• Muhammad Tanveer Sajid, Mohammad Ameen, Badar Murtaza, Muhammad Sarwar Alvi, Zakir Khan, and Faran Kiani.
• Muhammad Tanveer Sajid, Armed Forces Institute of Urology (AFIU), Rawalpindi, Pakistan.
• Pak J Med Sci. 2021 Mar 1; 37 (2): 415-420.

ObjectiveTo compare the mean operative time (MOT) in patients undergoing Ho: YAG laser lithotripsy (LL) and pneumatic lithotripsy (PL) for ureteric stones.MethodsThis randomized study was conducted at Armed Forces Institute of Urology (AFIU) Rawalpindi, Pakistan from July 2016 to November 2018. Non probability consecutive sampling technique utilized to enroll 60 patients of both gender aged 18-60 years, having ureteric calculus ≤1.5cm. Randomization was done into group I (LL) and II (PL) via computer generated number tables. Six Consultant Urologists performed surgeries under spinal anesthesia utilizing Swiss Lithoclast® Master (EMS+ S.A. Switzerland) in group II and holmium laser fiber (365μm, 8-10Hz, 9.6-16W, 2100nm wavelength) in group I respectively. MOT was noted from insertion of cystoscope till removal out of meatus. Data obtained was analyzed through IBM SPSS 24.0.ResultsAnalysis involved 60 patients (30 each group) having similar baseline characteristics (age, gender, laterality, location). There was statistically significant different MOT between LL & PL (25.48±6.99 vs 34.83± 7.47 minutes, p < 0.001). Data stratification with respect to age, gender, laterality and stone location revealed similar trend. Lithotripsy technique significantly affected MOT (p < 0.001) on Multiple Linear Regression Analysis.ConclusionsHo: YAG LL is an efficient technique when compared with PL in terms of MOT for ureteric stones.Copyright: © Pakistan Journal of Medical Sciences.

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