Article:
Semirigid Ureteroscopy with Pneumatic Lithotripsy for Ureteral Stone

creativeworkseries.issn1999-6217
dc.contributor.authorDongol, UMS
dc.contributor.authorAcharya, L
dc.contributor.authorSubba, K
dc.contributor.authorKhambu, B
dc.contributor.authorJoshi, R
dc.contributor.authorShrestha, S K
dc.contributor.authorSingh, D R
dc.date.accessioned2023-06-04
dc.date.accessioned2026-06-16T17:20:21Z
dc.date.available2023-06-04
dc.date.available2026-06-16T17:20:21Z
dc.date.issued2011
dc.description.abstractBackground: Ureteral stones present with acute loin to groin pain. The objective of this study is to find out the outcome and safety of semi-rigid ureterscopy with pneumatic lithotripsy for treatment of ureteral stones of >30 mm2 and to assess the impact of size and location on stone free (SF) rate. Methods: Total 110 patients with isolated ureteral stone size>30 mm2 were included in this study and treated with pneumatic lithotripsy using 8/9.8 Fr. Semi-rigid ureteroscope (Stiema Germany). Stones were fragmented into 2-3mm particles and removed. Outcome parameters assessed at 3 months follow up were stone free rate(SF), Efficiency Quotient (EQ), and impact of stone size and site on SF/EQ was also analyzed. Similarly, patient demographics, procedures, patient related parameters and complications were also noted. Results: The overall SF rate at 3 months follow up was 69.33% and efficient Quotient (EQ) 52.52%. The SF/EQ for upper, middle and lower third of ureteral stone was 55/37.67,6/43.57, 92/84.40 respectively (P-value< 0.001). The SF for stone size 30-110 mm2 and >110mm2was 78% and 67% respectively. There were no major complications seen. Overall minor complication rate was 5.45 % (minor ureteral perforations-5, urinoma formation 1). Conclusions: Semi-rigid ureteroscopy with pneumatic lithotripsy is a safe, simple and effective procedure for ureteral stones with excellent success rate for distal ureteral stones. The stone free rate and EQ are statistically significant (P value<0.001) between upper, middle and lower ureteral stones. Stone size has a direct impact on the SF rate and EQ. Keywords: semirigid uerteroscopy, pneumatic lithotripsy.
dc.identifierhttps://doi.org/10.33314/jnhrc.v0i0.248
dc.identifier.citationDongolU., AcharyaL., SubbaK., KhambuB., JoshiR., ShresthaS. K., & SinghD. (2011). Semirigid Ureteroscopy with Pneumatic Lithotripsy for Ureteral Stone. Journal of Nepal Health Research Council. https://doi.org/10.33314/jnhrc.v0i0.248
dc.identifier.issnPrint ISSN: 1727-5482; Online ISSN: 1999-6217
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6623
dc.language.isoen
dc.publisherNepal Health Research Council
dc.subjectSemirigid uerteroscopy
dc.subjectPneumatic lithotripsy
dc.titleSemirigid Ureteroscopy with Pneumatic Lithotripsy for Ureteral Stone
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
relation.isJournalIssueOfPublication8a19718b-32ec-49a9-856d-d05a50daa472
relation.isJournalIssueOfPublication.latestForDiscovery8a19718b-32ec-49a9-856d-d05a50daa472
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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