Efficacy and Safety of Emergency Ureteroscopic Management of Ureteral Calculi.
10.4111/kju.2012.53.9.632
- Author:
Jun Ho YOUN
1
;
Sung Soo KIM
;
Ji Hyeong YU
;
Luck Hee SUNG
;
Choong Hee NOH
;
Jae Yong CHUNG
Author Information
1. Department of Urology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. chung90@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Emergencies;
Ureteral calculi;
Ureteroscopy
- MeSH:
Colic;
Emergencies;
Humans;
Retrospective Studies;
Ureter;
Ureteral Calculi;
Ureteroscopy
- From:Korean Journal of Urology
2012;53(9):632-635
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To evaluate the efficacy and safety of the ureteroscopic management of ureteral stones immediately after a first colic attack. MATERIALS AND METHODS: We retrospectively analyzed the data of 226 patients with obstructive ureteral stones who underwent ureteroscopy with stone retrieval. The 67 patients in group A underwent ureteroscopy within 48 hours of admission to our emergency department, whereas the 159 patients in group B underwent ureteroscopy more than 48 hours after admission. The chi-square test was used to evaluate and compare stone-free status, auxiliary procedures, and complications and the Kruskal-Wallis and Fisher's exact tests were used to analyze qualitative data. RESULTS: Mean stone sizes in groups A and B were 2.41+/-1.62 mm and 4.11+/-2.64 mm, respectively. No patient experienced a major complication during or after the procedure. Stone-free rates were 89.55% and 89.93%, respectively. CONCLUSIONS: Emergency ureteroscopy in cases of obstructive ureteral stones is both safe and effective and offers the advantages of immediate stone fragmentation and the relief of acute-onset colic pain.
