Ureteral foreign body after laser lithotripsy

Area of Science:

• Urology
• Endourology
• Medical Device Complications

Background:

• Pulsed-dye laser lithotripsy is a common procedure for treating ureteral stones.
• Complications, though infrequent, can occur during or after laser lithotripsy.
• Foreign body retention is a potential, albeit rare, complication.

Observation:

• An unusual case of a retained laser fiber fragment in the ureter was identified.
• This foreign body resulted as a complication of pulsed-dye laser lithotripsy.
• The fragment presented as an unexpected ureteral foreign body.

Findings:

• The retained laser fiber fragment was successfully diagnosed and managed.
• Two endoscopic procedures were required for the complete removal of the ureteral foreign body.
• The patient experienced no long-term adverse effects following the intervention.

Implications:

• Highlights the importance of vigilance for rare complications following laser lithotripsy.
• Demonstrates the efficacy of endoscopic techniques for managing retained ureteral foreign bodies.
• Contributes to the understanding of potential iatrogenic ureteral injuries and their management.