New Innovation Laser Surgery (HOL) in Provincial Hospital for Treatment of Ureteric Calculi Compares with Pneumatic Lithotripsy (PNL) and Electromagnetic Shock Wave Lithotripsy (ESWL)

Abstract

Objective: To evaluate effectiveness and results of ureteric calculi treated with ureterorenoscopic laser lithotripsy (HOL) compared with ureterorenoscopic pneumatic lithotripsy (PNL) and electromagnetic shockwave lithotripsy (ESWL)
Materials and methods: Patients who diagnosed with ureteric calculi treated by a single urologist at Bhuddasothorn Hospital since December 1st, 2010 to December 31st, 2011 were analysed by data analysis with statistical evaluation in each group. Comparative analysis by collective data descriptive of all patients treated with ureterorenoscopic laser lithotripsy (HOL), ureterorenoscopic pneumatic lithotripsy (PNL) and electromagnetic shockwave lithotripsy (ESWL) were analysed.
Results: Stone-free-rate (SFR) was analysed in each group including, 74.83% in group ESWL, 96.77% in group HOL and 88.89% in group PNL. Complication and multiple sessions of procedure were more common in group ESWL. SFRs were reported at 96.77%, 88.89% and 74.83% in HOL, PNL and ESWL, respectively. However, statistic evaluation of SFR showed no significant difference (P >0.05) among the three groups.
Conclusion: Stone-free-rate and complication in all 3 groups (HOL, PNL and ESWL) were not significant different. In fact, patient management was effected by Public Health Policy in some patients. Universal Coverage Scheme (UCS), Social Security Scheme (SSS) and Government or State enterprise officer (OFC) were all influenced in treatment of patients to justify procedure.