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Dessertation dr rauf

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Page 1 of 102 Abstract: Background: Ureteroscopy (URS) is a precise, minimally invasive surgical intervention that can assess the entire collecting system to treat a stone using intracorporeal lithotripsy.The implication of laser technology in the development of lithotripter fibres has revolutionised intracorporeal lithotripsy. Objective: To compare the efficacy of pneumatic lithotripters and Holium YAG LASER for ureteric stones at four weeks of the procedure among patients with ureteric stones. Methodology: Study design: Randomized clinical trial Setting: Urology department of Shiakh Zayed Hospital, Lahore Duration: Six month starting from---------------to ------------------- Data Collection Procedure: 100 patients of Ureteric stone were allocated to either group A or B by lottery method. Group A was treated with ureteroscopic pneumatic lithotripsy and group B was treated with Holimium YAG LASER. All Page 2 of 102 patients were given prophylactic antibiotics. Efficacy was assessed on X ray at four weeks follow up. Data was analyzed using SPSS 20inc. Results: Mean age of patients was 38.61±9.37 years. Mean size of stone was 9.42±2.23mm. On comparison, it was noted that pneumatic lithotripsy was effectiveness in 38(72%)) and holmium YNG laser in 47(94%) with a statistically significant difference (p-value< 0.06). Conclusion: Holmium YNG laser is superior as compared to pneumatic lithotripsy for the removal of Ureteric stone. Key word: Holmium YNG laser, Pneu ...
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