Cost-Effectiveness Comparison of Renal Calculi Treated with Ureteroscopic Laser Lithotripsy Versus Shockwave Lithotripsy

Abstract

This retrospective study revealed superior SFR results for renal stones <1.5 cm for URS compared with SWL. Our decision analysis model demonstrates that for SWL SFR less than 65% to 67% or for URS SFR greater than 72% to 84%, SWL is not a cost-effective treatment option. Based on these findings, careful stratification and selection of stone patients may enable surgeons to increase the cost-effectiveness of SWL.