Ureteroscopy vs Shockwave Lithotripsy to Remove Kidney Stones in Children and Adolescents: A Nonrandomized Clinical Trial.

ABSTRACT:

Importance

Most children and adolescents with kidney and ureteral stones are treated with ureteroscopy, despite the uncertainty and equal weight of guideline recommendations for ureteroscopy or shockwave lithotripsy.

Objective

To compare stone clearance and patient-reported outcomes among children and adolescents after ureteroscopy or shockwave lithotripsy.

Design, setting, and participants

This nonrandomized clinical trial enrolled patients between March 16, 2020, and July 31, 2023, at 31 medical centers in the US and Canada. Patients aged 8 to 21 years with kidney stones, ureteral stones, or both were included. Follow-up was completed on October 15, 2023.

Interventions

Ureteroscopy or shockwave lithotripsy.

Main outcomes and measures

The primary outcom

SUBMITTER: Tasian GE 

PROVIDER: S-EPMC12332628 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature