Ureteral stone extraction under direct ureteroscopic vision: An alternative for routine ureteral stone management

Hassan Niroomand, S. Binaafar, A. Shayegan, Mohsen Varyani, B. Rezakhaniha
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Abstract

Introduction: During recent years, considerable efforts have been expended into the management of urinary stone. Here, we present our experience on ureteric stone removal without any lithotripsy interventions. Combination direct vision with basket en-trapping provided a new dimension to our ureteroscope experience. Materials and methods: Here, we reviewed the medical data of our adult patients with ≤10 mm stone size, who received primary stone extraction under direct ureteroscopic vision without lithotripsy during a 2-year period. During the six months of follow-up every patient was seen frequently. Results: The study included69patientsfrombothsexes with agesrangingfrom 18 to 68 years. We obtained 92.7% success rate. The averagelengthofoperativeprocedureswas 25.3 ± 10.4 min with a 14.4 % complication rate. Conclusion: Ureteral stone extraction requires considerable caution and may be associated with some complications. Stone extraction under direct ureteroscope guidance facilitates this procedure, especially in the distal stones. It seems combination direct live imaging with basket en-trapping may be helpful in these precise cases.
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直接输尿管镜下输尿管结石取出术:常规输尿管结石治疗的替代方法
引言:近年来,在泌尿系结石的管理方面付出了相当大的努力。在这里,我们介绍了在没有任何碎石干预的情况下去除输尿管结石的经验。直接视觉与篮式圈套器相结合为我们的输尿管镜体验提供了一个新的维度。材料和方法:在这里,我们回顾了我们的成年患者的医疗数据,这些患者的结石大小≤10mm,在2年的时间里,在直接输尿管镜下接受了一次取石,没有进行碎石。在六个月的随访中,每个患者都经常就诊。结果:本研究包括69例男女患者,年龄18~68岁。我们获得了92.7%的成功率。平均手术时间为25.3±10.4分钟,并发症发生率为14.4%。结论:输尿管结石取出需要相当谨慎,可能会出现一些并发症。直接输尿管镜引导下取石有助于此手术,尤其是在远端结石中。在这些精确的情况下,将直接活体成像与篮状捕获相结合似乎是有帮助的。
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