Impacted Upper Ureteric Stone: Prospective Randomized Trial Comparing Percutaneous Ureterolithotomy with Laparoscopic Retroperitoneal Ureterolithotomy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Background: Urolithiasis is a common and recurrent disease which has significant morbidity and work loss. The management of ureteric stone has been streamlined with the advent of ureteroscopy (URS) and shock lithotripsy (SWL) and become less invasive, compared to open surgical procedure .The open surgery is virtually obsolete with availability of these services in big cities. The treatment for patient with large impacted proximal ureteral stone remains controversial especially at institution with limited resources. Purpose :The aim of study to evaluate the clinical outcomes of Percutaneous Ureterolithotomy (PCUL) in comparison with Laparoscopic retroperitoneal ureterolithotomy (LRPUL) in impacted upper ureteric stone of size 10 mm or more. Method and material : A total of 30 patients were included in our study between December 2016 to September 2017 at L.L.R. Hospital, GSVM Medical College Kanpur and Kanpur urology centre, Kanpur. By randomization, patients were divided into two groups. Group 1 patients were treated by PCUL and Group 2 patients by LRPUL. Results :In our study, LRPUL took less operative time as compared to PCUL and also less duration of hospital stay. Conclusion :Overall laparoscopic retroperitoneal ureterolithotomy is preferred over percutaneous ureterolithotomy with advantage of less time consumption, no need for C- ARM and no radiation exposure to patient and OT staff.
Authors and Affiliations
Dr. Brijesh Kumar Mishra
Keywords
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