DOI: https://doi.org/10.36347/sjams.2025.v13i02.038

Pages: 519-524

Background: Different treatment modalities have been introduced for upper ureteral stone which was previously treated by open surgery. Percutaneous nephrolithotomy (PCNL) is one of them and is being recommended as standard by several studies. Recently PCNL is being practiced in Bangladesh too. Therefore, this study was designed to compare the outcome of treatment of large upper ureteric stone by PCNL and open ureterolithotomy (OU). Methodology: This quasi-experimental study was conducted in the Department of Urology, Sir Salimullah Medical College Mitford Hospital, Dhaka from January 2019 to December 2020. A total of 70 patients were included in the study according to selection criteria. Study patients were divided into two groups: Group-A and Group-B underwent open ureterolithotomy (OU) and PCNL respectively. Result: Mean operative time was shorter in patients who underwent PCNL than the patients who underwent OU (90.17±8.27 min Vs110.14+14.17min, p<.05). Complete stone-clearance rate was similar in patients of both groups (97.1% Vs 94.3%, p>.05). No significant difference were regarding Per-operative and post-operative complications in patients of both groups (p>.05). Mean post-operative hospital stay was significantly shorter among patients who underwent PCNL (1.80±0.75 days Vs 5.0+1.43 days, p<.05). Convalescence was also significantly shorter among patients who underwent PCNL (1.98±0.91 weeks Vs 3.85±0.97 weeks, p<.05). Conclusion: In this study PCNL was observed with significant shorter operative time, hospital stay and shorter convalescence in comparison with OU. Thus it can be concluded that PCNL is better than open ureterolithotomy in the management of large upper ureteral stone.