Skip to main content

Technical Tips for Laser Lithotripsy

  • Chapter
  • First Online:
Practical Tips in Urology
  • 1652 Accesses

Abstract

Laser fibers are characterized by their ability to fragment even the harder stones and also by their flexibility which allows them to reach each part of the urinary tract. Accordingly, they are presently routinely applied in different endourologic procedures: retrograde intrarenal surgery, percutaneous nephrolithotomy, ureteroscopy and bladder stones.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chen S, Zhu L, Yang S, et al. High- vs low-power holmium laser lithotripsy: a prospective, randomized study in patients undergoing multitract minipercutaneous nephrolithotomy. Urology. 2012;79:293–7.

    Article  PubMed  Google Scholar 

  2. Hecht SL, Wolf Jr JS. Techniques for holmium laser lithotripsy of intrarenal calculi. Urology. 2013;81:442–5.

    Article  PubMed  Google Scholar 

  3. Kronenberg P, Traxer O. In vitro fragmentation efficiency of holmium: yttrium-aluminum-garnet (YAG) laser lithotripsy – a comprehensive study encompassing different frequencies, pulse energies, total power levels and laser fibre diameters. BJU Int. 2014;114:261–7.

    Article  PubMed  Google Scholar 

  4. Kronenberg P, Traxer O. Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. World J Urol. 2015;33:463–9.

    Article  PubMed  Google Scholar 

  5. Kronenberg P, Traxer O. Are we all doing it wrong? Influence of stripping and cleaving methods of laser fibers on laser lithotripsy performance. J Urol. 2015;193:1030–5.

    Article  PubMed  Google Scholar 

  6. Lahme S, Bichler KH, Strohmaier WL, et al. Minimally invasive PCNL in patients with renal pelvic and calyceal stones. Eur Urol. 2001;40:619–24.

    Article  CAS  PubMed  Google Scholar 

  7. Mues AC, Teichman JM, Knudsen BE. Quantification of holmium:yttrium aluminum garnet optical tip degradation. J Endo. 2009;23:1425–8.

    Google Scholar 

  8. Nagele U, Horstmann M, Sievert KD, et al. A newly designed amplatz sheath decreases intrapelvic irrigation pressure during mini-percutaneous nephrolitholapaxy: an in-vitro pressure-measurement and microscopic study. J Endourol. 2007;21:1113–6.

    Article  PubMed  Google Scholar 

  9. Sroka R, Pongratz T, Scheib G, et al. Impact of pulse duration on Ho:YAG laser lithotripsy: treatment aspects on the single-pulse level. World J Urol. 2015;33:479–85.

    Article  PubMed  Google Scholar 

  10. Sun Y, Gao X, Zhou T, et al. 70 W holmium: yttrium-aluminum-garnet laser in percutaneous nephrolithotomy for staghorn calculi. J Endourol. 2009;23:1687–91.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andreas Hoznek MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag London

About this chapter

Cite this chapter

Hoznek, A. (2017). Technical Tips for Laser Lithotripsy. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_41

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4348-2_41

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4347-5

  • Online ISBN: 978-1-4471-4348-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics