Endoscopic Management of Ureteric Stones : Experience In Holy Family Red Crescent Medical College Hospital

DOI: https://doi.org/10.47648/jmsr.2014.v2201.02

Akbar Md. A1 , Alam Md. S2 , Sharif A3 , Parvin R4

Abstract

A retrosceptic study was done on 60 patient with ureteric stone underwent uretereroscopic stone in Holy Family Red Crescent Medical College Hospital from June 2008 to July 2011.  Among them 35 were male and 25 were female. The male female ratio was 1.4:1. Age of the patients ranged from 21-73 years, with mean age 48±10.8 years. Of the stones 8 were located in the upper ureter, 23 in the mid ureter and 29 at the lower ureter. Size of the stone ranged from 0.8 cm to1.5cm. Ureterorenoscopy was done by 9.5 Fr. Semirigid ureteroscope and stones ware fragmented by pneumatic lithotriptor. Ultimate stone clearance at follow up after 1 month was in 55 (91.6%) cases. In four cases retropulsion of stone occurred up into the pelvicalycial system. These patients were managed byExtra coporeal shock wave lithotrypsy (ESWL.) One patient needed repeat URS and ICPL due to retained stone fragment in lower ureter after 6 weeks of follow up. Average operation time was 41.50 min. All cases were done under spinal anesthesia. D-J (Double I)stenting was done in all patients and Stent was removed ((ter  4-6 weeks under local anaesthesia after ensuring stone clearance. Ureteroscopy and Infra corporeal pneumatic lithotripsy (ICPL) is now a widely accepted procedure for ureteric stone management in appropriate patients where Laser facility is not available. The study has been done to evaluate the outcome of endoscopic treatment of ureteric stone by ICPL in a tertiary hospital.

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  1. Professor and Head, Department of Urology

    Holy Family Red Crescent Medical College, Dhaka

  2. Registrar, Department of Urology

    Holy Family Red Crescent Medical College, Dhaka

  3. Registrar, Department of Urology

    Holy Family Red Crescent Medical College, Dhaka

  4. Assistant Professor, Department of Surgery

    Samorita Medical College


Volume 22, Number 1 January 2014
Page: 45213