Original Research

Ureteroscopy Under General Anesthesia Versus Spinal Anesthesia:Stone Clearance and Morbidity

Imran Masood Butt1
Rashid Latif Medical College Lahore
Umar Iqbal1
Rashid Latif Medical College Lahore
Muhammad Saqib2
Punjab Institute of Neurosciences Lahore
Muhammad Aslam Khan3
Children Hospital Lahore
Mudassar Ali1
Rashid Latif Medical College Lahore
Fareeha Sheikh4
Allama Iqbal Medical College Lahore

✉ Correspondence: Umar Iqbal Email: umer8808@gmail.com

DOI https://doi.org/10.70302/jpsim.v6i1.2513
Volume: 6, Issue 1 Pages: 60–64 Published: 10 Mar 2025
Received: 15 Apr 2024 Revised: 22 Jan 2025 Accepted: 22 Feb 2025 Published Online: 10 Mar 2025

Abstract

Objective

This study aims to compare and contrast ureteroscopy procedures performed under spinal anesthesia and general anesthesia, focusing on complications, stone clearance rates, and relevant variables.

Methods

The study was conducted at the Kidney Centre, Women's University of Dera Ismail Khan, from January 2021 to January 2022, focusing on urinary calculus disease. A total of 100 patients aged 18 to 50 underwent ureteroscopic procedures for the treatment of ureteric stones, with 69 males and 31 females. The patients were divided into two groups: Group A received general anesthesia, and Group B underwent spinal anesthesia. Comprehensive data, including demographics, stone characteristics, operative time, hospital stay, and complications, were collected and analyzed using statistical methods.

Results

Group B, with spinal anesthesia, exhibited a significantly shorter operative time (31.5 ± 2.15 minutes) compared to Group A under general anesthesia (41.5 ± 1.30 minutes, p=0.033). Group B also showed a trend towards shorter hospital stay (18.2 ± 6.9 hours) compared to Group A (22.6 ± 8.1 hours, p=0.073). Postoperative complications, such as pain, fever, and analgesia requirement, were comparable between the two groups.

Conclusion

The study suggests that general anesthesia may be superior to spinal anesthesia for ureteroscopy in terms of safety and stone clearance rates, while spinal anesthesia is associated with a lower risk of complications. The findings underscore the effectiveness of ureteroscopy in treating lower ureteric stones and highlight the adaptability of anesthesia choices to individual patient needs.

Keywords
Ureteroscopy General anesthesia Spinal anesthesia Ureteric stones

How to Cite This Article

Butt IM, Iqbal U, Saqib M, Khan MA, Ali M, Sheikh F. Ureteroscopy Under General Anesthesia Versus Spinal Anesthesia:Stone Clearance and Morbidity. J Pak Soc Intern Med. 2025;6(1):60–64. doi:10.70302/jpsim.v6i1.2513

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2025 Journal of Pakistan Society of Internal Medicine.
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