Cost-effective analysis of pneumatic and laser lithotripsy techniques in ureteral stones
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 1
Abstract
Objective: Ureteroscopic lithotripsy (URSL) is a common treatment alternative in ureteral stones. We aimed to evaluate pneumatic and laser lithotripsy techniques, which are used for fragmentation of stones. Materials and methods: The data of 100 patients who underwent URSL by using pneumatic and laser lithotriptors were analyzed. The sample divided in 2 groups, each including 50 patients. URSL was performed in lithotomy position under general anesthesia. The absence of residual stone at second week urinary system graphy was accepted as the criteria of success. We evaluated the presence of differences in terms of efficiency and costeffectivity of pneumatic and laser lithotripsy techniques. Results: The mean ages were 42 and 45 years, respectively. The mean operation time was 43.1 min in pneumatic group and 40 min in laser group. Stone-free rates were found 93.9% and 78%, respectively. The stone migration rate was determined 16% in pneumatic group and 4.1% in laser group. Complication rates were 4.1% in pneumatic group and 8% in laser group. The cost analysis showed that pneumatic lithotriptor device cost 10000 TL and laser lithotriptor system cost 76000 TL. Nevertheless, the Social Security Administration paid the same cost for both lithotripsy techniques. Conclusion: Higher stone-free and lower stone migration rates were determined in laser lithotripsy application. Therefore, low incidence of the requirement of subsequent secondary treatments for residual stones in laser treatment decreased the treatment costs. Nevertheless, the cost is significantly higher in laser technique. It requires more detailed studies. Key words: Ureteral stone, ureteroscopy, lithotripsy, efficiency, cost
Authors and Affiliations
Mehmet Yüksel, İlker Çelen, Erdem Özbek, Bilali Gümüş
Keywords
Related Articles
- EP ID EP161670
- DOI doi: 10.5798/diclemedj.0921.2013.01.0228
- Views 148
- Downloads 0
A rare syndrome: Thyroid hormone resistance
Resistance to thyroid hormone syndrome (RTH) is a rare disorder, usually inherited as an autosomal dominant trait. Patients with RTH are usually euthyroid but can occasionally present with signs and symptoms of thyrotoxi...
Cytologic and histopathologic results of euthyroid patients with multinodular goiter: Comparison with ultrasonographic features
Objectives: Fine-needle aspiration biopsy (FNAB) is the gold standard in the management of thyroid nodules and specimen should be obtained from dominant nodule. In our study, we aimed to compare the FNAB and histopath...
Antifungal resistance of candida isolates obtained from various specimens of intensive care unit patients
Objectives: In this study; we aimed to determine the identification of yeasts from the samples of the patients that come from Anesthesia Intensive Care Unit of Diyarbakır Education and Research Hospital and also we ai...
The multidisciplinary evaluation of dermatosis seen after Van earthquake
Objective: In this study, we aimed to evaluate the patients with dermatological diseases those were observed and treated and the referred to the hospital for dermatosis by the dermatologists, family physicians, plastic...
Leiomyoma of the breast: A Case report
Leiomyomas are benign smooth muscle neoplasms that are common in the genitourinary and gastrointestinal tracts. They can occur anywhere in the body but are rare in the breast. Here we report a case of leiomyoma in the...