Ureteroscopy pp 161-167 | Cite as

Flexible Ureteroscopy: Holmium:YAG Laser and Optical Fibers

  • Bodo E. KnudsenEmail author
Part of the Current Clinical Urology book series (CCU)


The holmium:YAG has become that gold standard for intracorporeal lithotripsy during flexible ureteroscopy. The combination of the wide margin of safety when working in a fluid environment coupled with its ability to urinary stones regardless of their chemical composition has led to its widespread adoption. However urologists are being offered an ever widening area of holmium:YAG lasers and laser fibers. In this chapter the clinical utility of the holmium:YAG laser as applied to flexible ureteroscopy is addressed. In addition a review of laser optical fibers and how their differing properties can impact performance and safety is presented.


Pulse Energy Laser Energy Laser Fiber Fiber Failure Laser Lithotripsy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

272467_1_En_14_MOESM1_ESM.mp4 (5.2 mb)
Video 14.1. Dusting the stone with a 240 micron core fiber at settings of 0.2J at 50Hz (MP4 23,454 KB)


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Urology, Wexner Medical CenterThe Ohio State UniversityColumbusUSA

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