[Calculi of the ilio-pelvic ureter: therapeutic approach and importance of ureteroscopy regarding 200 cases].
The authors report their experience of 200 consecutive emergency admissions for iliopelvic uteric stones. 82 patients (41%) eliminated their stones with medical treatment. 118 patients (59%) required ureteroscopic treatment either by immediate basket extraction (n = 58) or by contact fragmentation (pulsed laser = 57, ultrasound = 1, electrohydraulic catheter = 2). 6 failures were observed and one case of distant ureteric stenosis was successfully treated by balloon dilatation. This therapeutic approach cured 187 (93.5%) of the patients of their stones within an average of 8 days (82 "spontaneous", 105 "endourological") with a mean hospital stay of 2.3 days and 2.7 days, respectively. Ureteroscopy had a success rate of 95% and appears to be the most effective treatment, but the medical option remains the basic treatment for stones of the lower ureter.
Bensadoun
H
H
Service d'Urologie, Hôpital de Bicêtre, Université Paris-Sud.
Bennani
S
S
Blanchet
P
P
Moukarzel
M
M
Benoit
G
G
Jardin
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003663:Decision Trees; D004322:Drainage; D004630:Emergencies; D004724:Endoscopy; D005260:Female; D006801:Humans; D007085:Ilium; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones; D012189:Retrospective Studies; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000628:therapy*
Calculs de l'uretère iliopelvien: attitude thérapeutique et intérêt de l'urétéroscopie à propos de 200 cas.