Comparative Study of Extracorporial Shockwave Lithotripsy Versus Ureterorenoscopic Manipulation for Treatment of Ureteric Calculi
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Objective: To compare the efficacy of extracorporeal shock wave lithotripsy (ESWL) and ureterorenoscopic (URS) manipulation for ureteric calculi. Method: Total 50 patients included in study with 25 patients in each group. Patients with ureteric stones less than 15mm, in each group were treated with ESWL and ureterorenoscopic manipulation by using a semi rigid ureteroscope. Intracorporeal lithotripsy was performed by using pneumatic lithoclast. Success rate, retreatment rate, complications and necessity of an additional intervention for both procedures were recorded. The decision about the selection of method was made based on the patients’ choice. Results: Success rate was 84% for ESWL and 92% for URS (p = 0.66). The re-treatment rate was significantly higher in ESWL group. (72% vs. none in URS group) Conclusion: ESWL as an outpatient procedure does not require analgesia or anesthesia; it remains the first line therapy for proximal ureteral stones while URS as a surgical procedure requires either general anesthesia or spinal anesthesia and requires hospitalization and should be consider for preferred modality for lower ureteric stones.
Authors and Affiliations
Neelkamal Gola, Sudhir Tyagi, Vinod Kapoor
Keywords
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- EP ID EP547559
- DOI 10.21276/ijmrp.2017.3.5.033
- Views 70
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