Javed Iqbal Khan, Shabeena Naz, Tahir Iqbal Khan, Attique Afzal Malik, Mehwish Naz.
Frequency of uro-sepsis in patients undergoing ureteroscopy for ureteric stones.
Pak J Surg Jan ;36(2):141-5.

Introduction: Urinary stone disease is very common in Pakistan. Most of cases of stone diseases are ureteric stones. Different types of management are available for ureteric stones to dealt with a uretero-lithotomy (open/laproscopic), extracorporeal shockwave lithotripsy, uretero-scopy with stone fragmentation. In comparison to other modalities, uretero-scopy with stone fragmentation is a well established treatment with better success statistics and decreased number of undesirable events for patients who are being treated for renal calculus disease. It is hoped that this study may help in recognizing better modality of treatment with increased satisfaction of patients and treating doctors and thus can reduce financial burden in terms of decreased hospital stay and unnecessary use of antibiotics and resources. Objective: To determine the frequency of uro-sepsis during early post-operative period of ureter-oscopy in patients being treated for ureteric calculus disease. Setting: Department of Urology, Institute of Kidney Diseases Hayatabad Peshawar. Study design: Descriptive case series Duration: Six months 26th October, 2018 to 26th April, 2019. Material and Methods: In present study total number of patients were 293. Uretero-scopy and stone fragmentation was performed by senior registrar and above. Patients were called for follow up on 1st,2nd and 4th weeks and final calculations were made at the end of 4th week. Base line investigations such as full blood count, renal function test, Urine analysis, Urine culture were performed pre and post-operatively. All the data was collected using specially prepared proforma. Results: In this study research article mean age was calculated to be 38-years with SD+12.59. Total number of male gender was 62% and female patients ratio was 38%. Moreover 22% patients had uro-sepsis while 78% patients were urosepsis free. Conclusion: This research article concluded that the incidence of urosepsis during early post-operative period of uretero-scopy was 22% in patients being treated for ureteral calculus disease.

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