Ureteroscopic lithotripsy services in Scheer Memorial Hospital
Abstract
Urinary calculus is the one of the commonest disease with increase of incidence as the diagnostic methods developed. Treatment of it is changing from open surgery to minimally invasive or totally invasive surgery. In our hospital, minimally invasive urinary calculus treatment as ureterorenoscopic lithotripsy (URSL) was started from December 2007 and till September 2008 we had treated 50 patients with it. We analyze the result of URSL did in our hospital and compare it with different studies of the world. We found age group 20-40 is the commonest group to develop urinary calculus. we had 20 – 40 age group are most common patient for URSL. Most of our patients had single stone of size > 5mm in lower and mid ureter. Our success rate for insertion of URS is 98% (49/50) and stone free rate is 97.8% (44/45). Our per-operative complication is 2% and post-operative major complication also is 2%. Thus, in our initial experience, URS/L is safe and choice of management for lower and mid ureteric calculus.References
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2. Knoll T, Trojan L, Haecker A, Michel MS, Kohrmann KU, Alken P.[Minimally- invasive therapy of urinary stones] Aktuel Urol. 2003 Sep;34(5):313-8.
3. Lotan Y, Gettman MT, Roehrborn CG, Cadeddu JA, Pearle MS. Management of ureteral calculi: a cost comparison
and decision making analysis. J Urol. 2002
Apr;167(4):1621-9.
4. Andreoni C, Afane J, Olweny E, Clayman RV.Flexible
ureteroscopic lithotripsy: first-line therapy for proximal
ureteral and renal calculi in the morbidly obese and
superobese patient. J Endourol. 2001 Jun;15(5):493-8.
5. Chen QS, Ren YC, Liao JX. Pneumatic lithotripsy for
ureterolithiasis: clinical analysis of 512 cases. Di Yi Jun
Yi Da Xue Xue Bao. 2003 Jul;23(7):750-1.
6. Zhong W, Zeng G, Cai Y, Dai Q, Hu J, Wei H. Treatment
of lower urethral calculi with extracorporeal shock-wave
lithotripsy and pneumatic ureteroscopic lithotripsy: a
comparison of effectiveness and complications. China
Med J, 2003 Jul; 116(7): 1001-3.
7. Ather MH, Paryani J, Memon A, Sulaiman MN. A 10-
year experience of managing ureteric calculi: changing
trends towards endourological intervention—is there
a role for open surgery? BJU Int. 2001 Aug;88(3):173-7.
Published
2015-03-19
How to Cite
BHUJU, S.
Ureteroscopic lithotripsy services in Scheer Memorial Hospital.
J Soc Surg Nep, [S.l.], v. 14, n. 2, mar. 2015.
ISSN 2392-4772.
Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=19>. Date accessed: 02 may 2024.
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Original Article
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