Featured Research

from universities, journals, and other organizations

Surgery, Shock Waves Both Effective For Removing Kidney Stones

Date:
March 20, 2007
Source:
Center For The Advancement Of Health
Summary:
Two common methods for removing kidney stones -- surgery and shock wave treatments -- are effective and safe, and neither is clearly superior to the other, researchers report in a new systematic review of studies. But these conclusions aren't based on particularly strong data, the researchers say.

Two common methods for removing kidney stones — surgery and shock wave treatments — are effective and safe, and neither is clearly superior to the other, researchers report in a new systematic review of studies. But these conclusions aren’t based on particularly strong data, the researchers say.

“The most important finding from our review is that current practice of managing urerteric stones is based on poor-quality evidence, mostly from small trials with a lot of heterogeneity,” said lead investigator Ghulam Nabi, a lecturer in the Health Services Research Unit of the University of Aberdeen in Scotland.

The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

The reviewers found six trials, involving 833 adults, that compared two minimally invasive kidney stone therapies: uretoscopy and extracorporeal shock wave lithotripsy.

In ureteroscopy, a surgeon passes a thin viewing instrument into the ducts that carry urine from the kidney. Once a kidney stone is located the urologist typically removes the crystalline mass with forceps or a “basket” instrument.

The other treatment, extracorporeal shock wave lithotripsy, uses sound waves to break each kidney stone into small pieces. The pieces later travel through the urinary tract and pass painlessly from the body.

The reviewed trials compared several different health outcomes: whether or not the patient was free of kidney stones, the need for additional treatment, therapy complications and length of hospitalization.

Results gathered three or four months after treatment suggest that surgery outperformed sound wave therapy to completely clear kidney stones. But, the authors said that the success of the sound wave treatment varied depending on the kind of lithotripter, or shock wave machine that was used.

Overall the review concludes that people treated with ureteroscopy achieve a higher stone-free rate, but have a longer hospital stay and more complications, although most problems were minor.

“At this point it is important to say that both methods work and both have their advantages for different patients. Choice of intervention really depends on the size and location of the stone,” said Glenn Preminger, M.D., director of the Comprehensive Kidney Stone Center at Duke University Medical Center.

Preminger did not participate in the Cochrane review, but serves on an international panel of experts “reviewing all research in the field to create new guidelines.” Those new recommendations are expected this summer.

Nabi G, et al. Extra-corporeal shock wave lithotripsy (ESWL) versus ureteroscopic management for ureteric calculi (Review). Cochrane Database of Systematic Reviews 2007, Issue 1.


Story Source:

The above story is based on materials provided by Center For The Advancement Of Health. Note: Materials may be edited for content and length.


Cite This Page:

Center For The Advancement Of Health. "Surgery, Shock Waves Both Effective For Removing Kidney Stones." ScienceDaily. ScienceDaily, 20 March 2007. <www.sciencedaily.com/releases/2007/03/070320111816.htm>.
Center For The Advancement Of Health. (2007, March 20). Surgery, Shock Waves Both Effective For Removing Kidney Stones. ScienceDaily. Retrieved July 25, 2014 from www.sciencedaily.com/releases/2007/03/070320111816.htm
Center For The Advancement Of Health. "Surgery, Shock Waves Both Effective For Removing Kidney Stones." ScienceDaily. www.sciencedaily.com/releases/2007/03/070320111816.htm (accessed July 25, 2014).

Share This




More Health & Medicine News

Friday, July 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

AFP (July 24, 2014) A so-called drugs rehab 'clinic' is closed down in Pakistan after police find scores of ‘patients’ chained up alleging serial abuse. Duration 03:05 Video provided by AFP
Powered by NewsLook.com
Too Few Teens Receiving HPV Vaccination, CDC Says

Too Few Teens Receiving HPV Vaccination, CDC Says

Newsy (July 24, 2014) The Centers for Disease Control and Prevention is blaming doctors for the low number of children being vaccinated for HPV. Video provided by Newsy
Powered by NewsLook.com
New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins