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Original Research

Our results of pnomotic lithotripcy and rijit ureteroscopy in ureteral stones


1 Giresun Üniversitesi Tıp Fakültesi Üroloji Anabilimdalı

2 ODÜ Tıp Fakültesi Üroloji Anabilimdalı, Ordu


DOI :
New J Urol. 2014; 9 (1): 22-27

Abstract

Objective: In patients with a diagnosis of ureteral calculi with rigid ureteroscopy and pneumatic lithotripsy evaluate the effectiveness of.

Materials and Methods: Due to ureteral stone rigid ureteroscopy and pneumatic lithot-ripsy applied retrospectively reviewed the files of 246 cases. Results after 3 months of treatment with ultrasound urinary and /or evaluated with intravenous pyelography. According to Stone residential treatment success and complication rates were compared.

Results: Mean age was 45.0 years (range 15-81), 131(53.2 %) were male, 105(42.8 %) were female. Stone of the 114(46.3%) to the right and 131(53.2 %) left , one(4.0 %)’s bilateral ureter. Average stone size was 8.75(range 5-35) mm respectively. In total 88.1 % of the total sto-ne-free rate (96.7 % in the distal ureter, middle ureter and proximal ureter was 87.4% and 80.2 %) respectively. Total complication was 6.5%(lower, middle and upper ureter, respectively, 3.2%, 6.4% and 10.1%) has evolved as. The most common intraoperative complication of infec-tion of 2.6%, 1.1% and 4%, ureteral perforation, while mucosal damage, the most common late complication of patients 1.1% were in the urete-ral stricture. Patients with ureteral stone by sto-ne size group 1 <10 mm (n = 114) and Group 2 > 10 mm (n = 132), respectively. According to the placement in group 1 generates higher stone-free rates (88% proximal, middle 92%, and 93.3 % in the distal and total 100%) and low complication rate (3.4%) was observed.

Conclusion: Rigid ureteroscopy and pneumatic lithotripsy of ureteral stones treated with ureteral stones in all residential high success and low complication rates and quick stone clearance can be applied successfully. Rigid treated with ureteroscopy and pneu-matic lithotripsy lower ureteral stone size does not affect the overall stone free and complication rates.

Key Words: Ureteral stones, pneumatic lithotripter, rigid ureteros-copy


Abstract

Objective: In patients with a diagnosis of ureteral calculi with rigid ureteroscopy and pneumatic lithotripsy evaluate the effectiveness of.

Materials and Methods: Due to ureteral stone rigid ureteroscopy and pneumatic lithot-ripsy applied retrospectively reviewed the files of 246 cases. Results after 3 months of treatment with ultrasound urinary and /or evaluated with intravenous pyelography. According to Stone residential treatment success and complication rates were compared.

Results: Mean age was 45.0 years (range 15-81), 131(53.2 %) were male, 105(42.8 %) were female. Stone of the 114(46.3%) to the right and 131(53.2 %) left , one(4.0 %)’s bilateral ureter. Average stone size was 8.75(range 5-35) mm respectively. In total 88.1 % of the total sto-ne-free rate (96.7 % in the distal ureter, middle ureter and proximal ureter was 87.4% and 80.2 %) respectively. Total complication was 6.5%(lower, middle and upper ureter, respectively, 3.2%, 6.4% and 10.1%) has evolved as. The most common intraoperative complication of infec-tion of 2.6%, 1.1% and 4%, ureteral perforation, while mucosal damage, the most common late complication of patients 1.1% were in the urete-ral stricture. Patients with ureteral stone by sto-ne size group 1 <10 mm (n = 114) and Group 2 > 10 mm (n = 132), respectively. According to the placement in group 1 generates higher stone-free rates (88% proximal, middle 92%, and 93.3 % in the distal and total 100%) and low complication rate (3.4%) was observed.

Conclusion: Rigid ureteroscopy and pneumatic lithotripsy of ureteral stones treated with ureteral stones in all residential high success and low complication rates and quick stone clearance can be applied successfully. Rigid treated with ureteroscopy and pneu-matic lithotripsy lower ureteral stone size does not affect the overall stone free and complication rates.

Key Words: Ureteral stones, pneumatic lithotripter, rigid ureteros-copy