Use of holmium laser in conjunction with electrohydraulic lithotripsy in the treatment of bladder calculi

Steven A. Terranova; Vidal M. Despradel M.D.; Badar M. Mian; Timothy D. Averch

doi:10.1117/12.427818

21 May 2001 Use of holmium laser in conjunction with electrohydraulic lithotripsy in the treatment of bladder calculi

Steven A. Terranova, Vidal M. Despradel M.D., Badar M. Mian, Timothy D. Averch

Proceedings Volume 4244, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XI; (2001) https://doi.org/10.1117/12.427818
Event: BiOS 2001 The International Symposium on Biomedical Optics, 2001, San Jose, CA, United States

Abstract

Drawbacks to the treatment of bladder calculi demolition include excessive mucosal trauma and bleeding with the use of the electrohydraulic lithotripsy (EHL) and prolonged operating room times with the low wattage holmium laser (HOL). The outcome of bladder stones treated by combining the use of HOL and the EHL is reported. Via the cystoscope, the bladder stones were identified in five male patients and the HOL was used to bore to the center of each stone. The EHL probe was then inserted into each borehole and was used to fragment the stones into pieces which could be removed with an Ellik evacuator. All the stones were fragmented to pieces, which were removed without difficulty. Upon completion, minimal mucosal trauma and stone dust were visualized. No complications were observed.

Citation Download Citation

Steven A. Terranova, Vidal M. Despradel M.D., Badar M. Mian, and Timothy D. Averch "Use of holmium laser in conjunction with electrohydraulic lithotripsy in the treatment of bladder calculi", Proc. SPIE 4244, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XI, (21 May 2001); https://doi.org/10.1117/12.427818

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