TITLE:
Efficacy of Extracorporeal Shock Wave Lithotripsy (ESWL) versus Pneumatic Ureteroscopic Lithotripsy (URSL) for Lower Ureteral Stones Therapy in Asia: A Meta-Analysis
AUTHORS:
Tao Li, Shengjun Fu, Xing Ming, Li Yang, Ji Cheng, Zhiping Wang
KEYWORDS:
Efficacy of Extracorporeal Shock Wave Lithotripsy; Pneumatic Ureteroscopic Lithotripsy; Distal Ureteral Stones; ESWL; URSL
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.5 No.1,
January
7,
2014
ABSTRACT: Objective: To assess
the efficacy and safety of extracorporeal shock wave lithotripsy or pneumatic
ureteroscopic lithotripsy for lower ureteral stones therapy, we sought to
identify and summarize randomized controlled trials that were used to treat
distal ureteral stone. Methods:
Eligible studies were identified from electronic databases. Database search,
quality assessment, and data extraction were performed by two reviewers
independently. Our primary outcome was the stone-free
rate. Secondary outcomes were the fragmentation rate, complications and the
rate of re-treatment and secondary procedures. The results were assessed by
Review Manager 5.0. Publication bias was evaluated by Stata 11.0. Results: 13 trials were included. Meta-analysis of pooled data showed that
pneumatic ureteroscopic lithotripsy demonstrated a significant advantage over extracorporeal shock
wave lithotripsy (OR = 0.14, 95% CI
[0.09, 0.23], P P = 0.0002);
and the rate of re-treatment and secondary procedure was lower in
pneumatic ureteroscopic lithotripsy
than in extracorporeal shock wave lithotripsy (OR = 5.37, 95% CI [2.61, 11.07], P