Korean J Urol.  2012 Sep;53(9):632-635. 10.4111/kju.2012.53.9.632.

Efficacy and Safety of Emergency Ureteroscopic Management of Ureteral Calculi

• Youn JH
• Kim SS
• Yu JH
• Sung LH
• Noh CH
• Chung JY

• KMID: 2061702
• DOI: http://doi.org/10.4111/kju.2012.53.9.632

Abstract

PURPOSE
To evaluate the efficacy and safety of the ureteroscopic management of ureteral stones immediately after a first colic attack.
MATERIALS AND METHODS
We retrospectively analyzed the data of 226 patients with obstructive ureteral stones who underwent ureteroscopy with stone retrieval. The 67 patients in group A underwent ureteroscopy within 48 hours of admission to our emergency department, whereas the 159 patients in group B underwent ureteroscopy more than 48 hours after admission. The chi-square test was used to evaluate and compare stone-free status, auxiliary procedures, and complications and the Kruskal-Wallis and Fisher's exact tests were used to analyze qualitative data.
RESULTS
Mean stone sizes in groups A and B were 2.41+/-1.62 mm and 4.11+/-2.64 mm, respectively. No patient experienced a major complication during or after the procedure. Stone-free rates were 89.55% and 89.93%, respectively.
CONCLUSIONS
Emergency ureteroscopy in cases of obstructive ureteral stones is both safe and effective and offers the advantages of immediate stone fragmentation and the relief of acute-onset colic pain.

Keyword

Emergencies; Ureteral calculi; Ureteroscopy

MeSH Terms

Colic
Emergencies
Humans
Retrospective Studies
Ureter
Ureteral Calculi
Ureteroscopy

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