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Ureteroscopic treatment of ureteral calculi with holmium: YAG laser lithotripsy.
J Endourol. 2007 Feb; 21(2):151-4.JE

Abstract

PURPOSE

We evaluated the effectiveness and safety of holmium: YAG laser lithotripsy with a semirigid ureteroscope for ureteral calculi in a prospective cohort of 697 patients.

PATIENTS AND METHODS

Holmium: YAG laser lithotripsy was performed with a semirigid ureteroscope in 697 inpatients between September 2002 and January 2006. Calculi were located in the distal ureter in 382 patients (54.8%), the midureter in 143 (20.5%), and the proximal ureter in 172 (24.7%). Patients were assessed 2 to 24 weeks postoperatively with repeat plain radiography, ultrasonography, intravenous urography, or some combination.

RESULTS

The overall stone-free rate was 92.2%, the rate being 100% for calculi in the distal ureter (N = 382), 97.9% for calculi in the midureter (N = 140), and 70.3% for calculi in the proximal ureter (N = 121). Complications occurred in 13 patients (1.9%). Postoperative ureteral stricture developed in five patients (0.72%) and was managed surgically.

CONCLUSIONS

Holmium: YAG laser lithotripsy with a semirigid ureteroscope is a highly effective and safe treatment for ureteral calculi, especially those in the distal ureter and midureter.

Authors+Show Affiliations

Department of Urology, Huashan Hospital, Fudan University, Shanghai, People's Republic of China. haowenj@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17338611

Citation

Jiang, Haowen, et al. "Ureteroscopic Treatment of Ureteral Calculi With Holmium: YAG Laser Lithotripsy." Journal of Endourology, vol. 21, no. 2, 2007, pp. 151-4.
Jiang H, Wu Z, Ding Q, et al. Ureteroscopic treatment of ureteral calculi with holmium: YAG laser lithotripsy. J Endourol. 2007;21(2):151-4.
Jiang, H., Wu, Z., Ding, Q., & Zhang, Y. (2007). Ureteroscopic treatment of ureteral calculi with holmium: YAG laser lithotripsy. Journal of Endourology, 21(2), 151-4.
Jiang H, et al. Ureteroscopic Treatment of Ureteral Calculi With Holmium: YAG Laser Lithotripsy. J Endourol. 2007;21(2):151-4. PubMed PMID: 17338611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ureteroscopic treatment of ureteral calculi with holmium: YAG laser lithotripsy. AU - Jiang,Haowen, AU - Wu,Zhong, AU - Ding,Qiang, AU - Zhang,Yuanfang, PY - 2007/3/7/pubmed PY - 2007/4/19/medline PY - 2007/3/7/entrez SP - 151 EP - 4 JF - Journal of endourology JO - J. Endourol. VL - 21 IS - 2 N2 - PURPOSE: We evaluated the effectiveness and safety of holmium: YAG laser lithotripsy with a semirigid ureteroscope for ureteral calculi in a prospective cohort of 697 patients. PATIENTS AND METHODS: Holmium: YAG laser lithotripsy was performed with a semirigid ureteroscope in 697 inpatients between September 2002 and January 2006. Calculi were located in the distal ureter in 382 patients (54.8%), the midureter in 143 (20.5%), and the proximal ureter in 172 (24.7%). Patients were assessed 2 to 24 weeks postoperatively with repeat plain radiography, ultrasonography, intravenous urography, or some combination. RESULTS: The overall stone-free rate was 92.2%, the rate being 100% for calculi in the distal ureter (N = 382), 97.9% for calculi in the midureter (N = 140), and 70.3% for calculi in the proximal ureter (N = 121). Complications occurred in 13 patients (1.9%). Postoperative ureteral stricture developed in five patients (0.72%) and was managed surgically. CONCLUSIONS: Holmium: YAG laser lithotripsy with a semirigid ureteroscope is a highly effective and safe treatment for ureteral calculi, especially those in the distal ureter and midureter. SN - 0892-7790 UR - https://www.unboundmedicine.com/medline/citation/17338611/Ureteroscopic_treatment_of_ureteral_calculi_with_holmium:_YAG_laser_lithotripsy_ L2 - https://www.liebertpub.com/doi/full/10.1089/end.2006.0209?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -