COMPARISON OF ANTEGRADE PERCUTANEOUS VERSUS RETROGRADE URETEROSCOPIC LITHOTRIPSY FOR MANAGEMENT OF UPPER URETERIC CALCULUS
| Autor: | Ojas Vijayanand Potdar, Yasir Iqbal Lone, Amrita Vikram Patkar, Attar Mohammad Ismail |
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| Rok vydání: | 2023 |
| Předmět: |
Economics and Econometrics
Global and Planetary Change Algebra and Number Theory Visual Arts and Performing Arts Communication Stratigraphy Biophysics Geology General Chemistry Earth and Planetary Sciences (miscellaneous) Discrete Mathematics and Combinatorics General Agricultural and Biological Sciences Finance Earth-Surface Processes |
| Zdroj: | INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :74-76 |
| DOI: | 10.36106/ijsr/3811555 |
| Popis: | Background: Technical advancements in urology have profoundly changed the management of upper ureteric calculus, however, its optimal management remains controversial. Methods: To compare antegrade percutaneous nephrolithotripsy (PCNL) and retrograde ureteroscopic lithotripsy (URSL) for management of upper ureteric calculus by measuring stone clearance rates, morbidity and complications. A prospective, observational, single centre, study including patients of either sex presenting with upper ureteric stone [size>8 mm and >800 Hounseld Unit (HU)]. Patients underwent either antegrade PCNL or retrograde ureteroscopic lithotripsy with follow up on outpatient (OPD) basis at 1 week, 1 month and 3 months post-surgery with Visual Assessment Score (VAS) and radiological investigations. Results: Stone clearance rate for antegrade PCNL was 89.1 % and 72.7% for retrograde ureteroscopic lithotripsy which is a statistically signicant difference. Incidence of pain in antegrade PCNL at 1st and 4th week follow-up was 10.9 % and 1.8% respectively compared to 5.5% and 0% for retrograde ureteroscopic lithotripsy. Two patients (1.8%) who underwent PCNL developed segmental artery pseudoaneurysm; one was managed conservatively while other required angioembolization. One patient in the antegrade PCNLgroup and two in retrograde ureteroscopic lithotripsy group had post operative urine culture proven urinary tract infection (UTI) and were treated with antibiotics. Conclusion:As compared to retrograde ureteroscopic lithotripsy, PCNLis a safer and more effective procedure with higher stone-free rates and acceptable complication rates to treat patients with large impacted upper ureteral stones. |
| Databáze: | OpenAIRE |
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