Experience with ureteral stone management in 1,082 patients using semirigid ureteroscopes

Citation
S. Hamano et al., Experience with ureteral stone management in 1,082 patients using semirigid ureteroscopes, UROL INTERN, 65(2), 2000, pp. 106-111
Citations number
22
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Urology & Nephrology
Journal title
UROLOGIA INTERNATIONALIS
ISSN journal
0042-1138 → ACNP
Volume
65
Issue
2
Year of publication
2000
Pages
106 - 111
Database
ISI
SICI code
0042-1138(2000)65:2<106:EWUSMI>2.0.ZU;2-X
Abstract
Objectives: To assess the efficacy and complications of ureteroscopic litho tripsy (URS) using semirigid ureteroscopes. Methods: We retrospectively ana lyzed the records of 1,082 consecutive patients with ureteral stones who we re treated with URS with or without auxiliary extracorporeal shock wave lit hotripsy for stone fragments. The efficacy was estimated using the stone-fr ee rate and efficiency quotient (EO). Results: The stone-free rates were 79 .0, 90.4 and 93.2% for upper, middle and lower ureteral stones, respectivel y. The EO was 0.49 for upper, 0.79 for middle and 0.87 for lower ureteral s tones. Ureteral perforation occurred in 54 cases (5.0%), of which 13 cases (1.2%) required nephrostomy (n = 11, 1.0%) or open surgery (n = 2, 0.2%). C onclusions: URS is a reasonable procedure with minor complications for ston es located in the lower and middle ureter, but cannot be recommended as a f irst-line treatment for upper ureteral stones. Copyright (C) 2000 S. Karger AG, Basel.