Role of Ureteroscopy in the management of Ureteric stone

Abstract

Advent and evolution of ureteroscopes has revolutionised the management of urinary stone disease. This study was aimed to establish the role of Ureteroscopic management in Ureteric calculi. Sixty two patient (44 males and 18 females) who presented with ureteric calculi were included in study. Patients with ureteric calculi were managed by Ureteroscopy and stone retrieval with dormia basket or stone fragmentation by Electrokinetic lithotripsy (EKL) and electrohydrolic lithotripsy (EHL). Twenty-two cases presented with complete obstruction in which JJ stenting was performed in emergency. 25.81% patients had stone in upper, 12.9% in middle and 61.29% in lower ureter. Complete stone clearance was achieved in 79.03% cases at primary ureteroscopy while 11.9% needed secondary ureteroscopy and stone passed spontaneously after stenting in 6.45 cases. Two (3.23%) cases had ESWL due to migration of stone fragments to kidney. Urinary tract infection (3.23%) and bleeding (3.23%) were only notable complications. We recommend that ureteroscopy should be the first line of treatment in the management of ureteric calculi.