MP23-07 IMPACT OF PATIENT QUALITY OF LIFE BETWEEN SHOCK WAVE LITHOTRIPSY AND URETEROSCOPY FOR LESS THAN 10MM DISTAL URETERAL STONE IN RANDOMIZED CONTROL TRIAL; MULTI-CENTRAL INSTITUTIONAL STUDY

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP23-07 IMPACT OF PATIENT QUALITY OF LIFE BETWEEN SHOCK WAVE LITHOTRIPSY AND URETEROSCOPY FOR LESS THAN 10MM DISTAL URETERAL STONE IN RANDOMIZED CONTROL TRIAL; MULTI-CENTRAL INSTITUTIONAL STUDY Takaaki Inoue, Satoshi Imai, Fukashi Yamamichi, Junya Furukawa, and Masato Fujisawa Takaaki InoueTakaaki Inoue More articles by this author , Satoshi ImaiSatoshi Imai More articles by this author , Fukashi YamamichiFukashi Yamamichi More articles by this author , Junya FurukawaJunya Furukawa More articles by this author , and Masato FujisawaMasato Fujisawa More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003248.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: European Association of Urology - Guideline recommends the shock wave lithotripsy (SWL) and ureteroscopy (URS) as same level for treatment of less than 10 mm distal ureteral stone. Although URS has greater SFR up to four weeks, there is not significantly different between both types of procedures at three months. However, there are few evidence of patient’s quality of life (QOL) in active stone management of distal ureteral stone. Therefore, we aim to evaluate the impact of patient’s QOL between SWL and URS for less than 10mm distal ureteral stone. METHODS: We prospectively randomized 50 patients who have a single distal ureteral stone in less than 10mm between June 2016 and September 2021. Every patient after the failure of conservative management for 2-4 weeks were allocated into SWL or URS. We evaluated the patient’s QOL using Short Form (SF)-36 at pre-operation, post-operative 1-day, 1-month, 3-months, and 6-months as primary endpoint. And then, we evaluated the pain-scale, IPSS, surgical outcome, and post-operative complications as secondary endpoint. RESULTS: Although operation time in SWL was significantly longer than URS (mean 90 min vs 47 min, respectively), Pain scale, IPSS, SFR at 2 weeks and 3 months, number of treatment times, duration of hospitalization and post-operative complications were not significantly different. On each item of patient’s QOL in SF-36, Physical Functioning (PF), Role Physical (RP), Vitality (VT), Role Emotional (RE), and Mental Health (MH) on post-operative first day in URS were significantly lower than in SWL (Figure). Totally, although there was not significantly different on Mental Component Summary (MCS), URS was lower than SWL on pre-operative day and post-operative first day on Physical Component Summary (PCS). However, PCS became equivalent level at 2 weeks, 1-month, 3-months, and 6-months, postoperatively. CONCLUSIONS: Although operation time in URS was faster for less than 10 mm distal ureteral stone, patient’s QOL on PCS in URS was significantly lower than in SWL on post-operative 1-day. However, the patient’s QOL in URS got better 2 weeks later. Source of Funding: No © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e308 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Takaaki Inoue More articles by this author Satoshi Imai More articles by this author Fukashi Yamamichi More articles by this author Junya Furukawa More articles by this author Masato Fujisawa More articles by this author Expand All Advertisement PDF downloadLoading ...