Ureteroscopic Treatment Of Ureteral Calculi Our Results Of Multiaspect Evaluations In 1265 Patients

Sakıp Erturhan; Kemal Sarıca; Faruk Yağcı; Ahmet Erbağcı; İlker Seçkiner; Hanifi Özgül

doi:10.58600/eurjther.2008-14-2-1335-arch

Authors

Sakıp Erturhan Gaziantep Üniversitesi Tıp Fakültesi Üroloji AD
Kemal Sarıca Çamlıca Medicana Hospital, Üroloji Kliniği, İSTANBUL
Faruk Yağcı Gaziantep Üniversitesi Tıp Fakültesi Üroloji AD
Ahmet Erbağcı Gaziantep Üniversitesi Tıp Fakültesi Üroloji AD
İlker Seçkiner Gaziantep Üniversitesi Tıp Fakültesi Üroloji AD
Hanifi Özgül Gaziantep Üniversitesi Tıp Fakültesi Üroloji AD

DOI:

https://doi.org/10.58600/eurjther.2008-14-2-1335-arch

Keywords:

Urinary stone, Ureter, Ureteroscopy, ESWL

Abstract

In our study, the results of rigid ureteroscopy in the management of stones located in different segments of the ureter is being presented. Between 1995-2005, totally 1265 patients with ureteral stones (742 male, 523 female) with an avarage age value of 42.5 (ranged 18-74) years have been treated with rigid ureteroscopy. Depending on the size as well as their impaction to the ureteral wall, they were either directly removed by basket catheters or pneumatic lithotripsy has been used for disintegration of the stones. Success rates obtained with respect to stone location as well the irrigation fluid used and the operational time, auxiliary procedures and that of complication rates were comparatively evaluated. Stone size ranged from 0.4 to 2.3 cm (mean 1.4). While 459 (36.3%), stones were removed by ureteroscopy with basket application, pneumatic lithotripsy were necessary in 739 (58.4%) cases. Mean operation time was 25.4 (ranged from 9 to 39) minutes. In 1198 (94.7%) cases have been completely stone free after the procedure. In 67 cases (5.3%), the procedure was unsuccessful. Ureteral stent was applied in 243 cases following stone removal (19.2%). Our results have demonstrated that, ureteroscopy is a safe and effective manner in the treatment of ureteral stones. We believe that, this procedure should be the first treatment of choice in the management of the stones located especially in the lower part of the ureter when compared with ESWL (Extracorporeal Shock Wave Lithotripsy). Additionaly, this procedure can also be applied in mid and upper ureteral stones in skilled hands with enough experience.

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