Use of LMA Stonebreaker as an intracorporeal lithotrite in the management of ureteral calculi.
OBJECTIVE
LMA Stonebreaker is a new type of ballistic intracorporeal lithotrite that does not need external electric power or access to compressed air. It is small and portable. This study aims to evaluate the efficacy, safety, and cost-effectiveness of this lithotrite in the management of ureteral calculi.


METHODS
A total of 110 patients with ureteral calculi necessitating intracorporeal lithotripsy were prospectively included in the study. The size of the stone, position of the stone, number of shocks needed to fragment the stone to effect complete clearance, and degree of retropulsion were documented in each case, and any evidence of urothelial trauma was noted.


RESULTS
All stones were fragmented, and all patients were rendered stone free. The mean number of shocks needed to fragment the stones was eight. The incidence of retropulsion was 6.36%. There was no evidence of urothelial trauma noted in any patient.


CONCLUSIONS
LMA Stonebreaker is a safe, effective, cost-effective, robust, and portable device for intracorporeal lithotripsy.
Nerli
Rajendra B
RB
Department of Urology, KLES Kidney Foundation, Belgaum, India. director@kleskf.org
Koura
Ashish C
AC
Prabha
Vikram
V
Kamat
Gautam
G
Alur
S B
SB
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014514:Ureteral Calculi / Q000628:therapy*