Abstract

ROLE OF ESWL IN MANAGEMENT OF URETERIC STONE

Dr. Basheer Anwer Bakr*

ABSTRACT

For, ESWL is a safe and effective kind of treatment that is non-invasive and easy to administer. ureteral stones. As an outpatient procedure, ESWL doesn't require anesthesia or any other medical intervention. the initial line of treatment should be pretreatment intervention In the ureter, Stones less than 15 mm had low clearance rates. This article reviews and makes evidence-based recommendations about the current management of ureteric stones. a course of action has been taken. The main debate for spontaneous transit involves stones smaller than 4 mm in diameter. Shock wave lithotripsy or endoscopic care of bigger stones is the best option for achieving optimal results. Laser fragmentation is also used. Based on the patient's preferences, published evidence, and local audit (surgeon), treatment suggestions should be made. skill and the availability of equipment) and cost.. Artificial Neural Networks (ANNs) have the potential to be effective in the diagnosis and treatment of ureteric stone disease. There has to be more investigation on this potential. In comparison to ureteroscopy, ESWL is less effective, but it has the potential to reduce the need for more invasive therapy. a certain percentage of people. Stones less than 10 mm in diameter should only be considered as an initial treatment option for patients size. Since fragmentation and stone-free rates are significantly lower, stents should not be routinely used. For For bigger stones, early laser ureteroscopy is more effective and less expensive for both proximal and distal calculi. Laser ureterolithotripsy should be considered an option if there are no contraindications to general anesthesia. First-line treatment for ureteric stones, especially in cases with high stone burden, is excellent with this method. Endoscopic therapy of ureteric stones in all locations is superior than ESWL in the best hands. Despite the fact that this greater solution requires a lot of expertise, equipment, and experience, it is less expensive. The terms "lithotripsy," "renal colic," "ureter," "urinary calculi," and "kidney calculi" are often used interchangeably.

Keywords: Ureter; Ureteric stones; Management; Lithotripsy; Laser; Ureteroscopy; ESWL; Spontaneous passage; Laparoscopy; Percutaneous; Surgery.