Vol. 7, Issue 1, Part B (2025)

Renal urolithiasis is a prevalent condition and its management involves a range of approaches, from conservative monitoring to various interventions like extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), mini-PCNL, flexible ureterorenoscopy (F-URS), laparoscopy and open surgery. Advancements in endourologic technology have significantly reduced the need for open surgery, now representing only 1-2% of kidney stone treatments. This study aims to evaluate the effectiveness, safety and limitations of shock wave lithotripsy (SWL) and flexible ureterorenoscopy (F-URS) in treating proximal ureteric stones. The study conducted at Ghout Shaal Hospital, Masara Clinic and Ishbilia Clinic in Libya, the research includes 33 cases for each procedure cases collected between June 2022 and September 2024.
The male patients are affected 63.63% in FURS and 54.54% in SWL, while female are affected 36.36% in FURS and 45.45% in SWL. The stone size varies from ≤ 10 mm to 30 mm. The stone ≤ 10 mm is 54.54% in FURS and 57.57% in SWL, 11-20mm is 27.27% in FURS and 18.18% in SWL. The analgesia required in FURS is 87.87% and 93.93% in SWL. The stone free status in 1st session is 48.48% in FURS and 42.42% in SWL, 2nd session is 33.33% in FURS and 42.42% in SWL and 3rd session is 18.18% in FURS and 15.15% in SWL. Time taken may be varies from 15 to 60 minutes, the time taken from 30 to 60 minutes is 48.48% in FURS and 51.51% in SWL. The UTI is 12.12% in FURS and 18.18% in SWL, gross Hematuria is 9.9% in FURS and 6.6% in SWL, fever is 33.33% in FURS and 45.45% in SWL, sever colic pain is 6.6% in FURS and 12.12% in SWL, reduction in HB level is 6.6% in FURS and 9.9% in SWL.