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ORIGINAL ARTICLE
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Complications of ureteroscopic stone lithotripsy: A multicentre local study


1 Department of Urology, University of Basrah, College of Medicine, Basrah, Iraq
2 Basrah Health Directorate, Urologist at Basrah Teaching Hospital, Basrah, Iraq

Correspondence Address:
Murtadha Almusafer,
University of Basrah College of Medicine, Basrah
Iraq
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2227-2437.246132

Aims: The aim of the study was to evaluate semi-rigid retrograde ureteroscopic pneumatic stone lithotripsy complications and to compare between the stone-related factors associated with the occurrence of these complications. Settings and Design: The Study design was a prospective study. Subjects and Methods: Two hundred and fifty-one patients (143 male and 108 female) who underwent (266) ureteroscopic procedures for their ureteral stones in Basra Teaching Hospital and also in communication with the other local centres at the south of Iraq extending from January 2015 to August 2017. Full medical and surgical history, routine laboratory investigations and imaging study were done preoperatively. After taking informed consent, pre-operative antibiotic was given, procedure done under general or regional anaesthesia using (8 or 9.5) ureteroscopy (URS) and lithotripsy, double j stent inserted when indicated. Stone-free status was reached when all the stones were destructed and extracted while gravels and fragments <2 mm left for spontaneous passage. The patient was discharged home after 24 h unless complications occurred. Statistical Analysis Used: Descriptive statistics were done to measure the frequency of intra- and post-operative complications using SPSS version 21. Results: Stone-free status was achieved in 81.95%. Regarding intra-operative complications, perforation occurred in 10.1%, of them 8.6% were minor and 1.5% were major, mucosal abrasions occurred in 7.1%, false passage in 2.25%, stone retropulsion in 4.1% and intraoperative bleeding in 1.8%. Post-operative complication includes fever (6.4%) and ureteral obstruction (6%). Conclusions: Semi-rigid URS has gained wide acceptance worldwide and seems to be safe and efficient in managing ureteral stones with low rate of intra- and post-operative complications.


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    -  Almusafer M
    -  Jawad Al-Tawri AM
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