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Ureteric stone surgery in practice.

M C Bishop, W T Lawrence, R J Lemberger

British Journal of Urology

|February 1, 1987

Summary

This summary is machine-generated.

Ureteroscopic stone extraction is an effective endoscopic procedure for ureteric calculus. This technique reduced open surgeries and proved successful in most cases, becoming a standard urological practice.

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Area of Science:

Urology
Endourology
Surgical Innovation

Background:

Ureteric calculus management historically involved open surgery.
Advancements in endoscopic techniques offered less invasive alternatives.

Purpose of the Study:

To evaluate the efficacy and safety of ureteroscopic stone extraction.
To assess the impact of increasing expertise with ureterorenoscopy on surgical practice.

Main Methods:

Retrospective analysis of 140 patients undergoing surgery for ureteric calculus (1983-1986).
Comparison of outcomes between "blind" basket extraction, ureteroscopy, and open ureterolithotomy.
Use of electrohydraulic and ultrasonic lithotripsy for large calculi.

Main Results:

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Ureteroscopic stone extraction demonstrated an 86% success rate.
Open ureterolithotomy decreased to 15% by 1985-86, often following failed endoscopic attempts.
The most common complication was ureteral perforation (14%), usually minor and near the vesicoureteric junction.

Conclusions:

Ureteroscopic stone extraction is a highly effective and safe endoscopic procedure for ureteric calculi.
The technique has led to a significant reduction in open surgeries.
It should be considered a standard endoscopic procedure in urological practice.