Evaluation of safety and efficacy of different endoscopic modalities in management of large proximal ureteric stone: A prospective randomized study

Abstract

Background: Various techniques have been documented for the management of Large Proximal Ureteric Stones (LPUS), such as laparoscopy (LUL), antegrade approach, retrograde ureteroscopy (RURS), extracorporeal shockwave lithotripsy, and infrequently open surgery. The paper aimed to compare the overall results of treating patients with large proximal ureteric stones (15-20 mm) using transperitoneal LUL, RURS, and mini-percutaneous antegrade ureteroscopy. Methods: This prospective, randomized trial involved 50 individuals of both sexes who were above the age of 18 and had a single, 15-20 mm LPUS. Patients were split into two equal groups at random: Group B received RURS combined with laser fragmentation, and Group A received LUL. Results: Regarding patient demographics and stone criteria, both groups were similar. Group A had a substantially greater stone-free percentage (100%) than Group B (72%). There was a significant difference (p