Extracorporeal shock wave lithotripsy monotherapy versus ureteroscopy in management of lower third ureteric calculi

ABSTRACT

Aim of work to evaluate the role of extracorporeal shock wave lithotripsy versus ureteroscopy in management of lower third ureteric calculi. 60 patient with symptomatic distal ureteric calculi, with age range from 20-54y. [average 36y] were divided into 2 groups. Group 1, 30 patients with average stone size 8mm had ESWL monotherapy for management of their stones with Siemens lithoster plus lithotripor. Group 2, 30 patients with average stone size 10 m.m had ureteroscopy with stone extraction with or without disintigration done for their stones as management. Results Group I 26 patients [86.6%] became stone free, retreatment rate was [34.5%]. Group2 29 patients [96.6%] became stone free with no retreatments ureterescopy remains the gold standard treatment for distal ureteric calculi. ESWL might be considered in stones