Indian Journal of Urology Users online:101  
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Year : 1997  |  Volume : 13  |  Issue : 2  |  Page : 71-74

Bilateral 1-session ureteroscopy :feasibility and outcome.


Department of Urology,Sanjay Gandhi Potgraduate Institute of Medical Sciences,Raebareli Road Lucknow - 226 014 INDIA, India

Correspondence Address:
M C Goel
Department of Urology,Sanjay Gandhi Potgraduate Institute of Medical Sciences,Raebareli Road Lucknow - 226 014 INDIA
India
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Source of Support: None, Conflict of Interest: None


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Presently ureteroscopy is the most effective and widely used modality for the management of lower ureteric stones.24 patients underwent bilateral 1-session ureteroscopy for lower ureteric stones.Equal number of patients who underwent unilateral ureteroscopy were considerd as controls.Ultimate clearance rates were 98 percent for bilateral 1-session,92 percentfor unilateral 1-session,while these rates were 88 and 79 percent after one session of anaesthesia.29 anaesthesia sessions were required for 48 units in bilateral 1-session,and 30 for 24 units of unilateral 1-session ureteroscopy.Staged ureteroscopy was required for 4 units of bilateral 1-session,and 6 units in unilateral 1-session.Of the complications fever was the commonest (8 patients B/L, 6 U/L),and septicaemia next common (2 patients B/L,1 U/L). However the difference was not satistically significant.There was a significant difference in the cost-incurrence for each unit: Rs.!665 vs Rs.2730.The hospital stay,work-loss and outcome at follow-up is similar,B 1-S ureteroscopy is a safe and effective procedure.It decreases cost-incurrence,hospital stay and work-loss days.


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