Ureteroscopic Lithotripsy for Distal Ureteral Calculi: Comparative Evaluation of Three Different Lithotriptors

Abstract

The three lithotripsy devices evaluated behaved similarly in terms of the ability to fragment stones, and were equally effective for distal ureteral stones. Adequate fragmentation and fragment removal are mainly dependant on stone size and surgical technique (use of auxiliary wire).

Outcome analysis of holmium laser and pneumatic lithotripsy in the endoscopic management of lower ureteric calculus in pediatric patients: a prospective study

“…In this study we observe 100% success rate with laser lithotripter and 94.73% with pneumatic lithotripsy. Similarly, Salvado et al (18) also reported 96% success rate of laser lithotripsy in the management of distal ureteral stone. Manohar et al (19) reported 84% success rate with laser lithotripsy.…”

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

“…Kassem [9] indicated success rate of laser lithotripsy as 12.9%, in the management of ureteral stones longer than 12.9 mm. However, Salvado et al [10] expressed the success rate of laser lithotripsy in the management of distal ureteral stone as 96 percent. According to Cimino et al [36] overall success rate of laser lithotriptors in the management of all ureteral stones is 86.1 percent.…”

“…Razzaghi et al [4] detected incidence of stone migration into renal collecting system as 17.9% in the PL group but, without such a complication (0%) in the laser group. Salvado et al [10] compared PL, and LL groups as for stone migration without any difference between groups. Manohar et al [8] reported stone migration rates as 24, and 16% for LL, and PL groups, respectively, without any statistically significant difference between groups.…”

“…[7] Many studies comparing PL, and LL, as for safety, efficacy, and complications in the management of endoscopic ureteral stones are available. In addition to the studies showing 139 Akdeniz et al A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones similarities between both groups [8][9][10] , some of them reported that LL is more effective with lesser complication rates. [11][12][13] In our study, successive cases who had undergone intracoporeal lithotripsy in the endoscopic management of ureteral stones have been retrospectively analyzed, Groups of PL, and LL have been compared.…”

Comparison of The Using Pneumatic and Laser Lithotripter in Ureterorenoscopy According to the Modified Clavien Classification

“…Cerrahi işlemlerin belirli sınırlar içerisinde kabul edilebilir komplikasyon oranları mevcut olup, endoskopik bir yöntem olan URS'nin de kendine özgü komlikasyonlarının olabileceği ve hatta ölümle sonuçlanabileceği göz ardı edilmemelidir. (5)(6)(7)(8) .…”