LARGE UPPER URETERAL STONES TREATMENT CHOICE

Abstract

THE AIM – to improve the quality of treatment of patients with large upper ureteral stones. Comparison of treatment results of 86 such patients in different ways was carried out. In 29 of them (34.11%) the treatment was started with extracorporeal shock wave lithotripsy, in 19 (21.35%) patients – contact lithotripsy. In some cases it was enough to remove calculus, in some we had to start additional methods of treatment. The third group, 38 patients (44.54%), was performed only endovideosurgery ureterolithotomy. The article represents results of comparing the efficiency of mentioned treatment methods based on comparison of the functional state of kidneys, pyelonephritis activity, duration of hospital stay, required repeated interventions and analysis of complications, depending on the size of stone and duration of its stay in the same place. Statistically it is proved that at large upper ureteral stones endovideosurgical ureterolithotomy is more preferably than contact and extracorporeal lithotripsy. Long term stay of the stone on the same place increase complications risk and necessity of reinterventions after extracorporeal lithotripsy and contact lithotripsy can’t be recommended for treatment of this group of patients.