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.
Department of Urology and Paediatric Urology, EN-Sued Klinikum Schwelm, Schwelm, Germany.
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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*