Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

BRIEF REPORT
[View FULLTEXT] [Download PDF
 
Year : 2001  |  Volume : 47  |  Issue : 3  |  Page : 177-80  

Symptomatic small non-obstructing lower ureteric calculi: comparison of ureteroscopy and extra corporeal shock wave lithotripsy.

MG Andankar, PN Maheshwari, AL Saple, V Mehta, A Varshney, B Bansal 
 R. G. Stone Urological Research Institute, Mumbai and New Delhi, India., India

Correspondence Address:
M G Andankar
R. G. Stone Urological Research Institute, Mumbai and New Delhi, India.
India

OBJECTIVE: To compare the success, efficacy and complications of ureteroscopy (URS) and extra corporeal shock wave lithotripsy (ESWL) for the treatment of symptomatic small non obstructing lower ureteric calculi. SUBJECTS AND METHODS: This prospective non-randomised study was conducted simultaneously at two urological referral centres, included 280 patients with symptomatic small (4-10 mm) lower ureteric calculi (situated below the sacroiliac joint), with good renal function on intravenous urography. Patients were offered both the treatment options. One hundred and sixty patients chose ureteroscopy, whereas 120 patients were treated by ESWL. Standard techniques of ureteroscopy and ESWL were employed. Patients were followed-up to assess the success rates and complications of the two procedures. RESULTS: Ureteroscopy achieved complete stone clearance in one session in 95% of patients. In six patients ureteroscopy had failed initially and was later accomplished in second session improving the success rate to 98.7%. Two patients had a proximal migration of calculus that needed ESWL. Of the 120 patients treated by ESWL, 90% achieved stone free status at three months. Ureteroscopy was needed for twelve patients (10%) where ESWL failed to achieve stone clearance. There were no significant ESWL related complications. ESWL was administered on outpatient basis, while patients needed hospitalisation and anaesthesia for ureteroscopy. CONCLUSION: ESWL can be the primary mode of treatment for symptomatic small non-obstructing lower ureteric calculi as it is minimally invasive and safe. Ureteroscopy can be offered to patients who demand immediate relief or when ESWL fails.


How to cite this article:
Andankar M G, Maheshwari P N, Saple A L, Mehta V, Varshney A, Bansal B. Symptomatic small non-obstructing lower ureteric calculi: comparison of ureteroscopy and extra corporeal shock wave lithotripsy. J Postgrad Med 2001;47:177-80


How to cite this URL:
Andankar M G, Maheshwari P N, Saple A L, Mehta V, Varshney A, Bansal B. Symptomatic small non-obstructing lower ureteric calculi: comparison of ureteroscopy and extra corporeal shock wave lithotripsy. J Postgrad Med [serial online] 2001 [cited 2021 Apr 18 ];47:177-80
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2001;volume=47;issue=3;spage=177;epage=80;aulast=Andankar;type=0


 
Sunday, April 18, 2021
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer