The use of a lithoclast probe for ureterorenoscopic coagulation of bleeding ureteral cancer.
OBJECTIVE
We describe use of the lithoclast device, normally used for electrohydraulic stone fragmentation, for safe ureteroscopic intraureteral coagulation of a bleeding tumor.


METHODS
Intraureteral ureteroscopic coagulation of a bleeding transitional cell carcinoma was performed in an 86-year-old high risk patient. A 0.8 mm. probe of the lithoclast device was connected to high frequency current. To avoid short circuit to the ureteroscope the probe was covered with a standard 5Fr ureteral catheter, which served as a perfect isolator.


RESULTS
The bleeding intraureteral tumor was coagulated successfully under direct vision.


CONCLUSIONS
The lithoclast probe in combination with a standard ureteral catheter can be used for intraureteral coagulation of bleeding tumors. It is an inexpensive device that is often available in nonuniversity departments.
Grein
U
U
Department of Urology and Paediatric Urology, EN-Sued Klinikum Schwelm, Schwelm, Germany.
Meyer
W W
WW
D000368:Aged; D000369:Aged, 80 and over; D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000628:therapy*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D010166:Palliative Care; D014516:Ureteral Neoplasms / Q000150:complications / Q000628:therapy*; D013520:Urologic Surgical Procedures / Q000295:instrumentation*