[Ureteroscopy. Our results and complications].
From November, 1987 to December, 1990, 399 cases of ureteral calculi were treated by rigid ureteroscopy (URS). Our success and complication rates are presented. Of these, 99 (25%) had a calculus in the pelvis (78/99), iliac (15/99) or lumbar (6/99) ureter, and 300 (75%) had Sandstrasse in the distal ureter. The cases with Sandstrasse were submitted to ureteroscopy within the first 48-72 hours to remove the ureteral obstruction, prevent hydronephrosis or sepsis and to expedite treatment. If symptomatic, obstructive and/or 7 mm or more in diameter, a nephrostomy tube was placed first whenever there was sepsis [23/300 (7%) of those with Sandstrasse and 3/99 (3%) of those with a ureteral calculus] or marked dilatation of the renal cavities [29/300 (9%) and 6/99 (6%), respectively]. The success rate was 93% for the cases with Sandstrasse versus 85% for those with a ureteral calculus, and the complication rates were 5.7% versus 9%, respectively. The foregoing results confirm the high success rate and scant morbidity of ureteroscopy in the treatment of ureteral calculus and Sandstrasse.
Hernández
D
D
Centro de Tratamiento de la Litiasis Urinaria, Hospital Hermanos Ameijeiras, Habana, Cuba.
Larrea Masvidal
E
E
Castillo
M
M
García
C
C
Valdes
C
C
Báez
D
D
Ramírez
L
L
D000293:Adolescent; D000328:Adult; D019723:Endoscopes; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries; D014514:Ureteral Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy
Ureteroscopia. Nuestros resultados y complicaciones.