Laser lithotripsy. Patient care, staff education

The high cost of laser equipment and the required specialization of staff members make extension of laser lithotripsy to every hospital impractical. At present, in Ontario, laser lithotripsy is available only in Toronto and Kingston, and ESWL is available only in Toronto and London. Laser lithotripsy is a viable alternative to invasive surgical treatment of urinary calculi that are resistant to ESWL. For the suitable candidate, laser lithotripsy is a welcome alternative to an extensive surgical procedure and recovery period. Hospitalization is reduced significantly, and patients can return to work after the calculus and residue have been passed. Patients can be managed safely and effectively, resulting in reduced morbidity and mortality and reduced cost in time and expense to the patient and hospital.