Sapporo Medical Journal

Abstract : Introduction, Ureterolithiasis is the most common type of all urolithiasis. The management characteristics and efficacy of ureterolithiasis management using URS, ESWL, and ureterolithotomy in Dr. Soetomo General Hospital Surabaya are evaluated in this study. Material and Method This study used a descriptive study with a retrospective design. All medical record data of patients with reteral stone who were treated at Dr. Soetomo General Hospital Surabaya from 2014-2019. Result There were 801 patients included in the study. The highest incidence of ureteral stones was in the 51-60 years old age group (31.08%), predominantly among male patients (67.79%). URS was the most commonly performed procedure (61%). There were 270 patients with stone size < 1 cm. The procedures performed were URS and ESWL. The URS group showed significantly higher postoperative treatment (3.4 ± 2.1 days) compared to the ESWL group (p<0.05). There were 531 patients with stone size > 1 cm. The procedures performed in this group were URS, ESWL, ureterolithotomy. The shortest mean operation duration was in the ESWL group (61.56 minutes, p<0.05). Conclusion, The highest stone-free-rate (SFR) was discovered in the ureterolithotomy group (97.1%, p<0.05). ESWL had the shortest postoperative treatment duration (1 day, p<0.05). Ureterolithotomy generated the highest SFR. However, the patients had a greater hb change compared to URS. Keywords— Ureteral stone, URS, ESWL, Ureterolithotomy, Stone-free rate