Background: Urinary stone disease or nephrolithiasis is the third most common disease of the urinary tract is major health issue due to its high prevalence, occurrence and recurrence. The hallmark of a stone that obstructs the ureter or renal pelvis is excruciating, intermittent pain that radiates from the flank to the groin or to the inner thigh. Stone size influences the rate of spontaneous stone passage. Objective: To compare the efficacy (frequency of stone free patients) at one week after extracorporeal shock wave lithotripsy (ESWL) and ureterorenoscopic (URS) manipulation for proximal ureteric stone (10 – 15 mm size) Material & Methods: Study Design: Randomized control trial Setting: Department of Urology, KRL Hospital Islamabad Duration: 6 months i.e. 18-11-2019 to 18-5-2020 Data collection: After meeting the inclusion criteria 100 patients were enrolled and were divided into 02 groups. One group treated with ESWL and other with URS. Then procedures were done. Follow-up was noted after one week in stone clinic. All the data was collected on pre-designed proforma. Results: The average age of the patients was 39.71±10.17 years. The efficacy in ESWL group was noted in 68% cases while in URS group the efficacy was achieved in 76% cases (p-value>0.05). Male were 3 times at higher risk as compared to females. Conclusion: This study concluded that both ESWL and URS are statistically equally effective in terms of frequency of stone free patients at one week for proximal ureteric stone (10 – 15 mm size). Keywords: Proximal Ureteric Stone, extracorporeal shock wave lithotripsy, ureterorenoscopic, manipulation
