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TITLE:

URETEROSCOPIC REMOVAL OF LOWER URETERIC STONES; WITH OR WITHOUT PLACEMENT OF STENT IN URETER

AUTHORS:

Dr Pervez Ahmed, Dr. Jamil Ahmed, Dr. Hayat Kakar, Dr Ghulam Sarwar

ABSTRACT:

Objective: To determine treatment results and post-operative complications after removal of lower ureteric stones using ureteroscopy with or without ureteric stenting Design and duration: Cross sectional study done in six months duration from January to June 2020. Setting: Study was conducted at urology department of Bolan University of Medical and Health Sciences Quetta. Patients and Methods: Total 180 cases having lower ureteric stones were divided into three groups depending on use of double J stent, ureteral stent and no stent after ureteroscopic removal of stone. Presenting complaints, duration of symptoms, stone size, site, operation time, post-operative pain, analgesia need for post-operative pain and lower urinary tract symptoms, all data was documented on a proforma and analyzed using SPSS software version 24. Frequency and percentage were calculated for qualitative data while means and standard deviation calculated for quantitative data. P-value less than 0.05 was considered statistically significant. Results: There were 180 cases in this study including 58.3% male and 41.7% female cases. Age range of patients was 15-70 years with mean age of 43.26±7.53. After ureteroscopic removal of stone DJ stent was placed in 34.4%, ureteral stent in 32.2% and no stent placed in 33.3% cases. Mean stone size was 7.43±1.54 mm. Conclusion: Removal of lower ureteric stones via ureteroscopy without placement of stent is a relative safer procedure having less complications, shorter hospital stay and early recovery. Key words: ureteric stone, ureteroscopy, double-J stent, ureteral stent.

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