COMPARATIVE STUDY OF URETEROSCOPY VERSUS EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN MANAGEMENT OF UPPER URETERIC CALCULI
Journal Title: INNOVATIVE JOURNAL OF MEDICAL AND HEALTH SCIENCE - Year 2018, Vol 8, Issue 7
Abstract
AIMS AND OBJECTIVE: To compare and assess the safety and efficacy of Ureteroscopy (URS) versus Extracorporeal shock wave lithotripsy (ESWL) in the management of upper ureteric calculi and look for any complications which are specific to ESWL or Ureteroscopy. METHODOLOGY: All patients presenting to the hospital with symptoms of ureteric colic/calculi were evaluated. Of them, a total of sixty successive patients that on evaluation had upper ureteric stones of 5-15 mm were included in this study. Out of 60 patients 30 was treated with ESWL and 30 underwent Ureteroscopy. The safety, efficacy and complications were compared between groups immediately and at three months after the procedure. Data were analysed using Fischer exact test in SPS version 19. RESULT: The immediate percentage of clearance and clearance at three months follow up for URS and ESWL group was analysed using t-test and it was found that there exists a significant difference in the immediate clearance rate (p value=0.030), however there was no significant difference in three months follow up for stone clearance in both the groups (p=0.999). The difference in the number of complication to both group was analysed using Fisher’s exact test and it was found that complication rates were significantly higher in the URS group compared to the ESWL group(p=0.004). CONCLUSION: ESWL is the preferred choice of treatment for proximal ureteric stones, in our study results suggest that Ureteroscopy is a viable and safe alternative, with an advantage of obtaining an immediate stone-free status.
Authors and Affiliations
SP Tripathi*, Purnima Pathak
Keywords
Related Articles
- EP ID EP443451
- DOI 10.15520/ijmhs.v8i7.2238
- Views 82
- Downloads 0
MOBILIZING NATIONAL CONTEXTS TO GLOBAL TRENDS, BRIDGING GAPS IN CLINICAL GUIDELINES
Evidenced-based and national context orientated Guidelines help clinicians translate best evidence into best practice. A well-calipered guideline improves quality by reducing variations in healthcare delivery. Clinical G...
Effect of Pulse rate on skipping Breakfast
Objective of the present study was to correlate blood grouping and skipping breakfast. A total of 200 subjects were involved in the present study. These subjects were associated with the Institute of Molecular Biology an...
Determining The Law Of Movement Of A Surgical Instrument In The Systems Of Magnetic Stereotaxis
The forces acting on the surgical instrument moving in the neural tissue are discussed and their numerical estimates are given. The analysis of motion equation of a surgical instrument is provided with the purpose of inc...
Is there a need for routine screening and treatment of iron deficiency anemia in early childhood to decrease incidence of febrile seizures?
Background: The aim of our study was look for association between iron deficiency anemia with febrile seizures. Prior to our study several other studies have given a conflicting data regarding this association and theref...
RESEARCH PAPER ASSESSMENT OF SPIROMETRIC VALUES IN OSTEOGENESIS IMPERFECTA
Purpose:Life expectancy in osteogenesis imperfecta (OI) can vary depending on the degree of compromise, and can lead to death in childhood or even at birth in severe cases. In the literature, the mo...