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Conclusion More studies are needed to compare surgical and endoscopic solutions. The choice of treatment depends on local resources and skills, and if necessary refer the patient to a specialist center.Benthic macroinvertebrates are used to evaluate water quality in 8 sampling stations in Lepenci river basin in Kosovo. Sampling was performed in spring, summer and fall 2017. Following biotic indices are used EPT taxa richness, Biological Monitoring Working Party (BMWP), Average Score per Taxon (ASPT), Stroud Water Research Center index