MP62-13 COMPARISON OF PATIENT SATISFACTION FOR TREATMENT EFFICACY AND ASSOCIATED FACTORS BETWEEN SWL AND URS FOR URINARY STONE: ANALYSIS FROM PATIENTS' VIEW

Abstract

You have accessJournal of UrologyStone Disease: Shock Wave Lithotripsy1 Apr 2017MP62-13 COMPARISON OF PATIENT SATISFACTION FOR TREATMENT EFFICACY AND ASSOCIATED FACTORS BETWEEN SWL AND URS FOR URINARY STONE: ANALYSIS FROM PATIENTS' VIEW Yoshikazu Sato, Musashi Tobe, Kosuke Uchida, Kazunori Haga, Ichiya Honma, Keigo Akagashi, Toshikazu Nitta, Hisao Nakajima, and Tatsuo Hanzawa Yoshikazu SatoYoshikazu Sato More articles by this author , Musashi TobeMusashi Tobe More articles by this author , Kosuke UchidaKosuke Uchida More articles by this author , Kazunori HagaKazunori Haga More articles by this author , Ichiya HonmaIchiya Honma More articles by this author , Keigo AkagashiKeigo Akagashi More articles by this author , Toshikazu NittaToshikazu Nitta More articles by this author , Hisao NakajimaHisao Nakajima More articles by this author , and Tatsuo HanzawaTatsuo Hanzawa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1944AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Goals of this study were to compare satisfaction for treatment efficacy and associated factors in treatment for upper urinary stone with shock wave lithotripsy (SWL) and ureteroscopic surgery (URS) and to clarify significant factors for desirable treatment from patients view. METHODS In current study, 294 consecutive patients who underwent SWL (n=194) or URS (n=71) and both surgical procedures (n=29) for upper urinary stone in one treatment period were enrolled. We evaluated satisfaction for treatment outcomes and significant factors for desirable treatment used a self-administered ad-hock questionnaire. Satisfaction for treatment were analyzed in five domains (overall satisfaction, pain during treatment and after treatment, voiding symptom, and overall difficulty) using a visual analog scale. RESULTS There is no significant differences in age and sex distribution between the SWL and URS group (a mean age of 50.7years, range 21-76). There were no significant difference in overall satisfaction values between both groups. However, other objective outcomes from patients' view (pain during treatment and after treatment, voiding symptom, and overall difficulty) were significantly better in the SWL group compared to those in the URS group. The patients considered many factors to decide for counseling treatment options, such as efficacy of treatment, cost, safety, hospitalization, kind of anesthesia, pain associated with treatment. Rate of patients who selected SWL as a next desirable treatment in the SWL group, the URS group and both treatment group were 61.5, 81.0, and 93.5%, respectively. CONCLUSIONS Overall satisfaction were not significantly different between SWL and URS. However, pain and convenience associated treatment around operative period are better in SWL than TUL. The patients considered many factors to decide for counseling treatment options in addition to treatment efficacy. Consequently, significantly higher percentage of patients selected SWL treatment as a desirable treatment option. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e832 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Yoshikazu Sato More articles by this author Musashi Tobe More articles by this author Kosuke Uchida More articles by this author Kazunori Haga More articles by this author Ichiya Honma More articles by this author Keigo Akagashi More articles by this author Toshikazu Nitta More articles by this author Hisao Nakajima More articles by this author Tatsuo Hanzawa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...