The management of ureteric calculi without extracorporeal shock-wave lithotripsy

Background Extracorporeal shock-wave lithotripsy (ESWL) is a relatively new technological adjunct in the treatment of renal calculi, but availability is limited. Aim The aim of this study was to assess the outcome of ureteroscopic procedures in a unit without on-site ESWL facility. Methods A retrospective study of all cases of ureteric calculi presenting to this hospital during the period 1991 to 1997 was performed. Results One hundred and thirty five patients with a mean age of 46.8 years were evaluated. Ninety-four (69.5%) had their stone successfully manipulated and/or extracted at ureteroscopy. Using strict criteria, 41 patients (30.5%) had failed ureteroscopies. Fourteen (10.4%) suffered complications related to their ureteroscopy, thirteen had their complications treated conservatively and three (2.3%) needed open procedures. Conclusion Ureteroscopy has a high success rate and low morbidity. We continue to advocate ureteroscopy in the initial management of ureteric calculi.