Aim: To evaluate if ureteroscopic lithotripsy (URSL) is an effective and successful applicable procedure for new and less experienced urologists who first start to work in small provincial state hospitals of Turkey. Patients and Methods: A total of 962 URSL applications in The State Hospital of Mus, Urology Clinic were retrospectively evaluated. URSL was performed by an 8 or 10F semi-rigid ureteroscope and pneumatic lithotriptors under general or regional anaesthesia. On the 1st day after the operation, a urinary system graphy was performed and the presence of residual stones > 4 mm was judged a failure. Results: The sample included 381(39.6%) females and 581 (60.4%) males with a mean age of 38.7 years (range 17–64 years). The success rate of URSL in stones ≤ 10 mm was 95.1% (737/775) and >10 mm was 89.8% (168/187). However, the success rates according to stone localization were 81.9% (59/72) in the proximal ureter, 89.2% (133/149) in the middle ureter, and 96.2% (713/741) in the distal ureter. The overall stone-free rate was 94.1% (905/962). Complications were commonly minor and treated by conservative management modalities. Conclusion: URSL is a safe and successful treatment option in the management of ureteral stones, and it can be performed by new and less experienced urologists in small provincial state hospitals with results similar to the literature.

Keywords:
Ureteral calculi, Treatment, Ureteroscopy, Lithotripsy, Young urologist, Stone-free rate, Complications
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© 2011 S. Karger AG, Basel
2011
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