Efficacy and safety of uretroscopy in the management of patients with upper urinary tract diseases at Duhok hospitals

Zabri Amo, Kalaus

	Efficacy and safety of uretroscopy in the management of patients with upper urinary tract diseases at Duhok hospitals
Medical Journal of Tikrit
Article 1, Volume 19, Issue 1, 2013, Pages 21-29
Author
Kalaus Zabri Amo
Abstract
Introduction: Urinary tract diseases are one of the most widespread diseases of human being. The introduction of endoscopes and minimal invasive procedures has revolutionized the treatment of those diseases. Aim of the study: To evaluate the diagnostic and therapeutic efficacy of the ureteroscopy in our locality. Patients and methods: A prospective study done at Dohuk hospitals for one year duration, a total of a 30 patients underwent ureteroscopy for diagnostic and therapeutic purposes(21 females and 9 males). Initial cystoscopy performed, ureteral access gained by guide wire then ureteroscopy completed under general anesthesia. In patients with failed procedure, other methods of treatment were applied. Results : In (80%) of patients the procedure was done for therapeutic indications, and in (20%) was for diagnostic purposes. Successful therapeutic procedure in first session was (85.7%), a second trial was needed in (9.5%) and one patient (4.8%) need other form of treatment. The mean operation time was 32.5 minutes. The mean hospital stay was 1.5 days. Complications were encountered in (23.3%), in form of residual stones in (10%), bleeding in(6.7%), sepsis in (3.3%) and in (3.3%) failure to access the ureter. Conclusion: Ureteroscopy represents effective and safe procedure with controllable low rate complications.

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