A Comparison of Ureterorenoscopy and Extra-Corporeal Shock Wave Lithotripsy for the Treatment Of Upper Ureteric Stone Measuring Less than 1cm.

Authors

  • Shabbir Hussain Chaudhry Assistant Professor Urology, Allama Iqbal Medical College Lahore
  • Salman Arshad Assistant Professor Urology, Allama Iqbal Medical College Lahore.
  • Shah Jahan Ur Rehman Associate Professor Urology, Allama Iqbal Medical College Lahore
  • Arooj Ahmad Associate Professor of Forensic Medicine. Fatima Jinnah Medical University, Lahore
  • Syed Umar Farooq Postgraduate Resident Jinnah Hospital, Lahore
  • M.Asad Saeed Senior Registrar. Nephrology. Jinnah Hospital, Lahore

DOI:

https://doi.org/10.61982/medera.v5i2.129

Abstract

Objective: To compare the efficacy of Extracorporeal Shock Wave Lithotripsy (ESWL) and Ureterorenoscopy (URS) in the management of upper ureteric stone measuring <1cm.
Methodology: Randomized clinical trial (RCT) was conducted by targeting the patient admitted in
urology ward, Jinnah Hospital Lahorethrough a period of one year. A sample size of 132 patients
fulfilling inclusion criteria were selected by employing Non-probability consecutive sampling
technique was employed to select 132 (sample size) patients fulfilling inclusion criteria. Patients were
randomly allocated into two groups (66 in each group A&B) using lottery method. In group-A, stones
were treated using ESWL, while in group-B, URS was performed, and stones were broken with
pneumatic energy. Data were analyzed using SPSS version 27, and a Chi-square test was conducted
to compare the proportions of qualitative variables, while an independent sample t-test was applied
to assess mean differences between two groups of quantitative variables. Asignificance level of ≤0.05
was adopted for determining statistical significance.
Results: The sociodemographic profile of the two groups was comparable. It was seen that stone free
rate nextto first session was higher in URS (81.8%) as compared to ESWL (63.6%) which later
increased to 87.7% after completion of three session. The complaint of pain in ESWL was more as
compared to URS (22.7% vs 12.1% p= 0.05)while the differences betweenthe rate of complications like
fever, UTI, mucosal abrasion, hematuria or perforation were not statistically significant in both
group. (p> 0.05)
Conclusion: ESWL outperforms URS for the treatment of upper ureteric stones measuring <1cm in
terms of efficacy and safety.Although not statistically significant, ourfindings suggest that URS achieves
stone-free rates earlier than ESWL. However, according to our findings, ESWL is recommended as
the treatment of choice for the majority of patients due to better compliance.
Keywords: Extra-corporeal Shock Wave Lithotripsy, Nephrolithiasis, Ureterorenoscopy

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Published

17-01-2024

How to Cite

Chaudhry, . S. H., Salman Arshad, Shah Jahan Ur Rehman, Arooj Ahmad, Syed Umar Farooq, & M.Asad Saeed. (2024). A Comparison of Ureterorenoscopy and Extra-Corporeal Shock Wave Lithotripsy for the Treatment Of Upper Ureteric Stone Measuring Less than 1cm. MedERA - Journal of CMH LMC and IOD, 5(2). https://doi.org/10.61982/medera.v5i2.129

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