BMC Urology (Apr 2023)

Efficacy of emergency extracorporeal shock wave lithotripsy in the treatment of ureteral stones: a meta-analysis

  • Cheng-Xia Peng,
  • Yi-Kai Lou,
  • Li Xu,
  • Guang-Hao Wu,
  • Xie-Lai Zhou,
  • Kang-Er Wang,
  • Chun-Hua Ye

DOI
https://doi.org/10.1186/s12894-023-01226-5
Journal volume & issue
Vol. 23, no. 1
pp. 1 – 7

Abstract

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Abstract Objective To compare the clinical efficiency and safety of emergency extracorporeal shock wave lithotripsy (eESWL) and delayed extracorporeal shock wave lithotripsy (dESWL) in the treatment of ureteral stones. Methods Cochrane Library, PubMed, Google Scholar, and Web of Science were searched from January 1, 1992 to September 30, 2022, and all comparative studies involving eESWL and dESWL for ureteral calculi were included. Statistical analysis was performed using Review Manager 5.3 software. Funnel plot was used to evaluated publication bias. Results A total of 9 articles involving 976 patients diagnosed with ureteral stones were included. The results showed that the stone-free rate (SFR) after four weeks was significantly higher in the eESWL group than in the dESWL group [relative risk (RR) = 1.22, 95% confidence interval (CI): 1.13–1.32, P 0.05]. Conclusion eESWL can significantly improve SFR, shorten SFT, and reduce auxiliary procedures.

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