CLINICAL SPECTRUM AND MANAGEMENT STRATEGIES FOR URETERIC CALCULI IN A RURAL TERTIARY HEALTHCARE SETUP

Introduction: Ureteric calculi are a common and potentially serious urological condition, particularly in patients aged 20 50 years. This study aimed to evaluate clinical presentation, diagnostic modalities, management strategies, and outcomes in patients with ureteric stones at a rural tertiary care center.

Materials & Methods:In this prospective observational study, 120 patients diagnosed with ureteric calculi were evaluated. Data collected included demographics, stone size and location, clinical features (e.g., hydronephrosis, fever, hematuria), renal function tests, microbiological findings, imaging modalities used (USG vs. CT), and treatment modalities (medical management, ureteroscopy, PCNL, open surgery, nephrectomy). Complications were classified according to Clavien dindo.

Conclusion:Ureteric calculi most commonly occur in younger to middle-aged adults and present with hydronephrosis and hematuria. Stone size and location influenced management strategy: smaller stones often resolved with conservative treatment, while larger or complex stones required invasive interventions. Minimally invasive techniques demonstrated favorable outcomes with shorter hospital stays and low morbidity. Ultrasonography remains a diagnostic tool in resource-constrained settings.