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Paper Information

Title: 

COMPARISON OF SUCCESS RATE AND COMPLICATIONS OF TUL IN OUTPATIENTS AND IN PATIENTS GROUPS

Type: PAPER
Author(s): AGHAMIR SEYED KAZEM*,FARAHMAND HASSAN,FALAH ASGHAR,ZAND SAEED
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: ENDOSCOPIC LITHOTRIPSY IS A EFFECTIVE AND LESS INVASIVE METHOD FOR URETERAL STONE TREATMENT. THIS TREATMENT MODALITY COULD BE MORE PRONOUNCED BY USING IT AS AN OUTPATIENT'S WAY TO REDUCE COST AND IMPROVE PATIENTS' SATISFACTION METHODS & MATERIALS: DURING A CROSS SECTIONAL PROSPECTIVE STUDY FROM 1375 TO 1381 BY ONE SURGICAL TEAM IN TWO SEPARATE CENTER, TRANSURETERAL LITHOTRIPSY WAS PERFORMED USING 8.5 F URETEROSCOPE AND BALLISTIC LITHOTRIPSY IN AN OUTPATIENT (GROUP A) AND IN PATIENT (GROUP B) METHODS. THERE WERE 101 PATIENTS WITH MEAN AGE OF 32.1 YEARS (63 MALE AND 38 FEMALE) IN GROUP A AND 392 PATIENTS WITH MEAN AGE OF 39.7 YEARS (275 MALE AND 117 FEMALE) IN GROUP B. IN FIRST GROUP THERE WERE 19 STONE AT UPPER URETER, 28 IN MIDDLE URETER AND 46 STONE IN LOWER URETER. IN GROUP B, THERE WERE 149 STONE AT UPPER URETER, 62 AT MIDDLE AND 181 AT LOWER.
RESULTS: SUCCESS RATE WERE 91% AND 86.6% IN GROUP A AND B RESPECTIVELY. MEAN TIMES OF STENTING WERE 17.21 H AND 33.53 H RESPECTIVELY. MEAN SURGICAL TIME IN GROUP A WAS 38.9 MINUTES IN UPPER URETERAL STONES, 36.5 MINUTES IN MIDDLE URETERAL STONES AND 21 MIN IN LOWER ONES. THESE TIMES WERE 40.9, 35.5 AND 23.8 MINUTES IN GROUP B RESPECTIVELY. MEAN TIME OF HOSPITALIZATION WAS 5.3H AND 36.4H IN GROUP A AND B.79% OF PATIENTS IN GROUP A WERE COMPLETELY SATISFIED, 18% RELATIVELY SATISFIED AND 3% WAS NOT SATISFIED. THIS WAS 21%, 31% AND 48% IN GROUP B RESPECTIVELY.
DISCUSSION & CONCLUSION: THIS STUDY SHOWED THAT OUTPATIENT URETEROSCOPIC STONE REMOVAL CAN BE DONE SAFELY WITH ACCEPTABLE SUCCESS RATE. LESS TIME OF URETERAL STENTING IN GROUP A MAY BE DUE TO IN APPROPRIATE STENTING OR IMPROVED ATTENTION OF SURGEON AT THE TIME OF OPERATION. AS THE COST OF OUTPATIENT PROCEDURES ARE MUCH LESS THAN IN PATIENTS, OUTPATIENT URETEROSCOPY IS AN ACCEPTABLE METHODS.

 
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