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109294

Outcome of Semi-Rigid Ureteroscopy with LASER Lithotripsy for Management of Upper Ureteric Calculi

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Proximal ureteral calculi are common with multi-modalities of treatment, with continuous invention of new modalities.
Aim of the work: To present the early experience with LASER lithotripsy using semi-rigid ureteroscopy for treatment of upper ureteral calculi, regarding safety and efficacy.
Patients and Methods:Eighty patients with upper ureteral stones managed by LASER lithotripsy using semi-rigid ureteroscopy were included [30 prospective and 50 retrospective]. Patient evaluation included medical history, clinical examination with preoperative laboratory and radiological investigations. The outcome measure was stone free rate, Intra operative and Postoperative complications, operative time, hospitalization time, and post-operative analgesia.
Results: During the period from January 2018 through February 2020 in 30 prospective cases but retrospectively in 50 cases  done in the last two years, 68.8% of patients were males and 31.2% of them were females, mean of age was 43.70 with range from 20 to 66 years, and mean of BMI was 19.75 with range from 18 to 23 with laterality of 60% of patients was right but of 40% was left and stone opacity of 96.25% of patients was radio opaque, while, 3.75% was radio lucent stones the mean operative time was 50.78 minutes and mean duration of hospital stay was 1.3 days. In addition, 66.2% of patient needed JJ, 32.5% required ureteric catheter and 15% failed ESWL. The mean ureteral stone diameter was 10.81. The clearance rate 97.5%; two cases had migrated stone.
Conclusion: Semirigid ureteroscope with LASER lithotripsy is an effective and safe procedure for management of large proximal ureteral stones with a lesser rate of stone migration needs use of flexible ureterorenoscopy.

DOI

10.21608/ijma.2020.35041.1144

Keywords

Ureterorenoscopy, stone, Ureteral, Laser, Semi-rigid

Authors

First Name

El-Sayed Zaky

Last Name

Moahmed Taha

MiddleName

-

Affiliation

Department of Urology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ezm.taha@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Mohamed Ramadan

Last Name

Rehan

MiddleName

-

Affiliation

Department of Urology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

mrehan4040@domazhermedicine.edu.eg

City

Kafr El-Sheikh

Orcid

-

First Name

Esam Abdelmohsen

Last Name

Elnady

MiddleName

-

Affiliation

Department of Urology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

esammohsen78@domazhermedicine.edu.eg

City

Menofia

Orcid

-

First Name

Elsayed

Last Name

Salih

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Al-Azhar University, Egypt

Email

elsayedsalih@gmail.com

City

Cairo

Orcid

-

First Name

Hamdy Abdelhamid

Last Name

Abozeed

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Al-Azhar University, Egypt

Email

abozeed_ush@hotmail.com

City

Cairo

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-07-07

Publish Date

2020-10-01

Page Start

820

Page End

827

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 820-827.pdf

PDF . 2.3MB

Link

https://ijma.journals.ekb.eg/article_109294.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=109294

Order

21

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Outcome of Semi-Rigid Ureteroscopy with LASER Lithotripsy for Management of Upper Ureteric Calculi

Details

Type

Article

Created At

22 Jan 2023