Comparative study between ESWL and URS in the management of lower ureteral stones
Abstract
Lower ureteral stones are frequently encountered urinary problems leading to a wide range of symptoms, and due to their multiple methods of management depending on their size and impact on the upper urinary tracts, it is necessary to study the management of this type of stones . The study was conducted at Al-Mowasat University Hospital on 121 patients during the period from 1/3/2016 to 1/3/2019 in which two main methods in managing lower ureteral stones are studied: ESWL and URS. The study showed the following results in the group of patients treated with ESWL, 62.5% the rate of removal of stones from the first attempt, 8% required re-treatment, 81% eliminated the stones after 1 month and 91% after 3 Months, 9% needed other treatments (URS and open) with a relatively acceptable complications rate (16%). For patients treated with URS the results were as follows , 4% dispose of stones from the first attempt, 5% required re-treatment, 91% dispose of the stones completely after 1 month, 96% after 3 months, 3.5% needed other treatments (ESWL and open) and complications rate (21%) .
Conclusion: URS is more effective but more complications than ESWL in the management of lower ureteral stones.
تصادف حصوات الحالب السفلية في كثير من الأحيان مشاكل في البول تؤدي إلى مجموعة واسعة من الأعراض ، وبسبب أساليبها المتعددة في الإدارة اعتماداً على حجمها وتأثيرها على المسالك البولية العليا ، من الضروري دراسة إدارة هذا النوع من الحصى. . أجريت الدراسة في مستشفى المواساة الجامعي على 121 مريضاً خلال الفترة من 1/3/2016 إلى 1/3/2019 ، حيث تمت دراسة طريقتين رئيسيتين في إدارة الحجارة السفلية: ESWL و URS. أظهرت الدراسة النتائج التالية في مجموعة من المرضى الذين عولجوا بـ ESWL ، 62.5 ٪ معدل إزالة الحجارة من المحاولة الأولى ، 8 ٪ إعادة المعالجة المطلوبة ، 81 ٪ القضاء على الحجارة بعد شهر واحد و 91 ٪ بعد 3 أشهر
9 ٪ بحاجة إلى علاجات أخرى (URS ومفتوحة) مع معدل مضاعفات مقبولة نسبيا (16 ٪). بالنسبة للمرضى الذين عولجوا بـ URS ، كانت النتائج على النحو التالي: التخلص من الأحجار بنسبة 4٪ من المحاولة الأولى ، إعادة المعالجة المطلوبة بنسبة 5٪ ، التخلص من الحجارة بنسبة 91٪ تمامًا بعد شهر واحد ، 96٪ بعد 3 أشهر ، 3.5٪ بحاجة إلى علاجات أخرى (ESWL ومفتوحة) ومعدل المضاعفات (21 ٪). الخلاصة: URS هو أكثر فعالية ولكن أكثر تعقيدات من ESWL في إدارة الحالب انخفاض الحالب.
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