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Ureteroscopy (URS): an effective interventional and diagnostic modality.
1Department of Urological Surgery and Transplantation, Jinnah Postgraduate Medical Center, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|February 15, 2003
Summary
Ureteroscopy (URS) effectively manages ureteral stones and diagnoses ureteral strictures with a low complication rate. This study shows high stone clearance and successful treatment for strictures using URS.
Area of Science:
- Urology
- Endourology
- Surgical Innovation
Background:
- Ureteral calculi and strictures pose significant clinical challenges.
- Accurate diagnosis and effective treatment are crucial for patient outcomes.
- Ureteroscopy (URS) has emerged as a key tool in managing ureteral diseases.
Purpose of the Study:
- To evaluate the efficacy of ureteroscopy in treating ureteral calculi.
- To assess the diagnostic utility of ureteroscopy for ureteric strictures and hydroureter.
- To determine the complication rate associated with ureteroscopic procedures.
Main Methods:
- A prospective study of 118 patients undergoing ureteroscopy (URS) over 24 months.
- Rigid 8 FG ureteroscope used for calculi treatment and diagnostic evaluations.
- Swiss pneumatic lithoclast employed for lithotripsy; endoscopic dilatation for strictures.
Main Results:
- Successful stone clearance achieved in 93.8% of patients within 15 days.
- Ureteroscopy diagnosed ureteric strictures in 10 patients and hydroureter in 10.
- Complications included fever (41%), mild hematuria (38.9%), and rare mucosal stripping or PCN placement.
Conclusions:
- Ureteroscopy is a highly effective modality for managing ureteral calculi.
- URS serves as a valuable diagnostic tool for ureteric strictures and hydroureter.
- The procedure demonstrates a low complication rate, supporting its clinical utility.