DOI: 10.36347/sasjs

Pages: 52-56

To compare the outcomes of semirigid ureterorenoscopy with extracorporeal shock wave lithotripsy (ESWL) for the treatment of upper ureteric stones of 10 to 15 mm. A total of 70 patients with radioopaque solitary upper ureteric stone who underwent ESWL or URS with holmium: YAG laser were enrolled in this study. Each group treated with ESWL and URSL for upper ureteric stones were prospectively compared in terms of retreatment and stone free rates, and complications. 77.14% (n = 35) of patients who underwent ESWL therapy was stone free at the end of 2nd session. This rate was 85.71% (n = 35) for patients of URS group (p > 0.05). Retreatment was required in 51.43% of patients who underwent ESWL. The retreatment rate of cases who were operated with URS was 2.86% (p = 0.0000037, p < 0.05). Overall complications did not vary significantly between the 2 groups. URS and ESWL have similar outcomes for the treatment of upper ureteric stones of 10–15 mm. ESWL has the superiority of minimal invasiveness and avoiding general anethesia. Ureterorenoscopy (URS) with intracorporeal laser lithotripsy has the advantage of obtaining an earlier or immediate stone-free status. But it is an invasive procedure & needs hospitalization. Complication rates are comparable between these groups.