Urological Research

, Volume 33, Issue 6, pp 422–425 | Cite as

Ureteroscopic treatment of ureteral lithiasis with pneumatic lithotripsy: analysis of 287 procedures in a public hospital

  • Kadir Ceylan
  • Orhan Sünbül
  • Adem Şahin
  • Mustafa Güneş
Original paper
First Online:
Received:
Accepted:

Abstract

Ureteroscopes and different lithotripsy methods have greatly improved the urologist’s ability to treat ureteral stones, regardless of their location in the ureter. We retrospectively reviewed our experience with ureteroscopic pneumatic lithotriptor in 287 patients with ureteral calculi. Ureteroscopic stone treatment was performed between October 1999 and May 2004. Of 221 patients with distal ureteral calculi, 209 (group 1), and 58 of 66 patients with upper ureteral calculi (group 2) were treated successfully by ureteroscopy alone. In group 1, seven migrated stones (to the upper urinary tract) were successfully treated by ESWL later. There were five-treatment failures due to ureteral perforation which consequently required open ureterolithotomy. In group 2, there were five patients with migrated stones; two of them were sent to a percutaneous nephrolithotomy center because of previously unsuccessful ESWL attempts. Three of these with migrated stones were treated by ESWL later. In three patients, we switched to open ureterolithotomy because of ureteral rupture that required surgical repair. Ureteroscopic pneumatic lithotripsy is a safe and effective treatment modality for ureteral calculi.

Keywords

Uretroscopy Pneumatic lithotripsy Lithiasis 
This is a preview of subscription content, log in to check access.

References

  1. 1.
    Su LM, Sosa RE (2002) Ureteroscopy and retrograde ureteral access. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s urology, 8th edn. Saunders, Philadelphia, pp 3306–3019Google Scholar
  2. 2.
    Thüroff JW (1995) Percutaneous endourology and ureterorenoscopy. In: Tanagho EA, McAninch JW (eds)Smith’s general urology, 14th edn. Prentice Hall, New Jersey, pp 129–147Google Scholar
  3. 3.
    Strohmaier WL, Schubert G, Rosenkranx T, Weigl A (1999) Comparison of ESWL and ureteroscopy in the treatment of ureteral calculi: a prospective study. Eur Urol 36:376–379CrossRefPubMedGoogle Scholar
  4. 4.
    Küpeli B, Alkibay T, Sınık Z, Karaoğlan Ü, Bozkırlı I (2000) What is the optimal treatment for lower ureteral stones larger than 1 cm? Int J Urol 7:167–171PubMedGoogle Scholar
  5. 5.
    Turk TM, Jenkins AD (1999) A comparison of ureteroscopy to in situ extracorporeal shock wave lithotripsy for the treatment of distal ureteral calculi. J Urol 16:45–47CrossRefGoogle Scholar
  6. 6.
    Bierkens AF, Hendrikx AJ, De La Rosette JJ, Stultiens GN, Beerlage HP, Arends AJ, Debruyne FM (1998) Treatment of mid- and lower ureteric calculi: extracorporeal shock-wave lithotripsy vs laser ureteroscopy. A comparison of cost, morbidity and effectiveness. Br J Urol 81:31–37PubMedGoogle Scholar
  7. 7.
    Nutahara K, Kato M, Murata A, Okegawa T, Mıura I, Kojıma M, Hıgashıhara E (2000) Comparative study of pulsed dye laser and pneumatic lithotripters for transuretral uretherolithotripsy. Int J Urol 7:172–175CrossRefPubMedGoogle Scholar
  8. 8.
    Tawfiek ER, Bagley DH (1999) Management of upper urinary tract calculi with uretheroscopic techniques. Urology 53:25–31CrossRefPubMedGoogle Scholar
  9. 9.
    Lingeman JE, Newman D, Mertz JH et al. (1986) Extracorporeal shock wave lithotripsy: Methodist Hospital of Indiana experience. J Urol 135:1134–1137PubMedGoogle Scholar
  10. 10.
    Erhard M, Salwen J, Bagley DH (1996) Uretheroscopic removal of mid and proximal ureteral calculi. J Urol 155:38–42CrossRefPubMedGoogle Scholar
  11. 11.
    Singal RK, Denstedt JD (1997) Contemporary management of ureteral stones. Urol Clin North Am 24:59–70CrossRefPubMedGoogle Scholar
  12. 12.
    Fuchs AM, Fuchs GJ (1990) Retrograde intra-renal surgery for calculus disease: new minimally invasive treatment approach. J Endourol 4:337–345Google Scholar
  13. 13.
    Gürbüz GK, Gönen M, Fazlıoglu A, Akbulut H (2002) Ureteroscopy and pneumatic lithotripsy, followed by extracorporeal shock wave lithotripsy for the treatment of distal ureteral stones. Int J Urol 9:441–444CrossRefPubMedGoogle Scholar
  14. 14.
    Hollenbeck BK, Schuster TG, Faerber GJ, Wolf JS (2001) Comparison of outcomes of ureteroscopy for ureteral calculi located above and below the pelvic brim. Urology 58:351–355CrossRefPubMedGoogle Scholar
  15. 15.
    Park H, Park M, Park AD (1998) Two year experience with ureteral stones. Shockwave lithotripsy versus ureteroscopic manipulation. J Endourol 12:501–504PubMedGoogle Scholar
  16. 16.
    Sofer M, Watterson JD, Wollin TA, Nott L, Ravzi H, Denstedt JD (2002) Holmium: YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 167:31–34CrossRefPubMedGoogle Scholar
  17. 17.
    Devarajan R, Ashraf M, Beck RO, Lemberger RJ, Taylor MC (1998) Holmium:YAG laser lithotripsy for upper ureteric calculi: an experience of 300 procedures. Br J Urol 82:342–347PubMedGoogle Scholar
  18. 18.
    Basar H, Ohta N, Kageyama S, Suzuki K, Kawabe K (1997) Treatment of ureteral and renal stones by electrohydraulic lithotripsy. Int Urol Nephrol 29:275–280PubMedGoogle Scholar
  19. 19.
    Kupeli B, Biri H, Isen K, Onaran M, Alkibay T, Karaoğlan U, Bozkirli I (1998) Treatment of ureteral stones: comparison of extracorporeal shock wave lithotripsy and endourologic alternatives. Eur Urol 34:474–479CrossRefPubMedGoogle Scholar
  20. 20.
    Sözen S, Küpeli B, Tunc L, Senocak C, Alkibay T, Karaoğlan U et al. (2003) Management of ureteral stones with pneumatic lithotripsy. Report of 500 patients. J Endourol 99:721–724Google Scholar
  21. 21.
    Hollenbeck BK, Schuster TG, Faerber GJ, Wolf JS (2001) Routine placement of ureteral stent is unnecessary after ureteroscopy for urinary calculi. Urology 57:639–643CrossRefPubMedGoogle Scholar
  22. 22.
    Byrne RR, Auge BK, Kourambas J, Munver R, Delvecchio F, Priminger GM (2002) Routine ureteral stenting is not necessary after ureteroscopy and ureteropyeloscopy: a randomized trial. J Endourol 16:9–13CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Kadir Ceylan
    • 1
  • Orhan Sünbül
    • 2
  • Adem Şahin
    • 2
  • Mustafa Güneş
    • 1
  1. 1.Urology DepartmentMedical Faculty
  2. 2.Urology ClinicOsmaniye Public Hospital

Personalised recommendations