A Srivastava Department of Urology, S. V. Institute of Medical Sciences, Tirupati
Source of Support: None, Conflict of Interest: None
A retrospective evaluation of the role of intracorporeal lithotripsy using mini ureteroscope with Swiss Lithoclast for the management of lumbar and iliac ureteral calculi in the setting of a developing country was done. A total of 30 patients with 32 calculi underwent intracorporeal lithotripsy using 7.5 F Wolf uretero-renoscope and the Swiss Lithoclast. An overall success rate of 88 percent has been reported. Small bulk calculi did not pose the problem of retrograde migration of a major fragment while it occurred in three out of ten large bulk calculi. there were no complications directly related to the use of lithoclast and it could fragment all the stones successfully. This modality represents a safe and cost effective approach for all small bulk lumbar and iliac ureteral calculi and may be used as a first line option in the developing countries. However, patients with large bulk calculi should be chosen more carefully.