[Treatment of ureteral lithiasis using the laser].
A review of the history of lasertripsy from continuous to intermittent Nd:YAG, Alexandrite, or liquid-dye laser is undertaken. Certain calculi require intraureteral fragmentation owing to stone hardness or location. Within a period spanning 20 months, we have treated 350 patients (199 males, 151 females) utilizing dye laser through a very fine caliber 7.5 F ureteroscope. Twenty-six had bilateral calculi. The calculi were located in the upper third in 10% (37), middle third in 25% (93), and lower third in 65% (241). Complete fragmentation was achieved in 341 (93%), push up + ESWL was performed in 24 (6.4%), and two calculi (0.6%) required ultrasonic fragmentation. No patient required surgery and there were no severe complications.
Centro Sanitario de Litiasis Renal, Instituto Dexeus, Barcelona, España.
F J
FJ
Ruiz Marcellán
L
L
Ibarz Servio
M
M
Ramón Dalmau
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D053685:Laser Therapy; D007834:Lasers / Q000145:classification; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods*; D017602:Lithotripsy, Laser; D008297:Male; D008875:Middle Aged; D014514:Ureteral Calculi / Q000532:radiotherapy*
Tratamiento de la litiasis ureteral con láser.