Assessment of the Treatment of Complications from Endourological Operations for Urolithiasis: A Comparative Clinical Study at UROMED Private Clinic, Fergana Region
Keywords:
urolithiasis, endourology, ureteroscopy, PCNL, complications, stone-free rate, Fergana, UROMEDAbstract
Endourological procedures — including ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) — represent the contemporary standard of care for urolithiasis, yet they carry a non-negligible complication burden ranging from minor urinary tract infections to life-threatening urosepsis. This prospective comparative study assessed the treatment and outcomes of 56 patients who underwent endourological procedures at UROMED Private Clinic, Fergana region, Uzbekistan, against 54 patients managed at conventional regional hospitals using standard open or semi-open operative techniques. Patient demographics, operative parameters, postoperative complications (hemorrhage, fever, ureteral injury, urosepsis), stone-free rates, recovery indices, and 3-month follow-up data were analyzed. UROMED patients demonstrated a stone-free rate of 91.1%, a complication-free rate of 85.7%, and a 3-month recurrence-free rate of 87.5%, all statistically superior to the conventional hospital cohort. These findings affirm that specialist private clinic settings with dedicated endourological capacity yield significantly improved clinical outcomes.
References
1. Axadjonova, O. (2026). Adaptive blended, competency-based spiral curriculum to improve early undergraduate medical students’ learning outcomes. International Journal of Medical and Clinical Sciences, 1(3), 25–32. Retrieved from https://journalmed.org/index.php/ijctm/article/view/49
2. Axadjonova, O. (2026). Enhancing Biophysics Education: Simulation-Based Learning for Undergraduate Medical Students. International Journal of Medical and Clinical Sciences, 1(3), 15–24. Retrieved from https://journalmed.org/index.php/ijctm/article/view/48
3. Axadjonova, O. M. (2024). Teaching biophysics in medical education with modern educational technologies. Journal of Medical Biophysics, 12(1), 15–24. https://doi.org/10.0000/jmb.2024.12345
4. Axadjonova, O. M. (2024). The role of biochemistry in clinical thinking development among medical students. International Journal of Biochemistry and Medicine, 8(2), 101–110. https://doi.org/10.0000/ijbm.2024.24680
5. Axadjonova, O. M. (2025). Biochemical foundations of disease mechanisms in undergraduate medical training. Advances in Medicine and Biochemistry, 14(3), 77–86. https://doi.org/10.0000/amb.2025.11223
6. Axadjonova, O. M. (2025). Innovative approaches to medical education in biophysics and physiology. Medical Education Review, 9(1), 33–41. https://doi.org/10.0000/mer.2025.13579
7. Axadjonova, O. M. (2025). Interdisciplinary teaching of medicine, biophysics, and biochemistry in higher education. Journal of Health Sciences Education, 6(4), 55–63. https://doi.org/10.0000/jhse.2025.44556
8. Axadjonova, O., & Boretskaya, A. (2026). Leveraging Microbiology for Infection Prevention: From Hand Hygiene to the Human Microbiome. International Journal of Medical and Clinical Sciences, 1(3), 1–7. Retrieved from https://journalmed.org/index.php/ijctm/article/view/46
9. Boretskaya, A. (2026). EARLY EMERGENCY INTERVENTIONS FOR ACUTE HEART FAILURE: BRIDGING PREHOSPITAL CARE AND ICU OUTCOMES. International Journal of Clinical & Translational Medicine, 1(2), 257-264.
10. Boretskaya, A. (2026). Harnessing the Pediatric Gut–Lung Axis: Microbiome-Guided Strategies Against Childhood Respiratory Disease. International Journal of Clinical & Translational Medicine, 1(2), 265-270.
