MP70-16 IN PEDIATRIC PATIENTS WITH AN UPPER TRACT URINARY STONE OF LESS THAN 2 CM IN DIAMETER, DOES URETEROSCOPY COMPARED TO SHOCK WAVE LITHOTRIPSY IMPROVE THE STONE-FREE RATE? A SYSTEMATIC REVIEW AND META-ANALYSIS FROM THE EAU UROLITHIASIS PANNEL

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP70-16 IN PEDIATRIC PATIENTS WITH AN UPPER TRACT URINARY STONE OF LESS THAN 2 CM IN DIAMETER, DOES URETEROSCOPY COMPARED TO SHOCK WAVE LITHOTRIPSY IMPROVE THE STONE-FREE RATE? A SYSTEMATIC REVIEW AND META-ANALYSIS FROM THE EAU UROLITHIASIS PANNEL Robert Geraghty, Riccardo Lombardo, Lazaros Tzelves, Niall F Davis, Andreas Neisius, Ales Petřík, Giovanni Gambaro, Helene Ulrik Jung, Andreas Skolarikos, Thomas Tailly, and Bhaskar Somani Robert GeraghtyRobert Geraghty More articles by this author , Riccardo LombardoRiccardo Lombardo More articles by this author , Lazaros TzelvesLazaros Tzelves More articles by this author , Niall F DavisNiall F Davis More articles by this author , Andreas NeisiusAndreas Neisius More articles by this author , Ales PetříkAles Petřík More articles by this author , Giovanni GambaroGiovanni Gambaro More articles by this author , Helene Ulrik JungHelene Ulrik Jung More articles by this author , Andreas SkolarikosAndreas Skolarikos More articles by this author , Thomas TaillyThomas Tailly More articles by this author , and Bhaskar SomaniBhaskar Somani More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003338.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To determine which treatment between ureteroscopy (RIRS) and shockwave lithotripsy (ESWL) has a better stone free rate in paediatric patients (<18 years) with upper tract stones (<2 cm) METHODS: Using PubMed, Web of Science, and the Cochrane database, we identified studies published until August 2022 reporting surgical outcomes of paediatrics patients undergoing ULT and ESWL with renal stone < 2 cm. Protocol was registered in the PROSPERO database. Only comparative studies were considered for analysis. Stone free rate, operative time and complications were analyzed. Review manager was used for analysis. RESULTS: A total of 7 studies were included in the analysis and out of them three were randomized clinical trials. A total of 786 patients were analyzed. Mean age ranged from 6.5 to 11.5 years. The ESWL group presented a range of stone free rates between 20 and 90% while the RIRS group presented a range of stone free rates between 37 and 97%. The meta-analysis of the three randomized clinical trials favored the RIRS group over the ESWL group in terms of stone-free rate (RR: 0.84; p<0,05) (Figure). Only four studies included complication rate and rates were comparable between both groups. In terms of operative time only four studies included data and most of them favored ESWL over RIRS (Figure). Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1010 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Robert Geraghty More articles by this author Riccardo Lombardo More articles by this author Lazaros Tzelves More articles by this author Niall F Davis More articles by this author Andreas Neisius More articles by this author Ales Petřík More articles by this author Giovanni Gambaro More articles by this author Helene Ulrik Jung More articles by this author Andreas Skolarikos More articles by this author Thomas Tailly More articles by this author Bhaskar Somani More articles by this author Expand All Advertisement PDF downloadLoading ...