The main objective of the study is to select the best technique for lithotripsy of distal
ureteral stones .This study included 082 patients of distal ureteral stone at Al-Assad
University Hospital and Tishreen University Hospital in Latakia between
2016 and 2017.
64 patients who underwent ureteroscopic holmium laser lithotripsy and 216 patient who
underwent ESWL.The ages ranged from 19-72Years, The median age was approximately
37 year.
the success rate of distal ureteral lithotripsy using uretroscope-laser was 97% (100%
with stones> 1 cm, and 95% with stones< 1 cm) while it was 72% with the extracorporeal
lithotripsy(84% with stones > 1 cm, and 36% with stones < 1 cm).
The best results in treating the distal uretral stones were achieved by the use of
ureteroscope and laser lithotripsy, regardless of the stone size. While the extracorporeal
lithotripsy the best results was only with stones< 1 cm.
Extra-corporeal shock wave lithotripsy (ESWL) has failed to manage renal
stones > 2cm in diameter. Percutaneous nephrolothotomy lithotripsy (PCNL) has proved to be a very
effective alternative. This study is the first study in Syria about PCNL, ref
lecting our own experience.
To review and to evaluate the results of percutaneous lithotripsy (PCNL) for kidney stones, especially in
regard of indications, steps of the procedures and possible complications.
