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. 2023 Feb 11:15:77-83.
doi: 10.2147/RRU.S392881. eCollection 2023.

Endoscopic Management of Upper and Lower Ureteric Stones Using Pneumatic Lithotripter: A Retrospective Medical Records Review

Mahmoud Mustafa  1   2 , Hamzeh Al Zabadi  3 , Shaden Mansour  1 , Aya Nabulsi  1
Affiliations

Endoscopic Management of Upper and Lower Ureteric Stones Using Pneumatic Lithotripter: A Retrospective Medical Records Review

Mahmoud Mustafa et al. Res Rep Urol. .

Abstract

Background: In this study we aimed to assess and compare the rate of sem-irigid ureterorenoscope in the treatment of upper and lower ureter stones through pneumatic lithotripsy (PL).

Materials and methods: Ninety-two patients with a mean age±SD of 45±15years who had had a surgical procedure performed by the same experienced surgeon between January 2013 and July 2015 were included in the study. The mean±SD stone size was 8.8±2.6 mm. Forty-two of the patients (45.7%) had upper ureter stones and 50 (54.3%) had lower ureter stones in order to increase the success rate and avoid stone migration. The medical files of the patients were reviewed regarding age, sex, stone size, stone location, success rate, complications, and presence of hydronephrosis. Success was operationally defined as the complete fragmentation of stone to very small parts that could pass or complete extraction of the stone.

Results: Eighty-four of the patients were stone free (91%). The success rates for patients with upper or lower ureteric stones were 93% and 90%, respectively (P=0.63). There were no complications during the operation. However, 4 patients (4.4%) had postoperative complications in terms of urinary tract infection or urosepsis. Those were accurately managed by the suitable medical treatment.

Conclusion: Semi-rigid ureterorenoscopy by using PL was a safe and practical treatment option for managing the upper and lower ureter stones. Performing the tips and tricks of ureterorenoscopy by an experienced surgeon seems to enhance the success rate, especially in upper ureter stones.

Keywords: Palestine; pneumatic lithotripsy; ureter; ureter stone; ureterorenoscopy.

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Conflict of interest statement

The authors declare that they have no conflicts of interest in this work. The abstract of this paper was presented at the 26th Turkish International Urology Meeting 2017, as an abstract presentation with interim findings. The poster’s abstract was published in ‘Poster Abstracts’ in 26th Turkish international Urology Meeting 2017, for viewing on-site only [https://staff.najah.edu/en/publications/8543/]. Furthermore, this paper was uploaded to the DSpace software of An-Najah National University repository as a thesis on 26th May 2016 [https://hdl.handle.net/20.500.11888/15120].

References

    1. Yuksel OH, Akan S, Urkmez A, Uruc F, Verit A. Efficacy and safety of semirigid ureteroscopy combined with holmium: YAG laser in the treatment of upper urinary tract calculi: is it a good alternative treatment option of flexible ureteroscopy for developing countries? J Pak Med Assoc. 2015;65(11):1193–1196. - PubMed
    1. Kronenberg P, Traxer O. Update on lasers in urology 2014: current assessment on holmium: yttrium-aluminum-garnet (Ho: YAG)laser lithotripter settings and laser. World J Urol. 2015;33:463–469. doi:10.1007/s00345-014-1395-1 - DOI - PubMed
    1. Kızılay F, Kalemci S, Turna B, Şimşir A, Nazlı O. Laser versus pneumatic lithotripsy for management of pediatric ureteral stones: a prospective-comparative analysis with adults.J. Pediatr Urol. 2020;16:35. doi:10.1016/j.jpurol.2019.11.006 - DOI - PubMed
    1. Zhang J, Shi Q, Wang GZ, Wang F, Jiang N. Cost-effectiveness analysis of ureteroscopic laser lithotripsy and shock wave lithotripsy in the management of ureteral calculi in eastern China. Urol Int. 2011;86:470–475. doi:10.1159/000324479 - DOI - PubMed
    1. Drake T, Grivas N, Dabestani S, Knoll T, Lam T. What are the Benefits and Harms of Ureteroscopy Compared with Shock-wave Lithotripsy in the Treatment of Upper Ureteral Stones? A Systematic Review. Eur Urol. 2017;72:772–786. doi:10.1016/j.eururo.2017.04.016 - DOI - PubMed