SAFETY AND EFFICACY OF SINGLE-SESSION NONSTENTED LASER URETEROSCOPIC LITHOTRIPSY

Abstract

Background: Ureteric stone is quite common; management involve medical and surgical intervention. Surgically the uretroscope is the most commonly used instrument.
Objectives:This study was done to demonstrate the safety and efficacy to fragment and remove ureteral calculi with an ureteroscope using Holmium laser and render patients stone free with a single procedure without the need for ureteral stenting.
Methods: One hundred and twelve patients aged between 4 to 63 years, who proved to have ureteric stones regardless the size or location of those stones, where subjected to ureteroscopy procedure under spinal or general anesthesia, and Holmium laser was used to fragment the stones.
Results:The majority (92.86%) of those patients was stone free with single session, no stent was left.
Conclusion:The stone can be disintegrated and achieving stone free state in single session and no stent was needed.
Key words:Laser, Holmium, ureteroscope, stent, stone