The effects of the non-anesthetic, non-fluoroscopic ureteroscopic removal of the lower ureter stone

Hong, Don Ho; Lee, Choong Hyun; Chang, Sung Goo

Abstract

In virtue of endourologic development recently, ureteroscopic removal of stone is widely used as treatment of the stone. But there were some complicated problems, such as radiation hazard to patient and urologist, anesthesia, expensive dilator etc. The ureteroscopic removal of stone was done in 42 cases of lower ureter stone with non-anesthetic, non-fluoroscopic ureteroscopic removal of stone. The success rate was 76.5%. and there were no severe vesicoureteral reflux and ureteral stricture as delayed complication on intravenous pyelography and voiding cystourethrography. which were checked on 3 months after. But one man, failed to removal of stone. had sepsis and managed by ureterolithotomy. Other minor complications were managed successfully by conservative method. The non-anesthetic, non-fluoroscopic ureteroscopic removal of stone was the efficient initial method to manage of the lower ureter stone, which was smaller than 1cm in size.