+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Laser lithotripsy of the difficult ureteral calculus: results in 122 patients



Laser lithotripsy of the difficult ureteral calculus: results in 122 patients



Journal of Urology 147(4): 1010-1012



We studied 122 patients with ureteral calculi who could not be treated by extracorporeal shock wave lithotripsy (ESWL) because the stones could not be localized or focused for treatment, the patient had failed prior ESWL, the stones were impacted and in situ ESWL was likely to fail or the stones were proximal to a ureteral stricture. These patients underwent laser lithotripsy using the Candela pulsed dye laser. In 107 patients (88%), the calculi were completely fragmented with the laser alone, while 10 (8%) needed another procedure (ESWL in 8 and stone fragment extraction by basket in 2), and 5 (4%) had failed laser therapy and needed some other form of treatment (ESWL in 4 and percutaneous antegrade extraction in 1). At 3 months 116 or 122 patients (95%) were stone-free. There were 2 immediate complications (ureteral perforations) and 1 late complication (ureteral stricture). Laser lithotripsy is a safe and effective method of intracorporeal fragmentation, even of the difficult ureteral calculus, and it is a useful adjunct of ESWL.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 007506160

Download citation: RISBibTeXText

PMID: 1552575

DOI: 10.1016/s0022-5347(17)37448-7


Related references

Laser lithotripsy for the difficult ureteral stone results with 108 patients. Journal of Urology 145(4 Suppl.): 271A, 1991

Laser lithotripsy of complicated gallstones with a rhodamine 6G dye laser and automatic optical calculus-tissue detection system--results of 60 patients. Biomedizinische Technik. Biomedical Engineering 42 Suppl: 329, 1997

Extracorporeal shockwave lithotripsy of the ureteral calculus--clinical results with local shockwave lithotripsy. Der Urologe. Ausg. a 26(6): 317-321, 1987

Laser lithotripsy of difficult bile duct stones: results in 60 patients using a rhodamine 6G dye laser with optical stone tissue detection system. Gut 43(6): 823-829, 1998

Effect comparison of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculus (report of 170 cases). 2007

Treatment of ureteral calculus obstruction with laser lithotripsy in an Atlantic bottlenose dolphin (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 43(1): 101-109, 2012

Clinical laser lithotripsy of difficult bile duct stones by means of a rhodamine-6 G dye laser with an automatic optical stone/tissue detection system Results in 49 patients. Hepatology 24(4 Part 2): 325A, 1996

Ureteroscopic holmium laser lithotripsy in the treatment of obstruction complicated with acute renal failure caused by ureteral calculus. 2007

Extracorporeal shockwave lithotripsy in the ureteral calculus. Therapeutische Umschau. Revue Therapeutique 45(3): 156-160, 1988

An evaluation of ureteral laser lithotripsy: 225 consecutive patients. Journal of Urology 143(2): 267-272, 1990

Comparative study of pneumatic lithotripsy and holmium laser lithotripsy for ureteral stones. Zhong Nan Da Xue Xue Bao. Yi Xue Ban 30(5): 601-603, 2005

Pneumatic lithotripsy versus laser lithotripsy in the endoscopic treatment of ureteral calculi. Journal of Endourology 15(6): 587-590, 2001

Endoscopic laser lithotripsy for difficult calculi after unsuccessful extracorporeal shock wave lithotripsy. Arquivos de Gastroenterologia 33(3): 145-150, 1996

Ureteroscopic HolmiumYAG lithotripsy of the ureteral calculus greater than or equal to 15 mm. Journal of Endourology 11(Suppl. 1): S61, 1997

Laser lithotripsy of difficult bile duct stones after failure of extracorporeal shock-wave lithotripsy. Zeitschrift fuer Gastroenterologie 33(4): 202-207, 1995