Comparison of holmium laser and pneumatic lithotripsy in managing upper-ureteral stones

Journal of Endourology
Shivadeo S BapatAbhijit S Padye

Abstract

To compare the success rates and complications of Lithoclast and holmium laser-assisted ureterorenoscopy (URS) in managing upper-ureteral stones. We retrospectively analyzed the records of 394 patients with upper-ureteral stone who underwent ureteroscopic lithotripsy at our institution from January 2000 to December 2005. In 193 patients (mean stone size 12.3 mm), pneumatic lithotripsy was used; in 201 patients (mean stone size 11.5 mm), laser lithotripsy was performed. Patients were monitored as outpatients at 2 weeks, at 3 months, and then annually with a kidneys, ureters, and bladder radiograph and ultrasonography. Patients with migrated stones or incomplete clearance underwent an auxiliary procedure such as shockwave lithotripsy (SWL) or repeated URS. Follow-up ranged from 6 to 24 months. Fragmentation of stones to fine pieces that pass eventually was assessed at 2 weeks. This did not include proximal migration of a stone or fragments that required auxiliary treatment. This occurred in 166/193 (86.01%) patients in the Lithoclast group and in 195/201 (97.01%) in the laser group. Ureteral perforations were nine in the Lithoclast group and six in the laser group. Auxiliary procedures included SWL (27/193 [13.98%] patients in th...Continue Reading

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Citations

Oct 18, 2011·Urological Research·Miguel Angel Arrabal-PoloArmando Zuluaga-Gomez
Mar 17, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A Fotso KamdemD Aubert
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Apr 13, 2012·Journal of Pediatric Urology·Murat AtarSuleyman Cakmakci
Mar 20, 2016·World Journal of Urology·Francesco SanguedolceUNKNOWN EAU Young Academic Urologists- Endourology and Urolithiasis Working Group
Oct 7, 2015·International Urology and Nephrology·Stavros SfoungaristosMordechai Duvdevani
Aug 6, 2009·Journal of Korean Medical Science·Young Kwon Hong, Dong Soo Park
Nov 19, 2010·Scandinavian Journal of Urology and Nephrology·Ahmed S El-HefnawyIbrahim Eraky
Nov 22, 2019·Journal of Lasers in Medical Sciences·Seyed Mohammadreza RabaniNajmeh Rashidi
Dec 12, 2019·Urologia Internationalis·Volkan SenUNKNOWN Aegean Study Group of the Society of Urological Surgery

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