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Abstract
Objective:
To compare the success rates and complications of Lithoclast Vs holmium laser aided ureterorenoscopy in the treatment of upper ureteric stones.
Methodology:
In this study, 68 patients with one upper ureteral stone (8-10mm) each were enrolled in this randomized controlled trial study in LUMHS, Hyderabad. The participants were randomly selected to Lithoclast- or Holmium laser-assisted ureteroscopy. Preoperative assessment consisted of CT KUB and labs. The parameters such as the pain, hematuria, clearance of the stone, and complications were captured, both operative and postoperative. Data examined with the help of SPSS v26, suitable parametric, and non-parametric tests, and it was assumed that p = 0.05 is significant.
Results:
A randomization of 68 patients each was done in Lithoclast and Holmium laser groups. There were similar baseline demographics and stone characteristics. There were no difference in terms of operative time, blood loss, and placement of a stent as well as minor intraoperative complications. At one week, the groups were similar in terms of pain scores, hematuria go-away, residual stone size, and success rates. Stone-free rates were slightly higher in the Holmium laser group (88.2% vs. 82.3%), but the difference was not statistically significant.
Conclusion:
Both pneumatic lithotripsy and Holmium laser lithotripsy are safe and equally effective for upper ureteric stones ≤10 mm, with comparable operative and postoperative outcomes.