Outcomes of Ureteroscopy with Laser Lithotripsy in Ureteric Stones

Background: Ureteric stone disease is a common urological problem, and ureteroscopy with laser lithotripsy has become a preferred minimally invasive treatment option due to its high success rates and safety profile.

Objectives: To evaluate the clinical outcomes, stone-free rates, and complications of ureteroscopy with laser lithotripsy in patients with ureteric stones treated at a tertiary care centre.

Materials and Methods: This hospital-based observational study included 60 adult patients with radiologically confirmed ureteric stones who underwent ureteroscopy with holmium:YAG laser lithotripsy. Patient demographics, stone characteristics, operative details, stone-free rates, and postoperative complications were analyzed. Stone-free status was defined as complete clearance or the presence of clinically insignificant residual fragments (≤4 mm).

Results: The majority of patients were male, and distal ureteric stones were the most common. Most stones measured between 6 and 10 mm in size. The overall stone-free rate achieved was 90%, with higher success observed in distal ureteric stones. Postoperative complications were minimal and included transient hematuria, fever, and flank pain, all of which were managed conservatively. No major complications were encountered.

Conclusion: Ureteroscopy with laser lithotripsy is a safe and effective modality for the management of ureteric stones, offering high stone-free rates with low morbidity and short hospital stay in a tertiary care setting.