1. Deciding on a novel predictive value to gauge how well patients with lower ureteric stones respond to medical expulsive therapy.
- Author
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Alwan, Mohammed Ghanim, Nima, Montadhar Hameed, Alquraishi, Firas S., and Rashid, Najah Raham
- Subjects
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URINARY calculi , *INTRAUTERINE contraceptives , *LASER lithotripsy , *DECISION making - Abstract
This study, conducted over 4 years in Baghdad, Iraq, aimed to determine the importance of ureteric jet assessment in medical expulsive therapy (MET) for distal ureteral stones. A total of 156 patients with distal ureteral stones (≤ 10 mm) participated, and their ureteric jets were observed using a color Doppler scanner before and after 2 weeks of MET. The main focus was the success rate of stone expulsion. Our results showed that 50% of patients had detectable ureteric jets after 2 weeks of MET, and 21.8% experienced successful stone expulsion. After 4 weeks, 23.7% achieved stone expulsion, while 54.5% still had remaining stones. Patients who had a positive baseline ureteric jet were significantly more likely to successfully expel their stones. This study highlights the importance of monitoring ureteric jet movement in MET for distal ureteral stones. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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