Comparing the safety and effectiveness of flexible ureteroscopy and extracorporeal shock wave lithotripsy for the treatment of urinary calculi: A Comprehensive Systematic Review

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Published: Oct 7, 2024
Keywords:
Flexible ureteroscopy, extracorporeal shock wave lithotripsy, urinary calculi

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Gracelya Esther Liwanto
Hikmah General Hospital, Makassar City, South Sulawesi, Indonesia
Pahala Febrianto Rumahorbo
Faculty of Medicine, North Sumatera University, Medan City, North Sumatera, Indonesia
Daniel Setiawan Nathan
Faculty of Medicine, Maranatha Christian University, Bandung City, West Java, Indonesia
Amanda Putri Halim
Dharmais Cancer Hospital, Special Region of Jakarta, Indonesia
Tamara Gratia Sianturi
Tk. II Putri Hijau Military Hospital, Medan City, North Sumatera, Indonesia

Abstract

Background: This study aims to provide comparing the safety and effectiveness of flexible ureteroscopy and extracorporeal shock wave lithotripsy for the treatment of urinary calculi. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, six publications were identified as warranting more in-depth analysis. Conclusion: f-URS can produce a greater SFR than SWL for urinary stones 1-2 cm in size, but it also requires fewer sessions, retreatments, and auxiliary procedures. Between the SWL and f-URS groups, there was no discernible difference in SFR for urinary stones smaller than 1 cm. Compared to the f-URS group, the SWL group has a shorter hospital stay and less time spent in surgery.

Article Details

Issue
Vol. 1 No. 1 (2024): The Medical Journal of Urology and General Surgery
Section
Articles