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Effect of ureteric stone location on the success rate of ureteroscopic holmium laser lithotripsy
Joint Authors
Ahmad, Muhammad F.
Uthman, Asaad I.
Muhammad, Adi H.
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 55, Issue 3 (30 Sep. 2013), pp.199-203, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2013-09-30
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Abstract EN
Background: Ureteral stone can cause obstructive uropathy and subsequent deterioration of renal function.
There are four treatment options for ureteral calculi: ةتاآاا 0آأااا >•, ureteroscopy, laparoscopic ureterolithotomy, and open stone surgery.
holmium YAG laser is an excellent intracorporial lithotripter for all kinds of stones.
Accordingly, there is steady increase in number of ureteroscopic laser lithotripsy operations in the managmant of Ureteral stone.
Objectives: this study was designed to demonstrate the effect of ureteric stone location on the success rate of ureteroscopic Holmium laser lithotripsy in the management of ureteric stones.
?atients and Methods: Ninety middle-aged patients of either sex (35.9 ± 10.8 years) with ureteric stone (9.5 ± 3 ١٦٦١٦١) were treated with semiregid ureteroscopy using Holmuim: ٧ ٨ ^ laser as an intracorporial lithotripter.
In 32 patients (35%) the stone were located in the lower ureter, 22 patients (24%) in middle ureter and in 36 patients (40%) in the upper ureter.
Then all the patients were followed up on day ل and 4 weeks for clearance of stone by plain abdominal radiography and abdominal ultrasonography.
Results: the stone free rates 4 weeks after the treatment were 66% for upper, 75 % for middle and 87.5% for lower ureteric stones.
In 12 patient13) ؛؛%)cannot be possible to reach the stone, six patients (6.6 %) had proximal stone migration and treated later on by extracorporeal lithotripsy after double-J stent placement.
Ureteral perforation occurred in 7 patients (7,7%), all managed by double-J stent placement except ا patient needed an open surgical treatment..
Couclusion: YAG laser lithotripsy is efficacious modality of treatment for ureteric stones especially in lower ureter and it is a safe and technically feasible and in early experience, it is preferred to start with more distal stones
American Psychological Association (APA)
Ahmad, Muhammad F.& Uthman, Asaad I.& Muhammad, Adi H.. 2013. Effect of ureteric stone location on the success rate of ureteroscopic holmium laser lithotripsy. Journal of the Faculty of Medicine Baghdad،Vol. 55, no. 3, pp.199-203.
https://search.emarefa.net/detail/BIM-357322
Modern Language Association (MLA)
Ahmad, Muhammad F.…[et al.]. Effect of ureteric stone location on the success rate of ureteroscopic holmium laser lithotripsy. Journal of the Faculty of Medicine Baghdad Vol. 55, no. 3 (2013), pp.199-203.
https://search.emarefa.net/detail/BIM-357322
American Medical Association (AMA)
Ahmad, Muhammad F.& Uthman, Asaad I.& Muhammad, Adi H.. Effect of ureteric stone location on the success rate of ureteroscopic holmium laser lithotripsy. Journal of the Faculty of Medicine Baghdad. 2013. Vol. 55, no. 3, pp.199-203.
https://search.emarefa.net/detail/BIM-357322
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 202-203
Record ID
BIM-357322