Treatment of Lower Ureteric Stones by ESWL and ICPL: A Comparative Study

This study was carried-out to find-out better and effective treatment option for Lower Ureteric Stones (LUS) by comparing Extracorporeal Ehock Wave Lithotripsy (ESWL) with ureterorenoscopic (URS) Intracorporeal Pneumatic Lithotripsy (ICPL).A total of60 patients attending the outpatient department of Bangabandhu Sheikh Mujib Medical University (BSMMU) with lower ureteric stones were divided into two groups, 30 in group-I (URS+ICPL) and the remaining 30 in group-II (ESWL). In group-I, 60% were male with mean age of 32.76 years and in group-II, 40% were male with mean age of 36.23 years. The ratio of involvement of right to left ureter was 1.7:1. The mean stone size was 10.7±2.69mm (SD) in group-I and 9.9±1.97 mm (SD) in groupII. The differences in age, sex and side of involvement of ureter were not significant (p 0.05) between the two groups. Among the groups 24(80%) in group-I and 26(86.61%) of patients in group-II were found stone free. The post procedure loin pain, fever and haematuria were more common in groupI than in group-H. The LUTS and loin pain were significantly more in groupI than in group-II (p 0.05). The post procedure fever was significantly more in group-I than in group-II (p 0.001). The mean post procedure hospital stay was 5.7±2.54days for group-I and 1.57±0.531days for group-Il, Post procedure hospital stay was significantly less in group-II than in group-I (p 0.05). The post procedure follow up attendance in this study was significantly low in group-I than in group-II (p 0.05).ESWL was found effective method than URS+ICPL for the treatment of lower ureteric stones.