AUA 2017: Determinants of Health-Related Quality of Life After Surgery: Ureteroscopic versus Shock Wave Lithotripsy

Boston, MA ( Dr. Hamamoto and group of urologists from Japan investigated quality of life following a single treatment of either shock wave lithotripsy (SWL) or ureteroscopy (URS). The purpose of this investigation was to evaluate several quality of life (QoL) measures of patients undergoing these therapies at their facility. A six month follow-up period was used and QoL surveys were given pre- and post-operatively, at 3-months, and at 6-months.

Interestingly, they found that age, lower degree of pre-operative hydronephrosis, and preoperative stenting were significant predictors of the QoL score. Furthermore, higher postoperative pain appeared to be responsible for the lower QoL score in URS patients, a preoperative ureteral stent or postoperative intravenous analgesia may improve the quality of life as well.

Following the presentation, moderators suggested measuring QoL after more than one URS or SWL if the patients were not stone free following the first intervention. In addition, every patient received a Foley catheter for two days post-operatively. This may have significantly impacted QoL scores, as a post-op period of catheterization following SWL and URS is not commonly practiced.

Presented by: Dr. Shuzo Hamamoto, MD

Authors: Shuzo Hamamoto1, Teruaki Surgino1, Rei Unno1, Kazumi Taguchi1, Ryosuke Ando1, Shinsuke Okada2, Takaaki Inoue3, Atsushi Okada1, Keiichi Tozawa1, Takahiro Yasui1

Affiliation: 1Nagoya, Japan, 2Chiba, Japan, 3Osaka Japan,

Written By: Daniel Lama for

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA