WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

An International Peer Review Journal for Medical Science and Pharma Professionals
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ISSN 2457-0400

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Indexing

Abstract

THE VALIDITY OF STONE CONE AS AN OCCLUSION DEVICE IN LASER ENDOSCOPIC LITHOTRIPSY FOR URETERIC STONE- A RETROSPECTIVE COHORT STUDY

*Muthanna Saad Abduljawad and Hajir HusamAldeen Alridhwani

ABSTRACT

Introduction: Aim: This study is aiming for evaluating the valuably of the stone cone application during Laser ureteroscopic lithotripsy for ureteric stone. Method: A case-control was adopted in Medicano private hospital, Erbil over the period between Feb. 2018 to Dec. 2019. The included cases were diagnosed as having ureteric stones of variable sizes and locations and managed by Holmium Laser lithotripsy DornierTM Mdilas. Rigid Ureteroscope StorzTM. The 104 patients included in the studied sample were divided into 2 groups; Group A involved 52 patients where ureteric occlusion device (stone cone). The stone cone was introduced via the Ureteroscope in the closed state and opened proximal to the stone. The other 52 patients Laser ureteroscopic lithotripsy was conducted with no utilization of ureteric occlusion device and hence included under the control group (Group B). Results: Mean age for cases was 36 years and more than half of them were male. Residual stone was less frequently reported by using stone cone (p=0.000). It also significantly decreased the mean time consumed for completing the surgery (p<0.0001) and event of retropulsion of stones during lithotripsy (p<0.0001). Conclusion: Using stone cone with ureteroscopy in management of uretric stones is beneficial in many aspects. Recommendations Introduction of stone cone within ureteroscopy procedure is recommended to be routine.

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