Efficacy of Laser Vs Pneumatic Lithotripsy for Mid and Distal Ureteric Stone: A Comparative Study

Introduction: Urolithiasis refers to a condition characterized by the formation or occurrence of calculi in urinary tract. In Asia, about 1%-19.1% population suffers from urolithiasis. Pneumatic and laser intra corporeal lithotripsy are mostly preferred frequently used during endoscopic management for ureteral stone.
 Aims: This study was done compare efficacy versus pneumatic lithotripsy.
 Methods: prospective comparative conducted May 2019 April 2020 Nobel Medical College Teaching Hospital, Biratnagar. Patients with mid- distal ureteric size 5mm more failed medical were included study. The patients equally divided into two groups: & pneumatic. procedure measured terms stone clearance. Stone less than 5mm, nephrolithiasis on same side stone, pregnancy, bleeding disorder patient not giving consent excluded study.
 Results: Total 130 enrolled this clearance observed 86.15% group 96.92% at end 6 weeks. 13.85% did achieve where as it 3.08%. mid rate significantly higher (93.33%) group.(p=0.041) When techniques compared results similar. mean operation time 28.89 ± 8.26 min 22.93 6.05 group(p<0.05).
 Conclusion: Holmium: YAG is superior lithotripter calculus also consuming.