Posted in Volume 16 - Number 2
RAFIQUE AHMED SAHITO, MUHAMMAD ALI SUHAIL, MUHAMMAD SALEH KHASKHELI
ABSTRACT | Full Text PDF
OBJECTIVE: To determine the utility and efficacy of pneumatic lithotripsy in the treatment of ureteric calculi. DESIGN: Retrospective study
DURATION: From 2006 to 2009 SETTING:Department of Urology Peoples Medical College Nawabshah
PATIENTS & METHODS: Over a period of three (03) years hundred (100) patients of ureteric stones were treated with pneumatic lithoclast. Fifteen (15) Stones were located in upper ureter, Twenty (20) stones were located in middle ureter and sixty five (65) stones were located in lower ureter. Success rate was defined as symptom free, no residual stones larger than 2mm. Spinal anesthesia with intravenous sedation was given to all patients.
RESULTS: Over all success rate was 90%. Success rate in upper, middle and lower ureteric stones were 60%, 90% and 96.92% respectively. Completely fragmented stones cleared spontaneously within two weeks in 95% of cases and all patients were free of stones one month after the procedure. In ten (10) patients stone was migrated, later on submitted for ESWL and successful. Complications were encountered in 11% of cases and were managed conservatively. Hospital stay was 24 to 36 hours.
CONCLUSION: Pneumatic lithotripsy is reliable, highly effective rapid, safe and cost effective treatment modality for ureteric stones with negliable incidence of complications.
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