Holmium:YAG laser treatment of ureteral calculi: A 5-year experience

A. Farkas, L. Péteri, L. Lorincz, M. A. Salah, T. Flaskó, A. Varga, Cs Tóth

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13 Citations (Scopus)

Abstract

The purpose of this study was to provide an account of the 5-year experience we have gained using holmium:yttrium-aluminium-garnet (Ho:YAG) lasertripsy in the treatment of ureteral stones. One-hundred thirty-seven transurethral ureterolithotripsies were performed in 131 patients. A Ho:YAG laser device, fibres with diameters of 360 and 550 μm, a video camera as well as semi-rigid and flexible ureterorenoscopes were used. Results showed that the direct success rates-which meant stone-free ureters on the first post-operative day-in the upper, middle and lower ureters were 84.6, 88.7 and 94.8%, respectively. The final success rates-which meant stone-free ureters 4 weeks after the operation without a second intervention-were 84.6, 96.7 and 96.7%, respectively. The pulsatile Ho:YAG laser beam fragmented all kinds of stones easily. No ureteral stricture or reflux was identified during the follow-up period. The advantages of Ho lasertripsy outweighed its disadvantages. Based on our experience, the Ho:YAG laser is one of the most effective and safest energy sources in the treatment of ureteral calculi.

Original languageEnglish
Pages (from-to)170-174
Number of pages5
JournalLasers in Medical Science
Volume21
Issue number3
DOIs
Publication statusPublished - Sep 1 2006

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Keywords

  • Holmium:YAG laser
  • Lasertripsy
  • Ureteral stones
  • Ureteroscopy

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Farkas, A., Péteri, L., Lorincz, L., Salah, M. A., Flaskó, T., Varga, A., & Tóth, C. (2006). Holmium:YAG laser treatment of ureteral calculi: A 5-year experience. Lasers in Medical Science, 21(3), 170-174. https://doi.org/10.1007/s10103-006-0392-z