English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Objective to compare between the outcome and complications of proximal ureteric stone disintegration using dusting versus fragmentation technique with focusing on stone free rate. Materials and Methods in a prospective randomized clinical study, 20 patients will undergo laser disintegration of ureteric stones by dusting technique; another 20 patients will undergo laser disintegration of ureteric stones by fragmentation technique. The inclusion criteria include symptomatic single primary proximal ureteric stone&amp;lt; 2 cm. The Exclusion criteria were pregnant women, children, and patients with coagulation disorders, medical problems that hinder anesthesia, recent active infection, urinary tract abnormalities and previous ureteric surgery. Results Our laser settings in this research were energy 0.5 J and frequency 20 Hz for dusting technique and 2 J energy and 5 Hz frequency for fragmentation technique. Stone free rates of dusting and fragmentation techniques were 75% and 90% respectively. Post operative complications were 15% with dusting technique and 20% with fragmentation group. Conclusions Our study shows that the active retrieval after laser lithotripsy (fragmentation technique) more efficient than waiting tiny fragments to pass spontaneously after laser lithotripsy (dusting technique) as fragmentation technique has lower mean operative time, lower incidence of stone migration during procedure and higher stone free rate than dusting technique. Dusting technique seems to be more efficient than fragmentation in double-J stenting and post-operative complications as it has the lower incidence of jj stenting and post operative complications. To obtain fair and precise results we have to apply this study in larger population.

Comparative study between dusting versus fragmentation of proximal ureteric stones using Holmium Laser Lithotripsy