International Medical Journal, Vol. 23., Iss. 1, 2017, P. 50−55.
CHALANGES OF URETERAL STONES TREATMENT USING INTRACORPOREAL LITHOTRIPSY
Kharkiv Medical Academy of Postgraduate Education, Ukraine
At present, urolithiasis is one of the most frequent diseases. Selecting the optimal method of treatment of ureteral stones always requires consideration of a large number of factors: the features of the stone (location, size, density, availability and duration of obstruction), clinical features (severity of the disease, the patient's preferences, comorbidities), anatomical features (presence of congenital and acquired abnormalities in the kidneys and ureters), technical features (available equipment, the surgeon's experience, the procedure cost). Comparative analysis of the treatment of patients with ureteral stones was performed using ureteroscopy and contact ultrasound lithotripsy. The data about the failures and complications encountered in the treatment of ureteral stones using miniinvasive surgery are reported. The frequency of intraoperative complications when using this method of treatment did not exceed the well−known standards. Post−operative complications of ureteroscopy were not severe and resolved by therapeutic methods. At the same time, it is concluded that due to the fact that elimination of complications of ureteroscopy significantly increases the cost and duration of treatment, prolongs the patient's disability, further analysis of the causes of failure and complications at ureteroscopic treatment of ureteral stones, as well as the search for the ways to minimize them are necessary.
Key words: ureteral stones, ureteroscopy, complications, contact ureterolithotripsy