Clinical Experiences of the Ureteroscopic Management for the Lower Ureteral Stone

하부요관결석에 대한 요관경하배석술

  • Mo, Seong-Jong (Department of Urology, College of Medicine, Yeungnam University) ;
  • Kim, Young-Soo (Department of Urology, College of Medicine, Yeungnam University) ;
  • Suh, Jun-Kyu (Department of Urology, College of Medicine, Yeungnam University) ;
  • Park, Tong-Choon (Department of Urology, College of Medicine, Yeungnam University)
  • 모성종 (영남대학교 의과대학 비뇨기과학교실) ;
  • 김영수 (영남대학교 의과대학 비뇨기과학교실) ;
  • 서준규 (영남대학교 의과대학 비뇨기과학교실) ;
  • 박동춘 (영남대학교 의과대학 비뇨기과학교실)
  • Published : 1990.12.30

Abstract

Ureteroscopic removal of the stone is now popular for the management of the lower ureteral stone. A clinical study was performed on our 75 patients with lower ureteral stone treated with ureteroscopy. Of the 75 stone manipulations 62(83%) were immediately successful and the final success rate including spontaneous delivery of stone or fragment after the procedure was 87 percents(65 cases). Of 57 smaller calculi than 1Cm(radiographic largest diameter) 50(88%) were removed successfully. Mean duration of postoperative hospitalization was 5.6 days. There were no interrelations between the success rate and anesthetic methods. Significant complications durinf or after procedure were not identified. We conclude that ureteroscopic removal of stones under direct vision can be done safely and be the first choice of procedure for the lower ureteral stones.

Keywords