الفهرس | Only 14 pages are availabe for public view |
Abstract This study was performed to compare the efficacy of ureteroscopic management using Holmium: YAG laser lithotripsy versus shock wave lithotripsy for treating proximal medium sized ureteric stones (5-20mm) regarding surgical efficacy and peri-operative morbidity. It included 108 patients with upper ureteral stones and it was done in the period from June 2016 to September 2017. All Patients were preoperatively evaluated in detail by medical history, physical examination including BMI, laboratory investigations including (urine analysis, urine culture, serum creatinine and routine pre-operative investigations), and imaging evaluation including (abdomino-pelvic ultrasound, KUB and Spiral C.T scans) in all cases. Type of the procedure was determined in random way: a case for SWL, 2nd for URS, third for SWL....and so on SWL group included 54 cases whom were managed with electro-magnetic Lithotripter and evaluated for anesthesia, position, localization, power of beginning, maximum power, number of shocks, termination of procedure, need of jj, residuals, operative time, lithotripsy time, Intra operative complications, post-operative complications, hospitalization, KUB 1 week, KUB 1 month and need for other sessions. URS group included 54 cases whom was managed with semi-rigid ureteroscopy with Ho: YAG LASER lithotripsy and evaluated for anesthesia, position, urethra-cystoscopy, ureteric orifice, guide wire passing, ureteral dilatation, intro of URS, energy, frequency, power, residuals and stone retrieval, operative time, lithotripsy time, termination of procedure, |