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Experiences with ureteroscopy.

T J Spalding

    Journal of the Royal Naval Medical Service
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Ureteroscopic stone extraction effectively removes ureteral calculi with a 91% success rate. This minimally invasive procedure allows for a rapid return to fitness, reducing the need for open surgery.

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    Area of Science:

    • Urology
    • Minimally Invasive Surgery

    Background:

    • Ureteroscopic procedures are utilized for both diagnostic and therapeutic purposes.
    • Ureteral calculi (stones) present a significant clinical challenge requiring effective treatment options.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of ureteroscopic stone extraction for ureteral calculi.
    • To assess the success rate and morbidity associated with ureteroscopic stone extraction.

    Main Methods:

    • A retrospective review of 44 ureteroscopic procedures performed on 39 patients between January 1985 and August 1988.
    • Focus on 26 procedures for ureteric calculi extraction.

    Main Results:

    • The initial success rate for ureteroscopic stone extraction was 61% (14 out of 23 patients).

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  • Including dislodgement with spontaneous passage and successful second attempts, the overall success rate reached 91%.
  • Only two patients required ureterolithotomy, indicating a low rate of conversion to open surgery.

    • Conclusions:

    • Ureteroscopic stone extraction is an effective therapeutic technique for ureteral calculi.
    • The procedure is associated with minimal morbidity and facilitates a rapid return to medical fitness, particularly relevant for military personnel.