The Evaluation of Efficacy and Safety of Holmium: YAG Lithotripsy for Treatment of Ureteric Stones
Bulent Erol, Abdulkadir Yildiz, Husnu Tokgoz, B Akduman, NA Mungan, Volkan Hanci
article (Uluslararası, Hakemli) | Yazar(lar): Bulent Erol, Abdulkadir Yildiz, Husnu Tokgoz, B Akduman, NA Mungan, Volkan Hanci | Yıl: 2009 | Dergi/Kurum: HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI | İndeks: WOS.ESCI | Anahtar Kelimeler: Holmium YAG laser, ureterolithotripsy — Özet: Holmium YAG laser is an excellent
Holmium YAG laser is an excellent intracorporeal lithotripsy device for all kinds of stones. The aim of this study was to evalute the efficacy and safety of Holmiyum laser for treatment of uretenic stones
A total of 117 patients have had hoirreum:YAG laser llihotripsy treatment for their upper, middle and lower ureteral stones from january 2007 to july 2009. . Depending on the physical properties of the stones, a power of 0.5 to 1.2 joules and a frequency of 5 to 10 hertz were applied. Location stonee-free status, complications, operation and hospitalization times were investigated.
Fifty-six (47.9%) of the stones were located in the lower ureter, while 32 (27.4%) patients had middle and 29 (24.8%) had proximal ureteral calculi. 97.4 percent of the patients were rendered stone free following the first operation. Mean operation and hospitalization times were 30 (10-90) min, and 1.2 (1-3) days, respectively. Two patients had ureteral perforations. 1 had pyelonephritis and uroseptisemia and 1 had gross hematuria. None of the patients suffered a ureteral stricture in the post operative period. A double-J stent was introduced in 53 patients due to serious hydronephrosis, limited mucosal injuries or odema.
Holmium YAG laser ureterolithotripsy is a safe and effective method in treatment for ureteral stones.