2004, Number 1
<< Back Next >>
Bol Col Mex Urol 2004; 19 (1)
Evaluation of the endoscopic ureterolithotripsy-lapaxy in the different segments of the ureter
Serrano-Brambila EA, Jiménez-Durán LO, Condoy-Coello A, Maldonado-Alcaraz E, Cedillo-López U
Language: Spanish
References: 17
Page: 23-26
PDF size: 53.21 Kb.
ABSTRACT
Ureterolithotripsy-lapaxy (ULT/L) actually is the choice treatment in most cases of ureteral stones, however the principal factor to influence the success of procedure is localization in the different segments of the ureter. In our service we analyze success rate and complications of 676 cases of ureteral lithiasis treated with ULT/L. Successful rates and complications was 89% and 2.5%. Successful rates for different segments of the ureter was 79% y 2.5% for upper segment, 93.9% y 3.0% mid ureter, and 97.3% and 2.6% for lower segment. The most important complication was ureteral perforation and fails in treatment was the consequence of stone migration to the kidney, that resolves in most cases with double J ureteral stent and extracorporeal lithotripsy. ULT/L is an ambulatory procedure, safe, successful and with a very low complication rate for treatment of ureteral stones in all segments, however, upper ureter was significantly less successful than other segments principally for stone or fragments migration to the kidney.
REFERENCES
Noor BP. Intracorporeal lithotripters: Selecting the optimum machine. BJU International 2002; 89: 157-161.
Harmon W et al. Ureteroscopy: Current practice and long term complications. J Urol 1997; 157(1): 28-32.
Walsh P et al. Campbell’s Urology. 8th Ed. 2002; 4: 3362-64, 3378-84.
Rajiv K. Contemporary management of ureteral stones. Urol Clin North Am 1997: 59-70.
Chun SS et al. Management of ureteral calculi with retrograde ureteroscopy and the Holmium. Br Journal of Urology 1997; 80: 329.
Razvi et al. Holmium: YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 2002; 167: 31-34.
Blute M et al. Ureteroscopy. J Urol 1988; 139: 510.
Ramsay J. Ureteral Stones Management. BJU Int 2003; 91: 771-2.
Bagley DH, Tawfiek ER. Management of upper urinary tract calculi with ureteroscopic techniques. Urology 1999; 53(1): 25-31.
Lingeman JE et al. Ureteral stone management: Emerging concepts. J Urol 1986; 135: 1172.
Weinberg et al. Mechanical extraction of stones with rigid ureteroscopess. Urol Clin N Amer 1988; 15: 339.
Nakada SY. Ureteroscopic removal of mid and proximal ureteral calculi. J Urol 1996; 156(3): 1137.
Bagley DH. Active versus passive deflection in flexible Ureteroscopy. J Endourol 1987; 1: 15.
Bagley DH. Flexible ureteroscopy. Semin Urol 1989; 7: 7.
Bagley DH. The use of flexible ureteropyeloscopy. Advances in Urology 1992; 5: 95.
Hofbauer J, Hobarth K, Marberger M. Electrohydaulic disintegration versus pneumatic distegration in the treatment of ureteral stones: A randomized, prospective trial. J Urol 1995; 153: 623.
Segura JW, Preminger GM, Assimos DG. Ureteral stones Clinical Guidelines Pannel Summary report on the management of ureteral calculi. J Urol 1997; 158(5): 1915-21.