Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy · 2013
Ureteroscopic Holmium:YAG laser lithotripsy is effective for ureteral steinstrasse post-SWL.
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Feng Chenchen, Wu Zhong, Jiang Haowen, Ding Qiang, Gao Peng
Аннотация
OBJECTIVE: To evaluate the efficacy of Holmium: YAG laser lithotripsy for ureteral steinstrasse after extracorporeal shock lithotripsy (SWL).
MATERIAL AND METHODS: Holmium: YAG laser lithotripsy was performed on 21 patients who had developed ureteral steinstrasse post-SWL.
RESULTS: Nineteen cases had successful treatment. The ureteral steinstrasse was cleared within one month after the treatment (success rate of 90.48%). Upper ureteral steinstrasse shifted to the renal pelvis was noted in one patient, who underwent a second SWL treatment. Another patient had a severely kinking ureter and underwent open surgery after ureteroscopy failed.
CONCLUSION: Holmium: YAG laser lithotripsy of ureteral steinstrasse post-SWL is an effective clinical modality due to its high success rate, short lithotripsy time, high safety and reliability, and easy feasibility.
MATERIAL AND METHODS: Holmium: YAG laser lithotripsy was performed on 21 patients who had developed ureteral steinstrasse post-SWL.
RESULTS: Nineteen cases had successful treatment. The ureteral steinstrasse was cleared within one month after the treatment (success rate of 90.48%). Upper ureteral steinstrasse shifted to the renal pelvis was noted in one patient, who underwent a second SWL treatment. Another patient had a severely kinking ureter and underwent open surgery after ureteroscopy failed.
CONCLUSION: Holmium: YAG laser lithotripsy of ureteral steinstrasse post-SWL is an effective clinical modality due to its high success rate, short lithotripsy time, high safety and reliability, and easy feasibility.