Endoscopic management of upper urinary tract stones: review of four months experience of Salmaniya medical centre

ABSTRACT

Between October 1st 1986 and February 1st 1987, a total of 45 patients had endoscopic stone removal with percutaneous nephrolithotomy [PCN] or transurethral ureteroscopy [TUU] as the primary modalities of therapy, 29 and 16 respectively. Two of these are excluded due to either inability to reach the stone or ureteric perforation. Successful stone extraction was achieved in 26 out of 29 patients [90%] by PCN, and 11 out of 14 patients [78%] by TUU. Complication rates were low as was the morbidity. Hospital stay was 6 days for most patients [range 5-14 days] with a prompt return to work. Endoscopic stone management is a far easier and cheaper method of treatment than open surgery