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KMID : 0358320120530090632
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Korean Journal of Urology
2012 Volume.53 No. 9 p.632 ~ p.635
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Efficacy and Safety of Emergency Ureteroscopic Management of Ureteral Calculi
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Youn Jun-Ho
Kim Sung-Soo
Yu Ji-Hyeong
Sung Luck-Hee
Noh Choong-Hee
Chung Jae-Yong
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Abstract
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Purpose: To evaluate the efficacy and safety of the ureteroscopic management of ureteral stones immediately after a first colic attack.
Materials and Methods: We retrospectively analyzed the data of 226 patients with obstructive ureteral stones who underwent ureteroscopy with stone retrieval. The 67 patients in group A underwent ureteroscopy within 48 hours of admission to our emergency department, whereas the 159 patients in group B underwent ureteroscopy more than 48 hours after admission. The chi-square test was used to evaluate and compare stone-free status, auxiliary procedures, and complications and the Kruskal-Wallis and Fisher’s exact tests were used to analyze qualitative data.
Results: Mean stone sizes in groups A and B were 2.41±1.62 mm and 4.11±2.64 mm, respectively. No patient experienced a major complication during or after the procedure. Stone-free rates were 89.55% and 89.93%, respectively.
Conclusions: Emergency ureteroscopy in cases of obstructive ureteral stones is both safe and effective and offers the advantages of immediate stone fragmentation and the relief of acute-onset colic pain.
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KEYWORD
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Emergencies, Ureteral calculi, Ureteroscopy
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