{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:33:25Z","timestamp":1787772805450,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"\n Introduction:<\/jats:title>\n Although the usage rates of ureterorenoscopy (URS) for treatment of urolithiasis have increased, extracorporeal shock wave lithotripsy (ESWL) remains a widely employed primary treatment option due to its less invasive character. However, in cases of primary ESWL failure, the optimal choice of secondary treatment, whether secondary ESWL (sESWL) or secondary URS (sURS) in terms of safety and efficacy, remains uncertain.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n \n A total of 62 urolithiasis patients who underwent sESWL (\n n<\/jats:italic>\n = 31) or sURS (\n n<\/jats:italic>\n = 31) at a single tertiary referral center between March 2014 and November 2019 were retrospectively analyzed. Key outcome parameters included tertiary reintervention rates, stone-free rates, and complication rates. Subgroup analyses were performed based on stone localization (kidney versus ureter) and stone size (<10 mm versus >10 mm).\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Tertiary reintervention rates were significantly higher in the sESWL group (42%) compared to the sURS group (16%,\n P<\/jats:italic>\n = 0.05). Stone-free rates at 6 weeks were lower in the sESWL group (29%) compared to the sURS group (84%,\n P<\/jats:italic>\n < 0.01). Complication rates were 13% (4\/31) in the sESWL group versus 6% (2\/31) in the sURS group (\n P<\/jats:italic>\n = 0.06).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n sESWL is associated with a significantly higher rate of tertiary reintervention compared to sURS. However, in terms of safety, no statistically significant differences in complication rates between the two modalities were observed, and choice of tertiary treatment may therefore be made on individual discussion with the patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ua.ua_82_25","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:02:07Z","timestamp":1760698927000},"page":"257-261","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The natural history of failed shock wave lithotripsy: Redo-shock wave lithotripsy versus ureterorenoscopy and laser lithotripsy \u2013 A single-center comparative study in a university teaching hospital setting"],"prefix":"10.4103","volume":"17","author":[{"given":"Matthias","family":"Stach","sequence":"first","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"},{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Baumeister","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"},{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Afferi","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar K.","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Cornelius","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agostino","family":"Mattei","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"},{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico Christian","family":"Grossmann","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"},{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"},{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph M.","family":"W\u00fcrnschimmel","sequence":"additional","affiliation":[{"name":"Department of Urology, University Teaching and Research Hospital of the University of Lucerne, Luzerner Kantonsspital, Lucerne, Switzerland"},{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"R1-20251017","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.eururo.2015.07.041","article-title":"EAU guidelines on interventional treatment for urolithiasis","volume":"69","author":"T\u00fcrk","year":"2024","journal-title":"Eur Urol"},{"key":"R2-20251017","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.eururo.2021.02.044","article-title":"Shockwave lithotripsy versus ureteroscopic treatment as therapeutic interventions for stones of the ureter (TISU): A multicentre randomised controlled non-inferiority trial","volume":"80","author":"Dasgupta","year":"2021","journal-title":"Eur Urol"},{"key":"R3-20251017","first-page":"1","article-title":"Surgical management of stones: AUA\/Endourology Society guideline, part II","volume":"196","author":"Assimos","year":"2016","journal-title":"J Urol"},{"key":"R4-20251017","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.eururo.2017.04.016","article-title":"What are the benefits and harms of ureteroscopy compared with shock-wave lithotripsy in the treatment of upper ureteral stones? 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