SWL and URS, respectively. The percentage of patients in need of analgesics was 30% and 49% (P = 0.118) at 3 weeks and 9% and 21% (P = 0.181) at 3 months for the SWL and the URS group, respectively. The bother score regarding dysuria, hematuria, and flank pain were statistically significant in favor of SWL. Conclusion: Ureteroscopy tends to make patients stone free faster, but SWL is preferred by most patients because there is less discomfort after treatment." @default.
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• W2087565710 date "2007-01-01" @default.
• W2087565710 modified "2023-09-25" @default.
• W2087565710 title "Extracorporeal Shockwave Lithotripsy Versus Ureteroscopy for 5- to 10-mm Stones in the Proximal Ureter: Prospective Effectiveness Patient-Preference Trial" @default.
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• W2087565710 doi "https://doi.org/10.1089/end.2006.0153" @default.
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