Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management

Introduction: During recent years, considerable efforts have been expended into the management of urinary stone. Here, we present our experience on ureteric stone removal without any lithotripsy interventions. Combination direct vision with basket en-trapping provided a new dimension to our ureteros...

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Main Authors: Hassan Niroomand, Sima Binaafar, Amir Ehsan Shayegan, Mohsen Varyani, Bijan Rezakhaniha
Format: Article
Language:English
Published: Ilam University of Medical Sciences 2018-09-01
Series:Journal of Basic Research in Medical Sciences
Subjects:
Online Access:http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-326-2&slc_lang=en&sid=1
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author Hassan Niroomand
Sima Binaafar
Amir Ehsan Shayegan
Mohsen Varyani
Bijan Rezakhaniha
author_facet Hassan Niroomand
Sima Binaafar
Amir Ehsan Shayegan
Mohsen Varyani
Bijan Rezakhaniha
author_sort Hassan Niroomand
collection DOAJ
description Introduction: During recent years, considerable efforts have been expended into the management of urinary stone. Here, we present our experience on ureteric stone removal without any lithotripsy interventions. Combination direct vision with basket en-trapping provided a new dimension to our ureteroscope experience. Materials and methods: Here, we reviewed the medical data of our adult patients with ≤10 mm stone size, who received primary stone extraction under direct ureteroscopic vision without lithotripsy during a 2-year period. During the six months of follow-up every patient was seen frequently. Results: The study included 69 patients from both sexes with ages ranging from 18 to 68 years. We obtained 92.7% success rate. The average length of operative procedures was 25.3 ± 10.4 min with a 14.4 % complication rate. Conclusion: Ureteral stone extraction requires considerable caution and may be associated with some complications. Stone extraction under direct ureteroscope guidance facilitates this procedure, especially in the distal stones. It seems combination direct live imaging with basket en-trapping may be helpful in these precise cases.
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spelling doaj.art-7758bd26c90341c186c4e094f18be9f62022-12-22T02:09:03ZengIlam University of Medical SciencesJournal of Basic Research in Medical Sciences2383-05062383-09722018-09-015415Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone managementHassan Niroomand0Sima Binaafar1Amir Ehsan Shayegan2Mohsen Varyani3Bijan Rezakhaniha4 Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Introduction: During recent years, considerable efforts have been expended into the management of urinary stone. Here, we present our experience on ureteric stone removal without any lithotripsy interventions. Combination direct vision with basket en-trapping provided a new dimension to our ureteroscope experience. Materials and methods: Here, we reviewed the medical data of our adult patients with ≤10 mm stone size, who received primary stone extraction under direct ureteroscopic vision without lithotripsy during a 2-year period. During the six months of follow-up every patient was seen frequently. Results: The study included 69 patients from both sexes with ages ranging from 18 to 68 years. We obtained 92.7% success rate. The average length of operative procedures was 25.3 ± 10.4 min with a 14.4 % complication rate. Conclusion: Ureteral stone extraction requires considerable caution and may be associated with some complications. Stone extraction under direct ureteroscope guidance facilitates this procedure, especially in the distal stones. It seems combination direct live imaging with basket en-trapping may be helpful in these precise cases.http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-326-2&slc_lang=en&sid=1Urinary stoneDirect visionUreteroscopyBasket en-trappingAdult
spellingShingle Hassan Niroomand
Sima Binaafar
Amir Ehsan Shayegan
Mohsen Varyani
Bijan Rezakhaniha
Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
Journal of Basic Research in Medical Sciences
Urinary stone
Direct vision
Ureteroscopy
Basket en-trapping
Adult
title Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
title_full Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
title_fullStr Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
title_full_unstemmed Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
title_short Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management
title_sort ureteral stone extraction under direct ureteroscopic vision an alternative for routine ureteral stone management
topic Urinary stone
Direct vision
Ureteroscopy
Basket en-trapping
Adult
url http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-326-2&slc_lang=en&sid=1
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AT amirehsanshayegan ureteralstoneextractionunderdirectureteroscopicvisionanalternativeforroutineureteralstonemanagement
AT mohsenvaryani ureteralstoneextractionunderdirectureteroscopicvisionanalternativeforroutineureteralstonemanagement
AT bijanrezakhaniha ureteralstoneextractionunderdirectureteroscopicvisionanalternativeforroutineureteralstonemanagement