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Laser lithotripsy in pregnancy. A case report

S J Carlan1, S J Schorr, M F Ebenger

  • 1Department of Obstetrics and Gynecology, Arnold Palmer Hospital for Children and Women, Orlando Regional Healthcare System, FL 32806, USA.

The Journal of Reproductive Medicine
|January 1, 1995
PubMed
Summary

Pulsed dye laser lithotripsy offers a safe and effective treatment for ureteral stones. This minimally invasive procedure successfully fragmented a ureteral stone in a pregnant patient, relieving her pain.

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Area of Science:

  • Urology
  • Medical Technology

Background:

  • Symptomatic urolithiasis presents a significant clinical challenge.
  • Traditional treatments for ureteral calculi can be invasive.
  • The development of novel, less invasive therapeutic options is crucial.

Observation:

  • A pregnant patient at 20 weeks gestation presented with severe pain due to a 9-mm distal ureteral stone.
  • Endoscopic fragmentation was considered as a treatment option.

Findings:

  • Pulsed dye laser lithotripsy, utilizing a wavelength of 504 nm, was employed for stone fragmentation.
  • The procedure involved transmitting laser energy via an optical fiber to mechanically disrupt the calculus.
  • Successful fragmentation and treatment of the impacted ureteral stone were achieved.

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Implications:

  • Laser lithotripsy demonstrates safety and efficacy in treating impacted ureteral calculi.
  • This technique provides a viable option for stone management in pregnant patients, a population often facing limited treatment choices.
  • Further research into laser lithotripsy for urolithiasis is warranted.