PATIENT PROFILE & OUTCOME IN CASES OF PROXIMAL URETERIC CALCULUS TREATED WITH ESWL COMPARED TO OTHER PROCEDURES

Dr. Neel S. Shah, Dr. Siva Sankar M., Dr. Griffin M., Dr. N. Muthulatha, Dr. V. Kamaraj

Abstract


Introduction- The aim of this article is to review clinical aspects of upper ureteral stones and to analyse the outcomes of therapeutic modalities
currently available for treating upper third ureteral calculi.
Method: Patients of upper ureteric stone treated with ESWL, URS, PCNL or open ureterolithotomy were studied prospectively. Patients of solitary
upper ureteric stone with <1200 HU , normal urinary tract anomaly and without any previous procedure for renal or ureteric stone were selected in
this study.
Results: For ESWL overall success rate was 73% and 27% required auxiliary measures for the further management of stone. For the stones ≤ 1 cm
success rate with ESWL is 86%. For the stones > 1 cm success rate is 63%. In URS, overall success rate was 89% and 11% required auxiliary
measure. In PCNL, overall success rate was almost 93%. In Open surgery, success rate was 100%.
Conclusion: ESWL is preferred method of treatment for non impacted, ≤ 1 cm upper ureteric stone as being an OPD procedure and with less
complications, it is quite cost effective. For the stones which are >1 cm, impacted and for which auxiliary measures may be required, procedures
other than ESWL can be preferred.


Keywords


ESWL, Proximal Ureteric Stone.

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