1 / 1

Ureteroscopy in the acute management of ureteric stones: retrospective study of a

No. 047. Ureteroscopy in the acute management of ureteric stones: retrospective study of a one-year experience. W. ANDERSON, M. BORDENAVE, H. ZARGAR and M. RICE Department of Urology, Auckland City Hospital, New Zealand. Introduction

brad
Download Presentation

Ureteroscopy in the acute management of ureteric stones: retrospective study of a

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. No. 047 Ureteroscopy in the acute management of ureteric stones: retrospective study of a one-year experience W. ANDERSON, M. BORDENAVE, H. ZARGAR and M. RICE Department of Urology, Auckland City Hospital, New Zealand Introduction With the advances in fibreoptic and laser technologies, acute ureteroscopy has become increasingly feasible as a management option for acute ureteric stones. However, there is still debate as to its efficacy and cost efficiency when compared to acute stenting with subsequent elective treatment1,2. Results 202 cases were identified. Acute ureteroscopy successfully treated the ureteric stone in 71% of cases. The failure rate for proximal stones (122) was 40% which was higher than for distal stones (70) at 7%. In 17 cases the flexible ureteroscope was required to successfully complete treatment. There were no major intra-operative or peri-operative complications. Only 23% of patients went on to require a second procedure for definitive management of their stone. Aim To describe a single-centre experience of ureteroscopy for the acute management of ureteric stones over a one year period. Fig1. Summary of Results. Methods A retrospective review was undertaken of all acute ureteroscopies performed at Auckland City Hospital in 2010. Acute ureteroscopy was attempted with the rigid ureteroscope (7 Fr) with the aim of complete stone removal. Fragmentation of the stone was performed with laser when required and the flexible ureteroscope was available. Stent or catheter insertion at the end of the procedure was at the discretion of the surgeon. Fig2. Causes of procedure failure. Conclusions Ureteroscopy in the acute management of ureteric calculi is a safe, successful and cost efficient procedure. The success rate can be maximised by using the full range of modern endo-urological equipment, namely laser , rigid and flexible ureteroscopes. References NabiG, Downey P, Keeley F, et al. Extra-corporeal shock wave lithotripsy (ESWL) versus ureteroscopic management for ureteric calculi. In: The Cochrane Library, Issue 2, 2011. Sarica K, Tanriverdi O, Aydin M, et al. Emergency ureteroscopic removal of ureteral calculi after first colic attack: is there any advantage? Urology. 2011 Sep;78(3):516-20. Epub 2011 May 23. Acknowledgements The trainees and consultants of Auckland City Hospital who performed the procedures. Poster presentation sponsor

More Related