Application of holmium laser energy for desintegration
of ureteral stones in an outpatient setting Article published in Urologia Polska 2008/61/2.
authors
-
Piotr Humański, Piotr Dykczyński
- Oddział Urologii Jednego Dnia Niepublicznego Zakładu Opieki Zdrowotnej Specjalista w Kutnie
keywords
-
ureter urinary stone disease ureteral stone endoscopy lithotripsy holmium laser
summary
- Introduction and the aim of the study. Urolithiasis appears to be a very common disease among the population of developed
- countries, thus absorbing a significant part of activity performed by urologists worldwide. One of the therapeutic options, frequently
- used by urologists is an intracorporeal lithotripsy via an endoscopic approach (URSL). The aim of the study was to assess the clinical
- efficacy of intracorporeal lithotripsy by means of Holmium Laser device in an outpatient setting.
- Material and method. 136 patients were treated in an outpatient mode from 2004 to 2006 in our ward. The Holmium Laser was
- applied for intracorporeal lithotripsy via an endoscopic approach using a 600 µm laser fiber. The size and location of the stones were
- noted, as well as laser energy used for desintegration of the stones and accessory equipment used each time.
- Results. 136 cases were analysed, the age varied from 20 to 78 years (the average of 50), among them 66 female and 70 male.
- The stone location was the upper ureter in 68 (50%) cases and lower ureter in 68 (50%). The average stone diameter was 10mm
- 4 to 25 mm
- to evacuate the stone fragments was used in 81 cases (60%). The traditional ureteral catheter was left in 79 cases (58%), while the
- double-J catheter was used in eight (6%). The ureteral wall damage was observed in four patients (3%); it was successfully treated in
- a conservative manner in three of them.
- Conclusions. The stone desintegration by means of the Holmium Laser is a very effective and reliable way of intracorporeal lithotripsy
- and the procedure is feasible in all parts of the ureter. Ureteral wall damages – if they appear – are not deep or vast, due to superficial
- penetration of the laser beam and can be managed successfully by means of conservative treatment. Holmium Laser appears to be a
- very effective tool in an outpatient ureteroscopic lithotripsy.
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