Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study
Joint Authors
al-Zain, Badr al-Din A.
Abd al-Azim H. K.
al-Hasan, Muawiyah M.
Shams al-Din, al-Tayyib B. E.
Ibn Awf M. A. M.
Source
Sudan Journal of Medical Sciences
Issue
Vol. 11, Issue 3 (30 Sep. 2016), pp.125-128, 4 p.
Publisher
Omdurman Islamic University Faculty of Medicine
Publication Date
2016-09-30
Country of Publication
Sudan
No. of Pages
4
Main Subjects
Topics
Abstract EN
Background : urolithiasis is a common worldwide health problem.
Many endosurgical treatments became available for urinary calculi.
Objectives : to find out the success clearance and complication rates of ureteric stone treatment using semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy as a day case procedure.
Methods : in the period from April 2011 to October 2013, a total of 64 patients who were treated by laser lithotripsy were reviewed retrospectively using Fedail Hospital data.
Diagnosis was radiologically confirmed.
Semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy was conducted as a day case surgery.
Operative details, clearance of stone fragments, failure and complications were analysed.
Cases were followed clinically and radiologically after one week and one month.
Results : the studied cases were 47 males and 17 females with average age of 47.3 years and ASA I in 52(81.3%).
Those who had left ureteric stones were 28(43.8%) patients, only one patient had bilateral stones and 60(93.8%) patients had single stones.
The largest stone diameter was 1.9cm.
68.8 % had distal ureteric stones, 14.1% had mid third stones, and 17.2% had upper third stones.
Most cases 96.9% were operated under spinal anaesthesia with mean operation time 61.2 minutes.
Seven patients needed VUJ balloon dilatation to get access to the ureter.20 watt Holmium:YAG laser fibres were used for stone disintegration.
92.2 % of cases had uncomplicated clearance, 3.1% minor complications and 4.7% failure of the procedure.100% clearance was confirmed during follow up.
Conclusion: Semi-rigid ureteroscopy and Holmium:YAG laser lithotripsy is a safe treatment for ureteric calculi and can be conducted as a day case with high success rate and very low morbidity.
American Psychological Association (APA)
al-Zain, Badr al-Din A.& Abd al-Azim H. K.& al-Hasan, Muawiyah M.& Shams al-Din, al-Tayyib B. E.& Ibn Awf M. A. M.. 2016. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences،Vol. 11, no. 3, pp.125-128.
https://search.emarefa.net/detail/BIM-767994
Modern Language Association (MLA)
al-Zain, Badr al-Din A.…[et al.]. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences Vol. 11, no. 3 (Sep. 2016), pp.125-128.
https://search.emarefa.net/detail/BIM-767994
American Medical Association (AMA)
al-Zain, Badr al-Din A.& Abd al-Azim H. K.& al-Hasan, Muawiyah M.& Shams al-Din, al-Tayyib B. E.& Ibn Awf M. A. M.. Efficacy of semi-rigid ureteroscopy and holmium : YAG laser lithotripsy in the treatment of ureteric calculi, a retrospective study. Sudan Journal of Medical Sciences. 2016. Vol. 11, no. 3, pp.125-128.
https://search.emarefa.net/detail/BIM-767994
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 128
Record ID
BIM-767994