3. Comparison the Efficacy of Extracorporeal Shock Wave Lithotripsy, Ureterolithotripsy and Laproscopic Ureterolithotomy in Treatment of Large Proximal Ureteral Stone
Sultan Mohammad Tareen and Abdul Razaque Nasir
Objective: To determine the usefulness of extracorporeal shock wave lithotripsy, ureterolithotripsy and laproscopic ureterolithotomy in treatment of large proximal ureteral stone.
Study Design: Comparative/prospective study
Place and Duration of Study: This study was conducted at the Department of Urology, Bolan Medical Complex Hospital, Quetta from 1st January 2018 to 30th June 2018.
Materials and Methods: In this study, 62 patients of both genders having large proximal stones >1cm in ureters were included. Patient’s ages were ranging from 25 to 50 years. Patient’s detailed history including age, sex and socio-economic status was examined. All patients had undergone extracorporeal shock wave lithotripsy, ureterolithotripsy and laproscopic ureterolithotomy treatment.
Results: There were 35 (56.45%) patients were men while 43.55% were women. 27 (43.55%) patients were aged between 25 to 35 years, 25 (40.32%) patients were ages between 35 to 45 years while remaining 16.13% were ages >45 years. 40 (64.52%) patients had urban area residency.25 patients had undergone treatment with shock wave lithotripsy, 20 patients had ureterolithotripsy and 17 patients were treated with laproscopic lithotomy treatment. Highest successful rate in stone clearance was resulted in patients whom had treated with laproscopic ureterolithotomy as 94.12%.
Conclusion: It is concluded that, the patients whom had treated with laproscopic ureterolithotomy was a highest success rate in clearance of stone. Laproscopic lithotomy shows better result than the other techniques.
Key Words: Extracoporeal shock wave lithotripsy, Ureterolthotripsy, Laproscopic ureterolithotomy, Large proximal stone
Citation of articles: Tareen SM, Nasir AR. Comparison the Efficacy of Extracorporeal Shock Wave Lithotripsy, Ureterolithotripsy and Laproscopic Ureterolithotomy in Treatment of Large Proximal Ureteral Stone. Med Forum 2018;29(8):11-14.