Early experience in ureteroscopy and pneumatic lithoclast in AL Hilla City
Keywords:
early experience, uretroscopy, pneumatic lithoclast, AL Hilla CityAbstract
Introduction: Urological treatment of urinary calculi has changed much in the past 20 years (1). Endoscopic intra Ureteral lithotripsy has developed as the result of advances in techniques for uretroscopy and lithotripsy Aim of the study to determine the utility and the efficacy of pneumatic lithoclast in the treatment of uretric stone as early experience in AL- HillA city. Method: cross sectional study of one hundred patients with uretric stone with size ranged from (0.5-1.5 cm) and different level (upper, middle, lower Ureter 15, 20, 65 respectively) treated with uretroscopy and pneumatic lithoclast under general and spinal anesthesia. Result: About 90 patients have cleared from uretric stone within 2 weeks. The other 10patient’s not responding because Upward migration (6 patients), Ureteral perforation (4 patients). 50 patient’s need’s double j stenting at the end of the procedure because large number of fragments’ and due to hematuria. The other 50 patients not need double j stenting because small stone and easy to pass spontaneous. Conclusion: By conclusion early intervention is advisable .mid or upper ureteric stone also can deal with.
Downloads
References
Hong YK, Park DS. Ureteroscopic lithotripsy using swiss lithoclast for treatment of ureteric calculi: 12-years experience. j korean med sci 2009; 24:690-94.
Bagley DH. Ureteroscopic lithotripsy. diagnostic therapeutic endoscopy 2001;4: 1-7.
James E, et al. Surgical management of upper urinary tract calculi. camp bell- walsh urology 9th ed 2007; 2:1431-1507.
Akhtar MS, Akhtar FK. Utility of the lithoclast in the treatment of upper middle and lower ureteric calculi. surg jr coll surg edinb in irel; 2003: 144-148.
Hofbauer J, et al. Lithoclast: new and inexpensive mode of intracarporeal lithotripsy. j endourol 2002; 6:429, 32.
Denstedt JD, et al. TAe swiss lithoclast a new device for entracarporial lithotripsy. j urol 2002;148:1088-90
Wu CF, et al. Therapeutic options for proximal ureter stone: extracorporeal shock wave lithotripsy verses semirigid uroterorenoscope with holmium: ytriumaluminum garnet laser lithotripsy urology 2005; 65:1075-79.
Mugiya. S, et al. Endoscopic management of impacted ureteral stones using a smal caliber ureteroscope and a laser lithotripter. j urol 2006;164:329-31
Arthur D.smith,et al.Smith’s text book of endourology .2nd ed 2006 :27-30,179-181.
Sun Y, et al. Pneumatic lithotripsy verses laser lithotripsy in the endoscopic treatment of ureteral calculi. j endo urol 2002;12:587-8.
Hamid A, Wani MS, Wazir BS Entracarporial lithotripsy for ureteral calculi using swiss lithoclast: skims experience jk science 2005;7(4):195-8
Piergiovanni M, et al. Ureteral and bladder lesions after ballistic, ultrasonic electrohyderaulic, or laser lithotripsy. Endourol 2004;8:293-9.
Denstedt JD. Entracarporial lithotripters, in simith a, badlani gh, bagley dh, et al; eds. smith’s text book of endourology, st louis, mo: quality medical publishing,2006; 47-63.
Teh CL, Zhong P, Preminger GM Laboratory and clinical assessment of pneumatically driven intracarporeal lithotripsy. j endourol 2002; 12:163-9.
Sozen S, et al. Management of ureteral stones with pneumatic lithotripsy report of 500 patients. j endoural 2003;17:721-4.l
Tan PK, Tan SM, Consigliere D. Ureteroscopic lithoclast lithotripsy: a cost-effective option. j endourol 2002;12:241-4.
Jeon SS, Hyun JH, Lee KS. A comparison of holmium: yag laser with lithoclast lithotripsy in ureteral calculi fragmentation. INT J urol 2005;12:5447.
Wadhwa SN, Hemal AK, Sharma RK. Intracarporeal lithotripsy with the swiss lithoclast. BR J urol2004;74:699-702.
Terai A et al. Intracarporeal lithotripsy with the wsiss lithoclast. INT J urol 2004;3:148-196.
Murthy PV, et al. Ureteroscopic lithotripsy using mini-endoscope and swiss lithoclast: experience in 147 cases. j endo urol 2000;11:327-30.
Hosking DH, Mecolm SE, Smith WE. Is stenting following ureteroscopy for removal of distal ureteral calculi necessary? j urol2002; 161:48-50.
Rane A, et al. To stent or not to stent? that is still the question. j endo urol2000;14:479-81.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
