The pattern and outcome of ureteroscopy in a tertiary health care facility, North-western Nigeria

Abstract

Objective: To review the pattern and outcome of ureteroscopy in our institution Materials and Methods: A retrospective review of ureteroscopies performed at our hospital between January 2013 and December 2018 for patients aged ≥18 years. The following data were extracted from patients' case notes and operation register; patient demographics, symptoms, investigations, diagnosis, definitive treatment, hospital stay, surgical outcome, duration of urethral catheterization and ureteric stenting, complications and duration of follow up visits. SPSS version 20.0 for Windows was used in data analysis. The results are presented in simple frequencies and percentages. Result: Total of 32 ureteroscopies were performed on 32 patients aged between 20 to 65 years with modal age of 32 years (18.8%). The commonest presenting complaint is ureteric colic, 13(40.6%) while the commonest indication for ureteroscopy is ureteric calculi, 14(43.8%) and ureteral obstruction, 12(33.3%). Ureteroscopy, pneumatic lithotripsy and double J (DJ) stenting of the ureter is the definitive treatment in 14(43.8%) patients, making it the most common performed definitive treatment. Following treatment, 63% of the patients were symptom free while 27.2% have residual symptom. The mean hospital stay is 4.6 days, mean duration of DJ stenting of the ureter is 6.3 weeks and that of follow up is 10.4 months. The commonest complications recorded was Urinary tract infection, 12(37.5%) Conclusion: Ureteroscopy is an effective treatment modality for treating ureteric diseases such as calculus and strictures with no mortality recorded during the study period. Keyword: Ureteroscopy, lithotripsy, ureteric calculus, DJ stenting. Savannah Journal of Medical Research and Practice 2018;7(1):17-22