Non-Fluoroscopic Uretero-Lithotripsy for Distal and Mid Ureteric Stone: Is it Safe and Feasible? Single Center Experience

Authors

  • Naser S Hussein Urology & Nephrology department, Al Karamh teaching Hospital, Baghdad
  • Hussein A Al Khumasi Urology & Nephrology department, Al Karamh teaching Hospital, Baghdad

DOI:

https://doi.org/10.3329/bjms.v16i1.31132

Keywords:

ureteric stone, ureteroscopy, fluoroscopy

Abstract

Objective: To assess safety and feasibility of completely non-fluoroscopic ureteroscopy for treatment of mid and distal ureteric stone in term of stone free-rate and complications.

Material and Methods: Over study period between January 2014 and January 2015, ninety-one complete fluoroscopy-less semirigid ureteroscopies were performed for treatment of symptomatic ureteric stones. Age, sex, stone size, location, side, operative time, auxiliary procedures, stonefree rate and complications, all were assessed. A Stone-free rate was defined as the lack of radiographic evidence of residual stone at 4 weeks. Postoperative imaging, and complications were grading according to modified Clavien classification system, which used initially to grade complications of general surgery.

Results: The average age of our subjects was 32.9, with male and right side predominant, 68 % and 64.8% respectively. The average stone size and operative time were 10.07 and 32.08 respectively. Fifty six semirigid retrograde ureteroscopies were done for distal ureteric and 35 for mid ureteric stones, achieving 91.2% stone free rate, with overall intraoperative complications of 18.6%. All cases were managed on day case basis, ureters were stenting preoperatively in 37 patients and all cases were stenting with an appropriate size of double J.

Conclusion: Zero fluoroscopic semirigid retrograde ureteroscopy is a safe and feasible treatment modality for management of distal and mid ureteric stones.

Bangladesh Journal of Medical Science Vol.16(1) 2017 p.48-52

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Author Biography

Naser S Hussein, Urology & Nephrology department, Al Karamh teaching Hospital, Baghdad



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Published

2017-01-16

How to Cite

Hussein, N. S., & Khumasi, H. A. A. (2017). Non-Fluoroscopic Uretero-Lithotripsy for Distal and Mid Ureteric Stone: Is it Safe and Feasible? Single Center Experience. Bangladesh Journal of Medical Science, 16(1), 48–52. https://doi.org/10.3329/bjms.v16i1.31132

Issue

Vol. 16 No. 1 (2017)

Section

Original Articles

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