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Ureteroscopic holmium lasertripsy for ureteric stones. Initial experience
C S Biyani1, P A Cornford, C S Powell
1Department of Urology, Countess of Chester Hospital NHS Trust, UK.
Scandinavian Journal of Urology and Nephrology
|June 2, 1998
Summary
The Holmium: YAG laser offers significant benefits for treating ureteric stones, including effective stone fragmentation and minimal complications. This technology provides a safe and reliable option for urolithiasis management.
Area of Science:
- Urology
- Laser Technology
- Nephrolithiasis Management
Background:
- Ureteric stones pose a significant clinical challenge.
- Traditional stone removal methods may have limitations.
- Holmium: YAG laser offers potential advantages in urolithiasis treatment.
Purpose of the Study:
- To review the initial clinical experience with Holmium: YAG laser for ureteric stone treatment.
- To evaluate the safety and efficacy of this laser modality.
Main Methods:
- Retrospective review of 48 patients with ureteric stones treated with Holmium: YAG laser.
- Analysis of stone location (upper, middle, lower ureter).
- Assessment of treatment outcomes and complications.
Main Results:
- Holmium: YAG laser successfully fragmented all treated calculi.
- No major complications were reported in the patient cohort.
- Stone locations varied, with a higher prevalence in the lower ureter (52%).
Conclusions:
- Holmium: YAG laser is a safe and effective treatment for ureteric stones.
- Its fibreoptic delivery and adjustable power settings enhance its utility.
- It represents a reliable alternative for urolithiasis management.