Abstract
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.
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References
Denstedt JD, et al. Preliminary experience with holmium:YAG laser lithotripsy. J Endourol. 1995;9(3):255–8.
Sofer M, Denstedt J. Flexible ureteroscopy and lithotripsy with the holmium:YAG laser. Can J Urol. 2000;7(1):952–6.
Vassar GJ, et al. Holmium:YAG lithotripsy: photothermal mechanism. J Endourol. 1999;13(3):181–90.
Pierre S, Preminger GM. Holmium laser for stone management. World J Urol. 2007;25(3):235–9.
Marguet CG, et al. In vitro comparison of stone retropulsion and fragmentation of the frequency doubled, double pulse Nd:YAG laser and the holmium:YAG laser. J Urol. 2005;173(5):1797–800.
Leveillee RJ, Lobik L. Intracorporeal lithotripsy: which modality is best? Curr Opin Urol. 2003;13(3):249–53.
Sea J, et al. Optimal power settings for holmium:YAG lithotripsy. J Urol. 2012;187(3):914–9.
Spore SS, et al. Holmium:YAG lithotripsy: optimal power settings. J Endourol. 1999;13(8):559–66.
Finley DS, et al. Effect of holmium:YAG laser pulse width on lithotripsy retropulsion in vitro. J Endourol. 2005;19(8):1041–4.
Albala DM, et al. Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol. 2001;166(6):2072–80.
Afane JS, et al. Flexible ureteroscopes: a single center evaluation of the durability and function of the new endoscopes smaller than 9Fr. J Urol. 2000;164(4):1164–8.
Mues AC, Teichman JM, Knudsen BE. Evaluation of 24 holmium:YAG laser optical fibers for flexible ureteroscopy. J Urol. 2009;182(1):348–54.
Knudsen BE, et al. Performance and safety of holmium:YAG laser optical fibers. J Endourol. 2005;19(9):1092–7.
Traxer O. Flexible ureterorenoscopic management of lower-pole stone: does the scope make the difference? J Endourol. 2008;22(9):1847–50. discussion 1855.
Clayman RV. Flexible ureterorenoscopy for the treatment of lower pole calyx stones: influence of different lithotripsy probes and stone extraction tools on scope reflection and irrigation flow. J Urol. 2003;170(2 Pt 1):686–7.
Marks AJ, et al. Holmium:yttrium-aluminum-garnet lithotripsy proximal fiber failures from laser and fiber mismatch. Urology. 2008;71(6):1049–51.
Shore DM, Antiporda M, Teichman JM, Knudsen BE Evaluation of a new 240 μm single-use holmium:YAG optical fiber for flexible ureteroscopy. In: Engineering and Urology Society Annual Meeting. Washington, DC; 2011.
Sooriakumaran P, et al. Evaluation of the mechanisms of damage to flexible ureteroscopes and suggestions for ureteroscope preservation. Asian J Androl. 2005;7(4):433–8.
Knudsen BE Ball-tip holmium:YAG optical fiber. In: Engineering and Urology Society Annual Meeting. Washington, DC; 2011.
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Knudsen, B.E. (2013). Flexible Ureteroscopy: Holmium:YAG Laser and Optical Fibers. In: Monga, M. (eds) Ureteroscopy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-206-3_14
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DOI: https://doi.org/10.1007/978-1-62703-206-3_14
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