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.
Purpose: We evaluated the safety of ESWL (Extracorporeal Shockwave Lithotripsy).
Materials and Methods: A total of 300 patients with stones located in the kidney or
the upper ureter were randomly divided into 3 groups, group A—100 who received ESWL
and they do not use anticoagulation drugs and thy do not have problems with kidneys, liver
or pancreas B—100 who received ESWL and they use anticoagulation drugs C—100 who
received ESWL and they have one kidney. Radiologic and laboratory follow up were
performed in the first week by:US –UREA-CR-ALT-AST-AMILAS. Statistical analysis
was performed using the chi square test and Anova test.
Results: The hematomas rate was 10.5%.Rates elevation of urea and cr was
(27%, 5%). Rate elevation of alt–ast was 12%, and for amylase was 6%, without clear
pathology.
Conclusions: ESWL is an easy, noninvasive, safe and active management of the
urinary stones, and we should be care full with some factors, which can increase its
complications and decrease its activity.
