I Sajid M Ali, Ghulam Sabir, Amanat Khan, Hana Khurshid Huma.
Role of ureterorenoscopy with in situ lithotripsy in the management of ureteric calculi.
Ann Pak Inst Med Sci Jan ;4(1):38-40.

Objective: Objective of the study is to share our experience of ureterorenoscopy with in situ lithotripsy at the Department of Urology, POF Hospital, Wah Cantt. Study Design: Descriptive study Place and Duration of Study: The study was conducted in Urology Department, POF Hospital, Wah Cantt from April 01, 2006 to March 31, 2007. Patients and Methods: Patients of either gender were included in the study by convenience sampling technique. Calculi at lower third of ureter were seen in 59 patients. In middle ureter, procedure was done in 39 patients. In upper ureter, calculi were seen in 20 patients. While during the procedure, some of the gravel went back to the kidneys and stenting was done to avoid post-procedure renal colic. Results: A total of 118 patients were included in the study. Lower calculi were seen in 59 patients, out of which 35 were males and 24 were females. Stenting was done in 30 patients and 29 didn’t need it. In the mid-ureter a total of 39 patients had calculi, 25 males and 14 females. Stenting was done in 25 patients. Upper ureteric calculi were seen in 20 patients out of which 14 were males and 6 females. Stenting was done in all these patients. Bilateral Ureterorenoscopy was done in 3 cases, two in mid-ureter, one in upper ureter. There was solitary functioning kidney in two cases. Conclusion: Ureterorenoscopy with in situ lithotripsy offers a stone-freedom without the hazards of open surgery. Hospital stay of the patient is shortened to about 48 hours only. Clearance is about 100% in one setting with no fear of wound sepsis or infections. Mobility is also achieved early on the same day. It has very encouraging results in stones formers as the procedure can be repeated without any significant hazards. It may be the procedure of choice where extracorporeal shockwave lithotripsy (ESWL) is not available. Age is no bar to the procedure.

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