Login to Access Video or Poster Abstract: MP62-13
Sources of Funding: none

Introduction

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.

Funding

none