Comparison of utility and efficacy of Intracorporeal pneumatic lithoclast in the treatment of distal ureteric calculi versus open ureterolithotomy

Abstract

Objective: To compare the role of intracorporeal pneumatic lithotripsy with open ureterolithotomy in our local setup. We will be able to compare our results with other studies in other parts of our country and other countries.

Methodology: This study was conducted in the Department of Urology from 2014-2015, Mayo Hospital, Lahore. A total number of 60 patients with distal ureteric stones were taken. Out of the thirty (group A) were treated with intracorporeal pneumatic lithotripsy and thirty (group B) were treated with open ureterolithotomy. The quantitative variables, like age, several stone, stone size, and hospital stay were presented in the form of mean and standard deviation.

Results: The mean age of the patients in group A was 45.7±12.8 years and in group, B was 42.2±11.6 years. In group A, the number of patients was of 18 (60%) males and 12 (40%) females. In group B, the number of patients was of 16 (53.3%) males and 14 (46.7%) females. The mean of the stone size of the patients in group A was 8.7±4.2 mm and in group B was 10.2±4.9 mm (p value 0.04). The mean hospital stay in group A was 2.3±0.7 days and stay in group B was 4.5±1.1 days (p-value: 0.1).

Conclusion: It is concluded that pneumatic lithoclast, when compared with open ureterolithotomy, achieved better success rate and pneumatic lithoclast has advantages over open ureterolithotomy as far as hospital stay and complications are concerned.