Endoluminal holmium laser lithotripsy for urethral and bladder calculi

LIU Rong-fu; XING Jin-chun; LIU Fei; CHEN Bin; WANG Hui-qiang; YANG Yu-feng; CHEN Shi-xin; ZHOU Zhong-quan

doi:10.3760/cma.j.issn.1673-4777.2008.11.026

Abstract：Objective To evaluate the clinical effect and complication of endolumihal holmium laser lithotripsy for treatment of urethral and bladder calculi.Methods A total of 53 cases of urethral or bladder calculi were reviewed.The patients were treated with LUMENIS POWER Suite 100W holmium laser lithotripsy under Circom cystoscope between March 2004 and December 2007.Results Fifty-two cases achieved stone-free at first time(98.1%).The fragmented stones in 46 cases were washed out with Ellck douche.Stones in 3 children cases were removed the automatically.All patients received KUB at the first postoperative day.Results showed that 48 cases had no stone:2 cases had residual stone with sizes less than 4 mm.Average operative time of bladder calculus was 73±38 min and urethral calculus was 36±13 min.Complications included hematuria(100%)、irriration sign of bladder(100%)、fever(7.5%)、injury of mucous membrane of urinary bladder(28.3%)、electrolyte disturbances(1.9%)、residual stone(3.8%)、urethra or blader perforation(0%).One month follow-up after operation discovered 3 children cases were lithecholed.Meanwhile in the remaining 2 cases.one still had stones and was treated with ESWL.Conclusion Urethral and bladder calculi can be removed by endoluminal holmium laser lithotripsy safely and effectively.The associated discomfort is mainly related with manipulation of endoscope.