A Clinico–Radiological study of Ureteric Calculi with special reference of role of URS in such cases.

Dr. Aman Kamra; Dr. Ghulam Jeelani; Dr. Prashant K Gupta; Dr. Deepak Kumar; Dr. R C Awasthi; Dr. Ajay Kumar; Dr. Ritesh Ranjan; Dr.Syamantak Srivastava

Volume : V, Issue : IV, April - 2016

A Clinico–Radiological study of Ureteric Calculi with special reference of role of URS in such cases.

Dr. Aman Kamra, Dr. Ghulam Jeelani, Dr. Prashant K Gupta, Dr. Deepak Kumar, Dr. R C Awasthi, Dr. Ajay Kumar, Dr. Ritesh Ranjan, Dr. Syamantak Srivastava

Abstract :

Background: Urolithiasis is not uncommon and affects most of the patients in their prime age of life which cause a significant morbidity and loss of functioning. The severity of the condition can be judged from the fact that 10% of the patients harboring the stone in urinary tract, lose their kidney either by nephrectomy or as a result of subsequent damage to the kidney. Objectives: To study the distribution of patients, having ureteric calculus on the basis of age and sex, to study role of different imaging modalities in diagnosing ureteric calculus & to study role of URS in management of patient having ureteric calculus. Methods: In this study the 100 consecutive patients attending department of surgery (outpatient department and emergency) of Subharti Medical College, Meerut presenting with suspected diagnosis of ureteric calculus was admitted & different imaging modalities (X–Ray KUB, USG, IVP, and NCCT) were done for the purpose of evaluation and confirmation of the diagnosis. The incidence of uretero–lithiasis at our institution and its epidemiological relationship to age and sex was studied during the present study. The results were evaluated to find out the diagnostic role of these modalities used to evaluate the ureteric calculi. These patients were then subjected to Ureterorenoscopy (URS) for further management. Result: The majority of the patients were males with peak age group in the second and third decade accounting for 70% of the cases. Pain in abdomen or loin tenderness was the most common presenting symptom, seen in 100% cases. Non contrast CT was most accurate investigation for diagnosing ureteric calculus. URS was performed as surgical intervention in all cases. Conclusion: Most of the patients with ureteric calculi present with pain in abdomen. With the availability of better facilities like NCCT and URS ureteric calculus is diagnosed with ease and the requirement for open surgery is decreasing and endourological procedures are becoming the means of surgical intervention. Complications are minimal with surgical expertise for endourological procedures.