Abstract

Objectives:  To  evaluation  the   results of treatment of renal calculi with flexible uretororenoscopy with continuous suctioning system at Department of Surgery - Family Hospital. Subjects and methods: Prospective study of 22 retrograde nephrolithotripsy cases treated by flexible ureterorenoscopy with continuous suctioning system at Family Hospital from 6-2022 to 5-2023. Results: 22 patients (18 male and 4 female) with mean age of 43.4 ± 11,1 years (29-61 years). Mean size stone: 16.5 ± 4.1mm. The location  of the stone was at pelvicalyceal and ureteral stones 50.0%. Estimate the hydronephrosis on preoperative CT-Scanner includes: 2 normal (9.1%), 10 grade I (45.5%), 5 grade II (22.7%) and 5 grade II (22.7%). The mean lithotripsy time: 56.8 ± 11.9 minutes (the shortest was 35 minutes and the longest was 75 minutes). The mean of hospital stay after surgery: 2.6 ± 1.3 day. 86.4% patients were stone free after 3 weeks surgeon, 3 patients (13.6%) who still had residual stones treated with extracorporeal shock wave lithotripsy (ESWL) after surgery. Conclusion: Flexible ureterorenoscopy and laser lithotripsy for treatment and pelvicalyceal stones is a new, safe, quick stone fragmentation time, and less invasive traetment.