تلخیص
Objective: To assess the efficacy of Holmium: YAG laser in comparison with pneumatic lithotripsy for the management of ureteral
stones.
Study Design: A quasi-experimental comparative study
Place and Duration: Urology Department, Liaquat University of Medical and Health Sciences Jamshoro, from 1st January 2015 to 31st
January 2016.
Methodology: Total of 100 patients were categorized into 2 equal groups. All the patients who were having radio opaque stones of
10mm to 15 mm size underwent ureteroscopy. Stone size and location was confirmed by doing ultrasound KUB (kidney ureter and
bladder), X- Ray KUB and CT KUB with different combinations. In Group A, 1mm probe of pneumatic lithotripsy was used to section
the stone and in Group B Holmium YAG laser 600-micronfiber size was used. Patients were followed those with residual stones were
labeled as failure.
Results: Stones clearance was 64% in Group A (Pneumatic lithoclast). While in Group B (Ho: YAG laser lithotripsy) 94% of the patients
had stone clearance with a significant p-value of 0.006
Conclusion: The utilization of Holmium: YAG laser lithotripsy is a better and effective modality than pneumatic lithoclast.
Zakir Hussain Rajpar, Imran Memon, Kashifuddin Qayoom Soomro, Afhan Qayoom. (2019) Endourological treatment of ureteral stone: a quasi-experimental comparative study at public sector hospital focusing on assessment of holmium: Yag laser with pneumatic lithotripsy, , Volume 11, Issue 4.
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