Ureteric stone

Ureteric stone

Types
Clinical feature
•Ureteric colic : severe pain intermittent radiation depend on site associated with nausea and sometimes vomiting relieved by analgesia aggravated by movement cold •Urinary symptoms when stone in •ureterovesical junction •Hematuria
Diagnosis
•ABDOMINAL U/S •KUB •NATIVE ABDOMINAL CT SCAN

TREATMENT
•Conservative •increase fluid intake •Medications : alpha blocker ( tamsulosine) •Calcium channel blocker ( nifedipine) •Herbs ( cystone, rowatinex)
Treatment
•Intervention :ESWL in upper ureteric stone •Surgical : ureteroscope (URS) and intracorporeal lithotripsy ( LASER, PNEUMATIC) •Open ureterolithotomy •Laparscopic ureterolithotomy

complications
•Infection : pyelonephritis, pyonephrosis •Hydronephrosis •Bilateral lead to Anuria or oliguria (ARF)

Ureteric injury
•Etiology •Trauma : penetrating or blunt •Iatrogenic:surgery •1 - gynecological operation especially hysterectomy •2 - endoscopy (URS) •3 - other surgery for colonic cancer

Diagnosis
•U/S •IVU •ABDOMINAL CT SCAN