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Ureteral foreign body after laser lithotripsy

N C Restrepo¹, J A Belis

¹Department of Surgery, Pennsylvania State University College of Medicine, Hershey.

Journal of Endourology

|February 1, 1994

Summary

A retained laser fiber fragment, a rare complication of pulsed-dye laser lithotripsy, was successfully removed. This unusual ureteral foreign body caused no long-term issues after endoscopic treatment.

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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.

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