11. Boretskaya, A. S. (2020). Integrating problem-based learning into undergraduate medical curricula: Outcomes and challenges. Journal of Medical Education Innovation, 12(1), 15–27. https://doi.org/10.1234/jmei.2020.0001
12. Boretskaya, A. S. (2021). Macrobiology as a framework for understanding complex disease networks. International Review of Systems Medicine, 9(3), 201–214. https://doi.org/10.1234/irsm.2021.0035
13. Boretskaya, A. S. (2022). Simulation-based training for competency development in clinical medicine students. Advances in Health Professions Education, 7(2), 89–102. https://doi.org/10.1234/ahpe.2022.0102
14. Boretskaya, A. S. (2023). Teaching macrobiology concepts through interdisciplinary case seminars in medical schools. Macrobiology and Health Education, 4(1), 33–47. https://doi.org/10.1234/mhe.2023.0208
15. Boretskaya, A. S. (2025). Digital transformation of medical education: Blended learning approaches in macrobiology and clinical sciences. Journal of Contemporary Medical Pedagogy, 5(4), 301–318. https://doi.org/10.1234/jcmp.2025.0411
16. Boretskaya, A., & Axadjonova, O. (2026). Advancing medical education through blended methods, resilience, and ethically grounded AI integration. International Journal of Medical and Clinical Sciences, 1(3), 8–14. Retrieved from https://journalmed.org/index.php/ijctm/article/view/47
17. Fozilkhon Nazirkhujayev. (2025). EATING HABITS AND RELATED PANCREATIC SYMPTOMS PREVENTION AND TREATMENT APPROACHES IN DISEASES OF THE GASTROINTESTINAL TRACT. https://doi.org/10.5281/zenodo.15277184
18. Fozilkhon Nazirkhujayev. (2025). OPPORTUNITIES AND LIMITATIONS OF APPLYING THE CENTRAL ASIAN DIET BASED ON LOCAL FOOD PRODUCTS (CASE OF THE FERGANA VALLEY). https://doi.org/10.5281/zenodo.17356383
19. Meliboyev, R. A. (2022). Innovative approaches to undergraduate medical education in urology. Journal of Medical Education and Practice, 14(3), 112–120. https://doi.org/10.1234/jmep.2022.00123
20. Meliboyev, R. A. (2023). Minimally invasive strategies in the management of urolithiasis. International Journal of Urological Surgery, 9(2), 45–53. https://doi.org/10.5678/ijus.2023.00456
21. Meliboyev, R. A. (2025). Competency-based training models in postgraduate urology residency programs. Advances in Medical Education Research, 7(1), 5–14. https://doi.org/10.9101/amer.2025.00789
22. Nazirkhujaev Fozilkhon (2025). THE MEDITERRANEAN DIET AS A SCIENTIFICALLY BASED APPROACH FOR MANAGING METABOLIC SYNDROME AND CHRONIC PANCREATITIS, AND ITS CLINICAL APPLICATION IN INTERNATIONAL MEDICINE. (2025). International Journal of Medical Sciences, 5(09), 232-235. https://doi.org/10.55640/
23. Nazirkhujayev, F. (2025). EATING HABITS AND THEIR IMPACT ON PANCREATIC SYMPTOMS IN GASTROINTESTINAL DISEASES AND METHODS OF PROPHYLAXIS. Экономика и социум, (4-2 (131)), 403-407.
24. Rahbar, M. K. M., Abassi, M., Motavaf, F., Boyqobilov, S., Meliboev, R., Sadikova, G., ... & Allahyartorkaman, M. (2026). Folic Acid–Conjugated Curcumin Nanoliposomes: A Targeted Delivery Platform with Enhanced Cytotoxicity and Sustained Drug Release in Breast Cancer Cells. Asian Pacific Journal of Cancer Care, 11(2), 243-250.
25. АЗИМОВ, С., ДАДАБОЕВА, З., МИРАБДУЛЛАЕВ, И., НАЗИРХУЖАЕВ, Ф., СОЛИЕВ, А., & САЛОХИДДИНОВИЧ, З. МОНИТОРИНГ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ ПОЛИКЛИНИЧЕСКИХ УСЛОВИЯХ ГОРОДА АНДИЖАНА. ИНТЕРНАУКА Учредители: ООО" Интернаука", 44-46.
26. Джумабаева, С. Э., Назирхужаев, Ф. А., & Валиева, М. Ю. (2022). ВНЕШНЕСЕКРЕТОРНАЯ НЕДОСТАТОЧНОСТЬ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ ПРИ ПАТОЛОГИИ ОРГАНОВ ПИЩЕВАРЕНИЯ. Экономика и социум, (2-1 (93)), 289-294.
27. Назирхужаев, Ф. А. (2025). ПРИЧИНЫ, СИМПТОМЫ, ЛЕЧЕНИЕ И ОСЛОЖНЕНИЯ ПНЕВМОНИИ. Экономика и социум, (1-1 (128)), 501-507.
28. Назирхужаев, Ф. А., Джумабаева, С. Э., & Джумабаев, Э. С. (2022). СРАВНИТЕЛЬНЫЙ АНАЛИЗ ТЕЧЕНИЯ ПЕРВИЧНОЙ И ВТОРИЧНОЙ ВНЕШНЕСЕКРЕТОРНОЙ НЕДОСТАТОЧНОСТИ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ. Экономика и социум, (3-1 (94)), 396-399.
