A COMPARATIVE STUDY BETWEEN CONVENTIONAL URETEROSCOPY AND FLUROLESS URETEROSCOPY FOR THE MANAGEMENT OF URETERIC STONES

Ezhil Sundar; J Mohammed Farooq

Volume : IX, Issue : I, January - 2019

A COMPARATIVE STUDY BETWEEN CONVENTIONAL URETEROSCOPY AND FLUROLESS URETEROSCOPY FOR THE MANAGEMENT OF URETERIC STONES

Ezhil Sundar, J Mohammed Farooq

Abstract :

OBJECTIVE:To evaluate the safety and efficacy of ureteral stenting by fluroless ureteroscopy following lithotripsy for ureteric stones by compå with conventional image guided ureteral stenting.METHODS:A retrospective review of 100 consecutive patients with ureteric calculus undergoing fluoroless ureteroscopy and lithotripsy was performed by direct visualization of the PUJ or external visual cues and compared with 100 patients treated with fluoroscopy–guided ureteroscopies.Outcomes were analyzed with appropriate statistical tests and p value of <0.05 was taken as statistically significant.Results:The average operative time,overall stone burden,stone free rate,significant complication rate and repeat procedure rate for fluroless and conventional ureteroscopies were 58.5minutes,88.25mm2, 92%, 3%, 8% and 60.5minutes,90.25mm2, 92%, 2.9%,7.5% respectively and there was no significant statistical difference in the above parameters when fluoro–less and conventional stent placements were compared Conclusions:This study demonstrates the feasibility and efficacy of the completely fluoroless ureteroscopic lithotripsy for ureteral calculi thereby reducing the radiation exposure to the patient and the healthcare community