The Predictive Value of the Health Outcomes of Laser Ureteral Debridement, In Addition To Finding Statistical Results between the Technique Used and the Results

Abstract

Background: Today, urinary tract stones are a widespread issue in the world. Depending on regional factors, gender, and age, the total lifetime chance of developing a urinary tract stone range from 5 to 15%. There is a 5-9% lifetime risk in Europe. Objective: This paper aims to assess the predictive value of the health outcomes of laser ureteral debridement, in addition to finding statistical results between the technique used and the results. Patients and methods: This paper was reinforced by an analysis of the predictive value of the health outcomes of laser ureteral debridement, in addition to finding statistical results between the technique used and the results which conduct on patients have ages in range (20-65) years where conduct between 16^th July 2021 to 24^th September 2022 in different hospitals in Iraq. This paper was divided into two groups, males and females even, to study the impact of laser ureteral debridement and to assess the complications after and before operatives of laser ureteral debridement on both of females and males which include 40 cases. The data development was examinations and analysis of all demographic characteristics by the SPSS program. Results and discussion: This study’s 2:1 male-to-female ratio is consistent with prior studies. The excellent follow-up rate (98%) shows patients were well-informed about the procedure and postoperative NECT. The total SFR was higher than predicted (88%); this is also consistent with results from another research. Additionally, proximal ureteral stones are more likely than distal ureteral stones to dislocate into the renal pelvis, which raises the difficulty level of stone removal and consequently affects the outcomes of the operation. Since these consequences have the potential to be lethal, more research on the subject would be extremely helpful for the patients. Due to the retroactive nature of this study, several limitations exist since the selection bias could not be eliminated. Conclusion: The most frequent postoperative complication, including J-coil-related symptoms in 10% (4 patients), was accompanied by ureteral stricture in 10% (4 patients). In 5% of the instances (two patients), emergency treatment was required because of loin discomfort. Following surgery, two patients experienced urinary retention, necessitating open surgical repair. This study found that when employing ULL, considerably greater numbers of patients having renal stones were able to reach stone-free status and had less post-operative problems. The preferred laser for stone lithotripsy is now TFL