Title: Study of Efficacy of the Conservative and Surgical Management of Small Ureteral Stones
Authors: Dr Aamir Afroz MBBS MS, Dr Mushtaq Ali MBBS MS, Dr.(Prof) SK Bhat MBBS MS, Dr Maham Ahmad MBBS MS, Dr Mohd Aamir MBBS MS, Dr Rahul Agrawal MBBS MS
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.97
Abstract
Background: Ureteric colic is one of the most painful conditions that may occur and it is often caused by stone in ureter more often in distal one third of ureter. A watchful waiting approach may be expected to produce spontaneous stone expulsion in upto 50% cases, especially if stone size is <7 mm but some complications such as urinary infection, hydronephrosis and repeat colic events may occur. endoscopic treatment with ureteroscopy (URS) and extracorporeal shock wave lithotripsy (ESWL), majority of ureteric stones can be removed without open surgery. However, these procedures are not complication free and these procedures require experience and imply high cost. On the contrary, the role of medical expulsive therapy (MET) in the treatment of this condition still unclear .The most effective treatment regimen for spontaneous stone expulsion and the control of painful symptoms has not been yet determined despite the wide spread need in clinical practice. With the availability of minimally invasive procedures like endoscopic treatment with ureteroscopy (URS) and extracorporeal shock wave lithotripsy (ESWL), majority of ureteric stones can be removed without open surgery1.
Methods: The present study was carried out as a prospective observational Study
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