Abdul Rasheed Shaikh, Qurban Ali Shaikh, Abdul Fatah Shaikh, Muhammad Iqbal Soomro, Nisar Ahmed Shaikh, Altaf Hussain Jokhio.
Ureterolithotripsy with semi-rigid Ureteroscope: an early experience with 100 cases.
J Surg Pak Jan ;12(3):98-101.

Objective: To evaluate success rate, safety, morbidity and complications of intra – ureteric lithotripsy. Study Design: It was a quasi-experimental study. Place & Duration of study: The study was conducted at Department of Urology, Chandka Medical College teaching Hospital and Almas kidney and Lithotripsy Centre Larkana from February 2001 to January 2007. Patients and Methods: All the patients (n 100) of either sex having ureteric stone less than 1.5 cm in diameter were selected on the basis of routine clinical examination, laboratory investigation like complete blood count and biochemistry, ultra-sound and x-rays etc for intra ureteric lithotripsy. The semi-rigid ureteroscope 7.5 Fr with Swiss lithoclast lithotripter were used. Results: Average age of patients was 28 years. Male to female ratio was 1.5: 1. The stone was successfully disintegrated in 88 cases. Among them, a more favorable significant outcome was obtained for those with stone less than 11mm than for those with stone greater than 11mm (96% versus 84%, P < 0.05). Similarly, statistically significant results that are more favorable were found for those with distal ureteric stones than for those with proximal ones (stone free rate of 92.6% versus 78.2%, respectively, P < 0.05). The over all success rates achieved in 80% cases. The procedure was converted into open surgery in 12 cases. Of them six cases were due to failure of access to stone and in remaining 6 cases due to complications. Complications like ureteric perforation, operative bleeding and infection occurred in 02%, 18%, and 12% cases respectively. Mean hospital stay was 2.3 days. Conclusions: We conclude that this method of treatment is simple, safe, cost effective and successful in majority of patients having ureteric stone. Further, there is definite role of surgery where there is failure or complications.

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