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Related Experiment Videos

Ureteral stone management: emerging concepts.

J E Lingeman, L P Sonda, R J Kahnoski

    The Journal of Urology
    |June 1, 1986
    PubMed
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    This study on ureteral calculi found higher success rates for treating stones distal to the pelvic brim (94%) compared to proximal stones (62%). Overall success was 87% across 206 procedures.

    Area of Science:

    • Urology
    • Endourology

    Background:

    • Ureteral calculi (stones) pose a significant clinical challenge.
    • Management strategies vary based on stone location (proximal vs. distal to pelvic brim).
    • Extracorporeal shock wave lithotripsy (ESWL) is a common treatment, sometimes leaving ureteral fragments.

    Purpose of the Study:

    • To evaluate the efficacy of current management strategies for ureteral calculi.
    • To compare treatment outcomes for proximal and distal ureteral stones.
    • To present management concepts including ESWL and ureteroscopy.

    Main Methods:

    • A retrospective analysis of 206 procedures performed on 193 patients with ureteral calculi.
    • Procedures included ureteroscopy (147 cases) and management of fragments post-ESWL (61 cases).

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  • Data collection focused on stone location and procedural success rates.

    • Main Results:

    • Overall success rate for ureteral calculi procedures was 87%.
    • Success rates differed significantly by stone location: 62% for proximal stones and 94% for distal stones.
    • Ureteroscopy was a primary intervention, particularly for fragments post-ESWL.

    Conclusions:

    • Distal ureteral calculi demonstrate higher treatment success rates compared to proximal calculi.
    • A combined approach, including ureteroscopy and ESWL, is effective for managing ureteral stones and fragments.
    • Current management concepts effectively address both proximal and distal ureteral calculi, with location being a key factor in outcomes.