Related Experiment Videos
[Ureteroscopy for ureteral calculi. 379 cases]
1Service de Chirurgie Urologique, Hôpitaux Universitaires de Strasbourg, France.
Summary
Ureteroscopy effectively treats ureteric stones, with high success rates. While complications like ureteric perforations can occur, they are manageable, particularly in training centers.
Area of Science:
- Urology
- Endourology
Context:
- Symptomatic ureteric stones present a common clinical challenge.
- Historically, various treatment modalities have been employed for ureteric stones.
- Ureteroscopy offers a minimally invasive approach to stone management.
Purpose:
- To evaluate the efficacy and safety of ureteroscopy for treating symptomatic ureteric stones.
- To analyze the outcomes and complications associated with ureteroscopy in a single center.
- To assess the role of ureteroscopy as an exclusive treatment modality for ureteric stones.
Summary:
- A total of 379 patients with ureteric stones were treated exclusively with ureteroscopy between 1987 and 1993.
- Immediate stone elimination was achieved in 76% of cases, with a 13.5% failure rate.
- Complications included ureteric perforations (3.43%) and false passages, managed with double J stents.
Impact:
- Ureteroscopy is confirmed as an effective treatment for ureteric stones.
- The study highlights the morbidity associated with ureteroscopy, potentially higher in academic settings.
- Findings inform clinical practice regarding ureteroscopy for stone disease management.