Title: Clinical Study and Management of Calculus in Upper 1/3rd of the Ureter

Authors: Dr Sudharshan Babu K.G, Dr Priya.S, Dr Madhusudhan H R

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.59

Abstract

Aim: To identify the various clinical presentations and the complications of upper 1/3rd Ureteric calculus, To study the most common type of stone in upper 1/3rd ureter(stone analysis). To study the difference and relative advantage of different treatment modalities so that an appropriate treatment regimen can be instituted for the patient and further complications may be prevented.

Materials and Methods: Prospective study of 100 patients diagnosed to have upper ureteric calculi at Kempegowda Institute Of Medical Sciences Hospital, Bangalore from October 2014 to August 2016 and of them 74 underwent operative procedure for upper ureteric calculi. Data was analysed using descriptive statistics and chi-square test.

Results: Results were analysed among who underwent operative procedure in different ascepts like, Age (mean age=43.59), Incidence (M>F), dietary habits (mixed diet> veg diet), site of pain (U/L>B/L), complications, need for ESWL(19), different operatives modalities followed by stone analysis.

Conclusion: the incidence of urolithiasis has increased drastically, probably due to modern lifestyle and dietary habits and shift in the age distribution of Urolithiasis in recent times. There is an increased number of patients suffering fromthis condition in younger age group. Shift in gender distribution of urolithiasis with age, especially in females in post-menopausal period.

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Corresponding Author

Dr Priya .S

Senior Resident, Dept of Surgery, Kempegowda Institute of Medical Sciences and Research Centre

K.R Road,VV Puram Bangalore Pin:560004

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone: 9886601159