B.-B.О. Biloruskyy

Efficiency of treatment of patients with ureterolithiasis by different methods

Today urolithiasis is a very important problem in modern medicine. The incidence rate of urilithiasis has increased over recent years and there is a tendency for its further growth. This article analyzes the results of treatment of 121 patients who performed pneumatic (23 patients), laser (45 patients) lithotripsy and open ureterolithotomy (53 patients). Taking into account the analysis data, it has been established that treatment with minimally invasive methods reduces the length of stay in a hospital about 8 times, in comparison with open surgical interventions. Lithotripsy using a holmium laser is effective for the fragmentation of the concretes, regardless of their mineral composition, if their size does not exceed 2 cm in diameter. The duration of the presence of concrement in the lumen of the ureter and its localization were not significant in the choice of this method of treatment. A significant advantage of laser lithotripsy over other minimally invasive methods is its high efficiency in the fragmentation of spiked and “solid” fixed stones. An important advantage of using a Holmium laser is the less traumatic effect of the ureter wall, compared with contact pneumatic ureterolithotripsy.