OUR EXPERIENCE OF COMPARISON LITHOTRIPSY METHODS: DISTANT SHOCK WAVE LITHOTRIPSY, PERCUTANEOUS NETHROLITHOTRIPSY AND TRANSURETHRAL LITHOTRIPSY USING HO: YAG - LAZER IN PATIENTS WITH UROLITHIASIS
Currently, the use of minimally invasive and noninvasive lithotripsy is a standard surgical treatment of urolithiasis. Shock wave lithotripsy (ESWL) is a method of “first line therapy” of uncomplicated stones. Residual stones or its fragments are well-known problem. We are forced to find out the optimal method of lithotripsy. Transurethral lithotripsy (TUL) and percutaneous nethrolithotripsy (PNL) reduce the number of residual stones. The current analysis showed that residual stones of upper urinary tract after ESWL were found in 56.6% of cases, but after PNL and TUL they were present in 25% and 16.6% cases respectively. After TUL of ureteral stones 20.8% cases revealed residual stones of middle ureter, 14.1% and 17.6% residual stones of lower and upper ureters respectively.