title: [Treatment of ureteral lithiasis with laser].
abstract: We present our experience in the treatment of ureteral lithiasis with pulsed dye lasertripsy (Pulsolith)**. Evaluation of the results achieved in 67 cases of lithiasis that had been treated from January, 1990 to March, 1991 revealed a success rate of 93%. The remaining cases required the use of other complementary energy to achieve stone fragmentation. The approach, the endoscopic technique using the Olympus ureteroscopes (7.2F-9F) and complementary maneuvers are described. The complications were minimal. We consider this to be the procedure of choice for calculi in the pelvic ureter. Furthermore, we discuss the cost/benefit of this therapeutic option within the context of a lithotripsy unit with a high endoscopic dedication and the possibility of using fine caliber ureteroscopes (Olympus) as well as other options for stone fragmentation (shock wave, ultrasound and electrohydraulic energy).
authors.affiliation: Clínica La Luz, Unidad de Litotricia y Endourología, Madrid, España.
authors.forename: J I
authors.initials: JI
authors.lastname: Iglesias
authors.forename: J M
authors.initials: JM
authors.lastname: Mancebo
authors.forename: J
authors.initials: J
authors.lastname: Massarra
authors.forename: M
authors.initials: M
authors.lastname: Carbonero
authors.forename: E
authors.initials: E
authors.lastname: Pérez-Castro
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014514:Ureteral Calculi / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Tratamiento de la litiasis ureteral con láser.