Lower Ureteric Stone Treatment Options
The choice of treatment for a lower ureteric stone depends on factors like stone size, patient symptoms, and stone composition. However, for stones located in the lower part of the ureter, specific interventions are generally preferred.
Evaluating Treatment Choices for Lower Ureteric Stones
- Endoscopic Removal: This is often the treatment of choice for lower ureteric stones. Procedures like ureteroscopy allow direct visualization and removal of the stone using specialized instruments. It offers high success rates and is minimally invasive.
- Diuretics: While hydration is important, diuretics are not a primary treatment method for removing stones lodged in the lower ureter. They primarily increase urine output.
- Drug Dissolution: This method is typically reserved for specific types of stones (like uric acid stones) and requires prolonged treatment. It's generally not effective or practical for most ureteric stones, especially those causing significant symptoms or located distally.
- Laser: Laser energy is frequently used during endoscopic procedures (like ureteroscopy) to break down stones (laser lithotripsy) into smaller, manageable fragments for easier removal. It is a tool used within the endoscopic approach, not a standalone treatment category in this context.
Therefore, Endoscopic removal provides the most direct and effective approach for managing stones in the lower ureter.
Important Questions from Urinary System & Surgical Disorders
Which of the following statements are correct regarding renal cell carcinoma?
1. It arises from the epithelium of the proximal convoluted tubule.
2. It has a female preponderance.
3. Major subtypes are clear cell, papillary and chromophobe.
4. Surgery is the mainstay of treatment for disease. organ-confined
Select the answer using the code given below.
Which of the following are features of autosomal dominant polycystic kidney disease?
1. Cyst may also occur in liver, pancreas and arachnoid membrane.
2. Most commonly manifests between 20-30 years of age.
3. Clinical manifestations are renal and extrarenal.
4. Men tend to progress to renal failure more rapidly than women.
Select the correct answer using the code given below.
- Extracorporal Shock Wave Lithotripsy (ESWL) is most commonly used for the treatment of
Which of the following are correct regarding pathology of stress urinary incontinence?
1. Hypermobility of urethra
2. Ascend of bladder neck and proximal urethra above diaphragm
3. Lowered urethral pressure
4. Increased detrusor activity
Select the answer using the code given below.
Which of the following are correct about ectopic ureters ?
1. They are more common in males
2. They drain the upper pole of kidney
3. They are associated with duplex ureter
4. They may cause incontinence
Select the correct answer using the code given below :
