Evaluation of the Outcome of the Effectiveness and Safety of Ureteroscopic Pneumatic Lithotripsy in the Management of Ureteric Stone

Abstract

Objective: To determine the results of efficacy and safety ureteroscopic pneumatic lithotripsy as a treatment of ureteral calculus.

Study Design: Descriptive study
Place and Duration of Study: This study was conducted at the Department of Urology, Al-Diwanya Teaching Hospital Iraq from 15th August 2024 31st January 2025.

Methods: A total of 100 patients with ureteric stone between 7 mm in diameter, patient and method were 9.5 French semi rigid ureteroscoy and Swiss lithoclast pneumatic lithotripsy were enrolled. The end of the operation involved JJ stenting of the ureter. Kidney, ureter and bladder X-ray assessed the stone clearance and noted complications. The JJ stent was removed within 4 weeks.

Result: There were 73 (73%) males and 27 (27%) females. The average length of stay was 2.72±2.4.days. The stone free rate and total clearance of the stone was observed in (2-4) week in 92 (92%) patients. A total of 70 (70%) of the patients were being discharged on the first day after surgery. The patients who had upper ureteric stone 5 of them had a rock up migration into the kidney and it was successfully treated by JJ who did the endoscopic stent.

Conclusion: Ureteroscopic pneumatic lithotripsy is an efficient device in clearing the majority of the lower and middle ureteric stone up migration of stone to the kidney may be considered as rare complications.