Ureteroacopy Management of Upper Ureteral Stone | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 August 2025 | ||||
| Document Type: Review Articles | ||||
| DOI: 10.21608/zumj.2025.397920.4021 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Osama Mostafa Kamhawy1; Lotfy Abdallatif Elbendary2; Ahmed M. Eliwa1; Tarek Shaker Belhassan Boayad  1
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| 1Urology Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| 2Urology Department , Zagazig university | ||||
| Abstract | ||||
| Background: Ureterolithiasis is a common ailment that has a big effect on health around the world. It can be hard to cure large upper ureteric stones, especially those that are bigger than 10 mm. Surgery is often needed. Ureteroscopy, both antegrade and retrograde, has become a way to treat patients, but the results of the surgery vary. This study looks at the results of two different types of surgery for treating big stones in the upper ureter: antegrade flexible ureteroscopy (AFU) and retrograde intrarenal surgery (RIRS). AFU had a lower operative duration than RIRS and a shorter time to break up stones. The AFU group stayed in the hospital for a much less time than the RIRS group. There were no major differences in the stone-free rates at 24 hours or 4 weeks or in the requirement for extra treatments or problems after surgery. Conclusions: Both AFU and RIRS work well to treat big stones in the upper ureter. AFU had benefits like shorter surgery times, shorter times for breaking up stones, and a quicker recovery, but the differences in stone-free rates and complication profiles were not statistically significant. | ||||
| Keywords | ||||
| Ureterolithiasis; upper ureteric stones; antegrade flexible ureteroscopy (AFU); retrograde intrarenal surgery (RIRS); stone-free rate (SFR) | ||||
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