A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study
Background: The daily practice of urology includes managing patients with urolithiasis, and there are various methods for managing ureteral calculi. There are many techniques for fragmenting stones. The holmium: yttrium-aluminum-garnet [Ho: YAG] laser is often utilized in stone disintegration proced...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2022-08-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_257911_3a32a1c214131ebd2ffa167be235d77b.pdf |
| _version_ | 1797364443597766656 |
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| author | Mohammed Ahmed Amany Soliman Refaat Awad Adel Hussein |
| author_facet | Mohammed Ahmed Amany Soliman Refaat Awad Adel Hussein |
| author_sort | Mohammed Ahmed |
| collection | DOAJ |
| description | Background: The daily practice of urology includes managing patients with urolithiasis, and there are various methods for managing ureteral calculi. There are many techniques for fragmenting stones. The holmium: yttrium-aluminum-garnet [Ho: YAG] laser is often utilized in stone disintegration procedures.Aim of the work: This research compares the effectiveness of laser and pneumatic lithotripsy in treating patients with upper ureteric calculi regarding the percentage of patients who remain stone-free, hospital stays, surgical times, and complications.Patients and methods: Sixty individuals with upper ureteric calculus participated in this prospective comparative analysis. From February 2021 to March 2022, the patients were randomly divided into two groups [Laser Lithotripsy and Pneumatic Lithotripsy]. The main goals of both treatments were to break the stone into pieces smaller than 3 mm, which was confirmed by an X-ray [KUB] on the first post-operative day.Results: The study's eligibility criteria were met by 60 individuals with upper ureteric stones [30 in the pneumatic group and 30 in the laser group]. In laser lithotripsy, the immediately stone-free rate was 93.3 percent, while in pneumatic lithotripsy, it was 70.0 percent [p value 0.059]. Proximal migration was 6.7% in Laser Lithotripsy and 26.6% in Pneumatic Lithotripsy [p > 0.038]. Pneumatic lithotripsy had a substantially longer operating time than laser lithotripsy [27.83±6.11 min vs. 24.47±5.08 min; p=0.024]. There were no statistically substantial variations between the two groups regarding the patients' age, sex, stone size, length of hospitalization, and complications.Conclusion: Laser and pneumatic lithotripsy are safe and effective in the treatment of upper ureteric stone with few minor complications; however, laser lithotripsy has a better stone free rate, less operative time, less fluid irrigated and less upward stone migration than pneumatic lithotripsy. |
| first_indexed | 2024-03-08T16:35:25Z |
| format | Article |
| id | doaj.art-8de782cb902d4ae5bf0268e22f625057 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-03-08T16:35:25Z |
| publishDate | 2022-08-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-8de782cb902d4ae5bf0268e22f6250572024-01-05T19:38:49ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802022-08-01482550255710.21608/ijma.2022.145395.1466257911A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective StudyMohammed Ahmed0Amany Soliman1Refaat Awad2Adel Hussein3Department of Urology, Kobry El Koba Military Hospital, Ministry of Defense, Cairo, EgyptDepartment of Urology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, EgyptDepartment of Urology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, EgyptDepartment of Urology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, EgyptBackground: The daily practice of urology includes managing patients with urolithiasis, and there are various methods for managing ureteral calculi. There are many techniques for fragmenting stones. The holmium: yttrium-aluminum-garnet [Ho: YAG] laser is often utilized in stone disintegration procedures.Aim of the work: This research compares the effectiveness of laser and pneumatic lithotripsy in treating patients with upper ureteric calculi regarding the percentage of patients who remain stone-free, hospital stays, surgical times, and complications.Patients and methods: Sixty individuals with upper ureteric calculus participated in this prospective comparative analysis. From February 2021 to March 2022, the patients were randomly divided into two groups [Laser Lithotripsy and Pneumatic Lithotripsy]. The main goals of both treatments were to break the stone into pieces smaller than 3 mm, which was confirmed by an X-ray [KUB] on the first post-operative day.Results: The study's eligibility criteria were met by 60 individuals with upper ureteric stones [30 in the pneumatic group and 30 in the laser group]. In laser lithotripsy, the immediately stone-free rate was 93.3 percent, while in pneumatic lithotripsy, it was 70.0 percent [p value 0.059]. Proximal migration was 6.7% in Laser Lithotripsy and 26.6% in Pneumatic Lithotripsy [p > 0.038]. Pneumatic lithotripsy had a substantially longer operating time than laser lithotripsy [27.83±6.11 min vs. 24.47±5.08 min; p=0.024]. There were no statistically substantial variations between the two groups regarding the patients' age, sex, stone size, length of hospitalization, and complications.Conclusion: Laser and pneumatic lithotripsy are safe and effective in the treatment of upper ureteric stone with few minor complications; however, laser lithotripsy has a better stone free rate, less operative time, less fluid irrigated and less upward stone migration than pneumatic lithotripsy.https://ijma.journals.ekb.eg/article_257911_3a32a1c214131ebd2ffa167be235d77b.pdfpneumatic lithotripsylaser lithotripsystone free rateproximal migration |
| spellingShingle | Mohammed Ahmed Amany Soliman Refaat Awad Adel Hussein A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study International Journal of Medical Arts pneumatic lithotripsy laser lithotripsy stone free rate proximal migration |
| title | A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study |
| title_full | A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study |
| title_fullStr | A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study |
| title_full_unstemmed | A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study |
| title_short | A Comparative Study Between Pneumatic and Laser Lithotripsy for Ureteroscopic Extraction of Upper Ureteric Calculus: A Prospective Study |
| title_sort | comparative study between pneumatic and laser lithotripsy for ureteroscopic extraction of upper ureteric calculus a prospective study |
| topic | pneumatic lithotripsy laser lithotripsy stone free rate proximal migration |
| url | https://ijma.journals.ekb.eg/article_257911_3a32a1c214131ebd2ffa167be235d77b.pdf |
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