FREQUENCY OF SPONTANEOUS STONE EXPULSION OF SMALL LOWER URETERIC STONES IN PATIENTS WITH RAISED SERUM CRP(C-REACTIVE PROTEIN)

Objective: To determine the frequency of spontaneous stone expulsion of small lower ureteric stones in patients with raised serum CRP. Materials and Methods: Total of 195 patients with lower ureteric stone size 4mm to 9mm and with raised CRP were analyzed. All patients were subjected to history taking and examination for suspected ureteric stone. Urine R/E, blood investigation, was carried out followed by x-ray KUB and ultrasound of the pelvis and abdomen. CRP was measured only on initial presentation.Results: In our study Spontaneous stone expulsion was recorded in 54.87 % patients while the remaining 45.12% failed to spontaneous stone expulsion. We grouped spontaneous stone expulsion on the basis of age and found 26.56% out of 43.07% of patients were fall in spontaneous stone expulsion criteria in the group of 46-60 Years. Stratification of spontaneous stone expulsion with CRP level was done and that was noted that 54.87% has raised CRP value.Conclusion: The intended concluded that this conservative management with medical expulsive therapy is a successful strategy for managing small ureteric stones in distal ureter and it could be best seen with plasma CRP. Those Patients having raised CRP level have comparatively low stone expulsion rate and therefore should immediately be considered for minimally invasive procedure such as ureteroscopy.