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Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management

Malik Hussain Jalbani, Yassar Hussain Patujo, Aamir Ali Shaikh, Azizullah Meerani, Ahmed Bux Shaikh, Sajid Ali Abbasi, Nisar Ahmed Shaikh.

Abstract
Objective: To compare efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic holmium laser lithotripsy in proximal ureteric stone management.
Methodology: In this randomized control trial, 94 patients with single proximal ureteric stone <10mm were included and were divided in two groups, A and B. Forty seven in group A treated with extracorporeal shockwave lithotripsy (maximum 03 sessions at interval of 14 days in each session) and 47 patients in group B with ureterorenoscopic holmium laser lithotripsy. All were followed every two weeks with X-ray K.U.B. Final outcome was done at 12 weeks; those with no stone on plain X-ray KUB, were considered efficacy positive.
Results: Mean age of patients was 35.3113.48 years. Out of 94 cases, 61(64.9%) were male and 33(35.1%) were female. Average age and duration of stone were not significant between groups. Efficacy of extracorporeal shockwave lithotripsy (group A) was 83% and intracorporeal holmium laser lithotripsy was 80.9%. Not much significant difference was observed in efficacy of both treatment options.
Conclusion: Holmium laser lithotripsy has comparable efficacy to extracorporeal shockwave lithotripsy in proximal ureteric stone management. This modality cannot be used as 1st treatment option in proximal ureteric stone management due to its high cost.

Key words: Proximal Ureteric stone, extracorporeal shockwave lithotripsy and ureterorenoscopic holmium laser lithotripsy.


 
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How to Cite this Article
Pubmed Style

Jalbani MH, Patujo YH, Shaikh AA, AM, Shaikh AB, Abbasi SA, Shaikh NA. Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. RMJ. 2019; 44(1): 67-70.


Web Style

Jalbani MH, Patujo YH, Shaikh AA, AM, Shaikh AB, Abbasi SA, Shaikh NA. Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. http://www.rmj.org.pk/?mno=2351 [Access: March 22, 2019].


AMA (American Medical Association) Style

Jalbani MH, Patujo YH, Shaikh AA, AM, Shaikh AB, Abbasi SA, Shaikh NA. Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. RMJ. 2019; 44(1): 67-70.



Vancouver/ICMJE Style

Jalbani MH, Patujo YH, Shaikh AA, AM, Shaikh AB, Abbasi SA, Shaikh NA. Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. RMJ. (2019), [cited March 22, 2019]; 44(1): 67-70.



Harvard Style

Jalbani, M. H., Patujo, . Y. H., Shaikh, . A. A., , . A. M., Shaikh, . A. B., Abbasi, . S. A. & Shaikh, . N. A. (2019) Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. RMJ, 44 (1), 67-70.



Turabian Style

Jalbani, Malik Hussain, Yassar Hussain Patujo, Aamir Ali Shaikh, Azizullah Meerani, Ahmed Bux Shaikh, Sajid Ali Abbasi, and Nisar Ahmed Shaikh. 2019. Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. Rawal Medical Journal, 44 (1), 67-70.



Chicago Style

Jalbani, Malik Hussain, Yassar Hussain Patujo, Aamir Ali Shaikh, Azizullah Meerani, Ahmed Bux Shaikh, Sajid Ali Abbasi, and Nisar Ahmed Shaikh. "Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management." Rawal Medical Journal 44 (2019), 67-70.



MLA (The Modern Language Association) Style

Jalbani, Malik Hussain, Yassar Hussain Patujo, Aamir Ali Shaikh, Azizullah Meerani, Ahmed Bux Shaikh, Sajid Ali Abbasi, and Nisar Ahmed Shaikh. "Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management." Rawal Medical Journal 44.1 (2019), 67-70. Print.



APA (American Psychological Association) Style

Jalbani, M. H., Patujo, . Y. H., Shaikh, . A. A., , . A. M., Shaikh, . A. B., Abbasi, . S. A. & Shaikh, . N. A. (2019) Comparison of efficacy of extracorporeal shockwave lithotripsy versus ureterorenoscopic Holmium Laser lithotripsy in proximal ureteric Stone management. Rawal Medical Journal, 44 (1), 67-70.








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