Clinical Observation on Ureterolithotomy / 대한비뇨기과학회지

ABSTRACT

Clinical observation was done on the fifty-five ureterolithotomized cases of all the cases of ureteral stone which had been treated at the Department of Urology, Pusan National University Hospital during 10 years from 1960 through 1969. The results were as follows 1. The fifty-five ureterolithotomized cases covered the results of highest incidence in 2nd decade for age and one third at the lower one third ureter for location and a half with 0. 61~0.7 cm. for stone size. 2. By urinalysis, acid uria, proteinuria, hematuria and pyuria were detected in about one half of the cases and bacteriuria in a half. 3. About one third of all the cases were noted as non-visualizing kidneys on post-operative I.V.P. 4. For all cases of 0.7cm. or bigger in stone size and one fourth of 0.51~0.7 cm. ureterolithotomy was performed. 5. Calcium oxalate stones were noted with highest incidence, calcium oxalate-phosphate and phosphate stones the next, and calcium oxalate-carbonate and phosphate-uric acid stones had the least incidence on analysis of the chemical composition of stone. 6. Prolonged urinary infections were noted in the cases of post-operative T-tube inlaying. And post-operative I.V.P. showed normal or markedly improved condition with the exception of mild ureteral stricture in 2 cases performed ureterolithotomy.