Manejo de litiasis urinaria con ureteroscopia más litotripsia láser en pacientes de 18 a 50 años en el Hospital de la Policía Nacional Guayaquil Nº 2 durante el periodo enero 2017- enero 2022.

Abstract

Introduction: Renal lithiasis, also known as kidney stones, is a condition in which solid deposits are formed in the kidneys from substances such as calcium, uric acid and oxalate. Stones can cause severe pain in the lower back, side, and abdomen, as well as symptoms such as nausea and vomiting. There are various ways to approach the patient through conservative and surgical treatments such as ureteroscopy plus laser lithotripsy. Objective: To determine the management of urinary lithiasis with ureteroscopy plus laser lithotripsy in a population between 18 and 50 years of age at the Guayaquil National Police Hospital No. 2 during the period January 2017 - January 2022. Methodology: This research project followed a quantitative approach with a descriptive, retrospective and observational approach that included a sample of 100 patients: Results: It was evidenced that the male sex was the most frequent with 61% of the sample. The mean age of the patients analyzed was 36.8 years. The size of the most common kidney stones is those of 4 mm, which are most frequently found in the renal pelvis (44.4%). Semirigid ureteroscopy with laser lithotripsy was most commonly used for kidney stones in the ureter, and flexible ureteroscopy with laser lithotripsy was most commonly used for kidney stones in the renal calyx and less frequently for kidney stones in the renal pelvis. Conclusions: In conclusion, treatment with semi-rigid and flexible ureteroscopy plus laser lithotripsy is effective and safe for patients with urinary lithiasis who have stones larger than 7mm.