Aamir Ali Shaikh, Yassir Hussain Patujo, Ahmed Bux Shaikh, Benazir Abbasi.
Comparison of Intracorporeal (Pneumatic) Versus ESWL in Proximal Ureteric Stone Management.
Pak J Med Health Sci Jan ;12(1):390-3.

Background: After benign prostatic hyperplasia and urinary tract infections, urinary stones are common in urological practice. Ureteric stone can be managed by conservatively, extracorporeal shockwave lithotripsy, intracorporeal lithotripsy and laparoscopic and open surgery. Aim : To compare efficacy of intracorporeal (pneumatic) versus extra corporeal shockwave lithotripsy in Upper ureteric stone management . Methods : Randomized control trial of 94 patients with single upper ureteric stone was included in this study and patients were divided into two groups , A and B. Forty seven in group A treated with intracorporeal lithotripsy and 47 patients in group B were treated extracorporeal shockwave lithotripsy. Follow-up of the Patients was done with X-ray (KUB) on every 14 days. Patients with absence of radio- opaque stone were categorized as efficacy positive. On the final result which was at 08 weeks those patients will be considered efficacy positive who has no stone . Results : All 94 patients with single ureteric stone < 10 mm were included in our study. Forty seven ingroup A treated with intracorporeal (pneumatic) lithotripsy and 47 patients in group B were treated extracorporeal shockwave lithotripsy. Efficacy of intracorporeal lithotripsy (group A) was 80.9% and extracorporeal shockwave lithotripsy was 83%. Conclusion : Intracorporeal lithotripsy is equally effective as ESWL in management of proximal ureteric stone .

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