Prediction of development of early postoperative complications of the contact ultrasound lithotripsy

Authors

  • Roman Stetsyshyn Kharkiv medical academy of postgraduate education Amosova str., 58, Kharkiv, Ukraine, 61176 V. I. Shapoval Regional Clinical Center of Urology and Nephrology Moskovsky ave. 196, Kharkiv, Ukraine, 61037, Ukraine https://orcid.org/0000-0001-5631-3274

DOI:

https://doi.org/10.15587/2519-4798.2017.94123

Keywords:

ureterolithiasis, ureteroscopy, contact ureterolithotripsy, ureteral stone density, ureteral stone size, complications

Abstract

Nowadays, endoscopic treatment of kidney and upper ureter stones is the method of choice in a large group of patients. The success of ureteroscopic treatment of stones is a result of the development of efficient flexible ureteroscopes, new capture devices and laser lithotripters.

Aim. The analysis of the reasons and the character of early postoperative complications after ureteroscopy and contact lithotripsy using semi-rigid ureteroscope and ultrasonic lithotripter.

Methods. Ureteroscopy with contact lithotripsy and (or) lithoextraction against concrements of various ureter departments was made in 1268 patients. The patients were monitored after discharge in dynamics from 8 weeks to 1.5 years, and on the testimony - until the elimination of complications. All complications were divided in accordance with their severity degree by Satava classification.

Results. 179 patients with early postoperation complications were found. In 62 (34.6%) hyperthermia, in 56 (31.3%) - persistent hematuria, and in 61 (34.1%) – renal colic were detected.

Conclusion. In 60% of patients with 1 cm stones and 50% of patients with stones up to 1.5 cm early postoperative complications were found when the stone density was more than 1500 HU. When the stone size was 1.5 cm or more, the complications were found regardless of its density. When the stone size was less then 1 cm, early postoperative complications in the main were found at concrement’s localization in upper ureter (59.5 % of the patients). In patients with the stone density more than 1500 HU the highest number of complications was detected at the stones’ localization in upper and lower ureter – 14 (37.8%) and 16 (43.2%) cases, respectively

Author Biography

Roman Stetsyshyn, Kharkiv medical academy of postgraduate education Amosova str., 58, Kharkiv, Ukraine, 61176 V. I. Shapoval Regional Clinical Center of Urology and Nephrology Moskovsky ave. 196, Kharkiv, Ukraine, 61037

PhD, Associate Professor

Department of general, child’s and oncological urology

Head of the department

Department of Urological No. 4

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Published

2017-02-28

How to Cite

Stetsyshyn, R. (2017). Prediction of development of early postoperative complications of the contact ultrasound lithotripsy. ScienceRise: Medical Science, (2 (10), 19–24. https://doi.org/10.15587/2519-4798.2017.94123

Issue

No. 2 (10) (2017)

Section

Medical Science

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Copyright (c) 2017 Roman Stetsyshyn

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