TY - JOUR AU - Rasool, Mumtaz AU - Tabassum, S A AU - Mumtaz, F AU - Sheikh, A A PY - 2010/02/27 Y2 - 2024/03/29 TI - Experience of Ureteroscopic Pneumatic Lithotripsy In Management of Lower and Mid Ureteric Calculi JF - Annals of King Edward Medical University JA - Annals KEMU VL - 14 IS - 1 SE - Articles DO - 10.21649/akemu.v14i1.104 UR - https://annalskemu.org/journal/index.php/annals/article/view/104 SP - 21 AB - <p><strong>Purpose of Study:</strong>&nbsp;&nbsp;To formulate results of our experience with ureteroscopy and intracorporeal pneumatic lithotripsy during&nbsp; management of mid and lower ureteric stones.</p> <p><strong>Design of Study:</strong> &nbsp;Prospective.</p> <p><strong>Period of Study:</strong> &nbsp;January 2004 to April 2006.</p> <p><strong>Setting:</strong>&nbsp;&nbsp;American General Hospital, Ahmadpur Road Bahawalpur.</p> <p><strong>Patients and Methods:</strong>&nbsp;&nbsp;All patients of mid and lower ureteric stones above 18 years of age were included in this study. Initially 115 patients were selected but 15 patients were lost during follow-up. Patients with previous history of surgery for ureteric stones were not included. Ureteroscopy and intracorporeal pneumatic lithotripsy were used for patients whose stones failed to progress on conservative trial.</p> <p><strong>Results:</strong>&nbsp;&nbsp;Intracorporeal pneumatic lithotripsy with ureteroscopy has best results especially in single session with 94.2% stone clearance rates. Conservative management of ureteric calculi is very promising and practicable provided the infection and pain remains under control and stone size is smaller than 06mm.</p> <p><strong>Conclusion:</strong>&nbsp;&nbsp;Wait and Watch treatment for ureteric calculi is safe.Ureteroscopy and pneumatic lithotripsy is effective and can be advocated as first line treatment for ureteric calculi if opted by the patient.</p> <p><strong>Key Words:</strong>&nbsp;&nbsp;Ureteric calculi, Ureterorenoscopy (URS), Intracorporeal Pneumatic lithotripsy. UreteroRenoscopic Lithotripsy (URSL).</p> ER -