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Paper Information

Journal:   JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS)   AUGUST-SEPTEMBER 2007 , Volume 9 , Number 3 (38); Page(s) 63 To 67.
 
Paper: 

ONE HUNDRED AND NINETY SIX CASES OF TRANSURETERAL LITHOTRIPSY (TUL) IN TREATMENT OF URETERAL STONES

 
 
Author(s):  SHAFI HAMID*, ALI RAMAJI A., RAFATI MEHRDAD, BIZHANI A.
 
* BABOL UNIV. MEDICAL SCIENCES
 
Abstract: 

BACKGROUND AND OBJECTIVE: Urinary calculus is a common disease in the urinary tract. Ureteral stones which do not spontaneously pass are removed and broken up by extra corporeal shock lithotripsy, transureteral lithotripsy (TUL), laparoscopy and open surgery. The aim of this study was to evaluate the results of TUL in the treatment of ureteral stones.
METHODS: This cross sectional study was performed on 196 patients with ureteral stone who underwent TUL in Shahid Beheshti hospital in Babol from 2003 to 2006. Data were gathered by questionnaire included age, sex, side and location of stone, using ureteral catheter, duration of admission and need for retransureteral lithotripsy and data were analyzed by t-test, Fisher exact test and Pearson correlation coefficient and p<0.05 was considered significant.
FINDINGS: Of 196 patients, 127 (64.8%) were male and 69 (35.2%) were female and their mean age was 41.5
±13.6 years. The most common site for stones was left lower ureter and the least one was right middle ureter. Analgesic was used by 80% of patients without ureteral catheter and 75.8% of patients with ureteral catherter. Only a significant difference was seen between analgesic use and hospitalization time (p= 0.009) and no significant difference was seen in other cases. The shortest duration of hospitalization after TUL was 1 day and the longest duration of hospitalization was 12 days. In this study, 5.1% of patients needed to retransureteral lithotripsy that was unsuccessful in a patient who was with pyonephrosis and fever. Serious complications like ureter rupture were not seen.
CONCLUSION: The results showed that in transureteral lithotripsy without complication does not need placement of routine ureteral catheter.

 
Keyword(s): TRANSURETERAL LITHOTRIPSY (TUL), URETERAL CATHETER, URETERAL STONE
 
References: 
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