Comparative Study for the treatment of Lower third ureteral calculi between Laser Lithotripsy and other Lithotripsies

Abstract

Background and objectives: To compare and to assess the safety and efficacy of laser lithotripsy versus other lithotripsies in the management of lower third ureteral calculi. To look for complications and clinical outcome which are specific to laser lithotripsy and other lithotripsies. Methods: The study includes 50 patients with lower third ureteral calculi. Clinical manifestations were studied. Patients with lower third ureteral calculi were treated with laser lithotripsy and pneumatic lithotripsy. Response to the above treatment modalities was noted. Results: In our study a total of 50 patients with 50 ureteral calculi were treated. Twenty five cases treated with pneumatic lithotripsy (PL group) and 25 cases with HO YAG laser lithotripsy (LL group). From 25 patients on PL group, 11 cases were males with; and 14 cases were females, from 25 patients on LL group, 15 cases were males and 10 cases were females. The average age of patients in LL was 36.48years and in PL was 36.40 and there was no significant difference in age demographics. The average size of calculi was 9.40mm and in laser group was 9.32mm and in pneumatic group was 9.48mm Conclusion: HO:YAG laser has advantage over PL in high efficacy of stone fragmentation and a low retrograde migration of uretral stone treatment.