Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Urolithiasis is a prevalent urological condition and surgical treatment options for ureteral stones include ESWL, URS, PCNL and laparoscopic or robotic‐assisted stone surgery. This study aimed to compare the outcomes of URS and open surgery in the treatment of lower ureteric stones. Between October 2018 and November 2020, a prospective study was conducted, involving 30 patients who underwent URS and 30 patients who underwent open surgeries, selected through computer‐generated randomization. The two groups were compared based on operative time, success rate, analgesic requirement, hospital stay and postoperative complications. Statistical analysis was performed using GraphPad software. Out of the 60 patients who met the inclusion criteria, the mean age was 45.28±10.32 years in the URS group and 48.44±11.51 years in the open surgery group (p = 0.36). The mean operative time for URS was 49.08 ± 14.95 minutes, while for open surgery it was 88.56±30.12 min, showing a statistically significant difference (p<0.05). The URS group had significantly lower blood loss compared to the open surgery group (p<0.05). There was also a significant difference in mean hospital stay between the two groups (p<0.05). URS is associated with reduced postoperative pain, decreased need for pain medication, shorter hospitalization and faster recovery compared to open ureterolithotomy. However, the success rate of stone removal in a single attempt is similar in both groups, regardless of the stone location.
How to cite this article:
Jatin B. Beladiya, Sanjay R. Chauhan, Dhruvesh Sheth and Nishith A. Chaudhary. Comparison of Effectiveness and Complications of Various Methods in the Management of Lower
Ureteric Stones.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.192.196
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.192.196