Dr. Houssam Aboutrabi and Dr. Pranith Kumar Theegala
Background and Objectives: The purpose of this matched-pair research was to examine patients with ureteric stones to identify the effect of a ureteric stent on the success rate of extracorporeal shockwave lithotripsy (ESWL). Upper ureteric calculus can be treated with extracorporeal shock wave lithotripsy, however complications have been reported.
Method: A prospective research was conducted in the NMC Royal Hospital Khalifa City, United Arab Emirates, Abu Dhabi and Shree Sharanabasava Hospital, Kalaburagi, Karnataka, India, from May 2018 to February 2022 patients who presented for treatment of upper ureteric calculus. Ethical standards set forth by the committee were adhered to. After being informed of the study's purpose and methods, each participant signed a consent form. Information was entered into a premade proforma.
Result: In our study, there were a total of 123 males and 37 females in group A, and 120 males and 40 females in group B. There were 106 patients in the group whose stones were 8–13 mm and 54 patients in the group whose stones were 14–19 mm in size. ESWL success was defined as patients who had undergone three ESWL sessions and were stone-free, while ESWL failure was defined as patients who were not stone-free after three months or who required any extra treatments. Although 13 patients in the stented group did not have stones, 22 had difficulty clearing them with ESWL. Seven patients in the stent-free group had successful ESWL treatment, while eleven others did not.
Conclusion: Low morbidity and excellent effectiveness are characteristics of ESWL treatment. Ureteral stenting prior to ESWL offers no advantages over ESWL performed in situ. Patients who receive ureteral stents often experience severe pain and morbidity. The use of ureteral stents to treat upper ureteric calculus led to fewer hospital readmissions than when no stent was used, despite the fact that they are linked to higher irritative symptoms.
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