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

Authors

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

Published

2025/03/10

Issue

Vol. -ISSUE 1
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