EARLY EXPERIENCE OF PNEUMATIC LITHOCLAST FOR THE MANAGEMENT OF URETERIC STONES AT PESHAWAR

Authors

  • Ahmad Nawaz Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar
  • Bakhtawar Gul Wazir Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar
  • Akhtar Nawaz Orakzai Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar

Abstract

Background: Pakistan lies in the Afro-Asia stone belt. Ureteric calculi are common occurrence and a major burden on health care facilities in Pakistan. The objective of this study was to assess the efficacy and safety of pneumatic lithoclast in the management of ureteric calculi. Methods: Case series study Department of Urology at Institute of Kidney Diseases Hayatabad Peshawar, from 1st Oct 2010 to 1st Oct 2011. One-hundred adult patients with ureteric calculi ‰¥ 0.7 cm were evaluated by history, physical examination, routine blood and urine examination after taking their written informed consent and approval of ethical committee. Ultrasound and X-ray KUB were done with IVU if required. All patients underwent ureteroscopy within intracorporeal lithotripsy and JJ stenting. Patients were followed up with post-op X-ray KUB at 24 hours and then weekly intervals till they became stone free. Following parameters were assessed: stone size, site, laterality, degree of fragmentation, success rate, stone migration and complications. Inability to reach the calculus with URS, proximal migration of stone or requirement of another/auxiliary procedure was considered failure. Results: One hundred and ten patients were enrolled with a mean age of 38±10 years. There were 72 males and 28 females. Fifty-eight calculi were on right and 42 on left side. 24, 24 and 52 stones were in upper, middle and lower ureter respectively. Forty stones measured 7-10 mm, 52 measured 11-15 mm and 8 measured 16-20 mm in size. 98 stones were broken while 2 calculi migrated proximally. Overall success rate was 90% (Efficiency Quotient =78.95). Success rate in upper, middle and lower ureter was 83.3%, 83.3% and 96.1% respectively. 10 and 2 patients required ESWL and open ureterolithotomy, respectively, as additional treatment. Mean operative time was 33.5 minutes. There were no major complications. Conclusions: Pneumatic lithoclast with URS is effective and safe in the management of the ureteric calculi with some limitations in the upper ureter.

Keywords: Ureteric stones; Ureterorenoscopy; Pneumatic Lithoclast

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Published

2016-08-28

How to Cite

Nawaz, A., Wazir, B. G., & Orakzai, A. N. (2016). EARLY EXPERIENCE OF PNEUMATIC LITHOCLAST FOR THE MANAGEMENT OF URETERIC STONES AT PESHAWAR. Journal of Ayub Medical College Abbottabad, 28(3), 542–544. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/1453

Issue

Vol. 28 No. 3 (2016): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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