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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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A Comparative Analysis of the Demographics in the Treatment of Ureteral Stones: Ho: YAG Laser Lithotripsy versus Pneumatic Lithotripsy

Yeruva Anil Reddy, J. Sasi Kumar, C.H. Vamseedhar Reddy and Sagar Soitkar
Page: 21-24 | Received 10 Oct 2023, Published online: 29 Oct 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.3.21.24

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Abstract

The study aimed to compare the outcomes of pneumatic lithotripsy (PL) and holmium laser lithotripsy (LL) in the management of ureteric stones and assess their impact on patient demographics, operative parameters, and stone‐free rates. Study Period: December 2018 to December 2020, Inclusion Criteria: Patients aged above 15 years with ureteral stones >6 mm, located in the upper and lower ureter. Exclusion Criteria: Pregnancy, age <15 years, uncorrected coagulopathy, concomitant stones at other sites, loss to follow‐up, ureteral stricture, acute renal failure, sepsis. Demographics: LL group (n = 44) had a mean age of 35.2 years, while PL group (n = 44) had a mean age of 37.2 years. Both groups were comparable in terms of age, stone size, laterality, and comorbidities. Gender Distribution: LL group had 56% males and 44% females, while PL group had 49% males and 51% females. Stone Size: LL group had an average stone size of 9.24 mm, while PL group had 8.21 mm. Operative Time: LL group had a longer operative time (32.43 mins) compared to PL group (26.12 mins) (p<0.001). Hospital Stay: Mean hospital stay was shorter in LL group (1.65 days) compared to PL group (2.16 days) (p = 0.0006). Stone‐Free Rate (SFR): LL group achieved a higher SFR (95.2%) compared to PL group (89.4%) (p<0.001). Holmium laser lithotripsy demonstrated advantages in stone‐free rates and shorter hospital stays, albeit with longer operative times, compared to pneumatic lithotripsy in the management of ureteric stones. The choice between these modalities should consider clinical priorities and cost‐effectiveness, especially in developing countries. Further research and analysis are warranted to guide clinical decision‐making.

How to cite this article:

Yeruva Anil Reddy, J. Sasi Kumar, C.H. Vamseedhar Reddy and Sagar Soitkar. A Comparative Analysis of the Demographics in the Treatment of Ureteral Stones: Ho: YAG Laser Lithotripsy versus Pneumatic Lithotripsy.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.3.21.24
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.3.21.24