Initial experience of first 225 flexible ureteroscopy with laser lithotripsy in a primary care hospital

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
E BarbierJ Hubert

Abstract

During the last decade, the advent of flexible ureteroscopy with laser lithotripsy has revolutionized the management of upper urinary tract stones. Our center is a primary care hospital that is equipped with this technology since January 2011. This study reported our initial experience of first 225 cases. This study is a descriptive, retrospective and monocentric analysis. The first 225 cases, operated consecutively by 3 surgeons during 26 months, were analyzed. We have used 2 flexible ureteroscopes (1 digital, 1 optical). Laser source was an Holmium laser (Stonelight) at a power of 5 watts. The mean age was 53 years (± 10.2) and the mean stones size was 11 mm (2.3). In 49% of cases, ureteroscopy was chosen for the first, without prior treatment. In 59% of cases, ureteroscopy was used after failure of other treatment (ESWL in 70% of cases). The mean operative time was 72 minutes (± 16.6) and the mean length of stay was 2.6 days (± 0.8). The first session of ureteroscopy was a success in 93% of cases without residual fragments after 1 month. The frequency of postoperative complications was estimated at 8% (Clavien I and II). Flexible ureteroscopy with laser lithotripsy was a safe and effective technique, allowing the treatment o...Continue Reading

References

Mar 26, 2004·The Urologic Clinics of North America·William K JohnstonSakti Das
Nov 27, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·O TraxerC Saussine
Nov 1, 2011·World Journal of Urology·Thomas KnollGunnar Wendt-Nordahl
Dec 5, 2012·Urology·Arkadiusz MiernikMartin Schoenthaler
Jan 5, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V EstradeUNKNOWN Comité lithiase de l’AFU

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