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Ureteroscopic Holmium Laser Lithotripsy

Laser fragmentation of ureteric and kidney stones.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Ureteroscopic Holmium Laser Lithotripsy?

Ureteroscopic holmium laser lithotripsy uses a semirigid or flexible ureteroscope to access ureteric or kidney stones, which are then fragmented with holmium laser energy and retrieved with a basket catheter.

Holmium laser can effectively fragment all stone compositions (calcium oxalate, uric acid, cystine, struvite). Both dusting and fragmentation techniques are used.

Flexible ureteroscopy can reach all calyces, including the lower pole. Stone-free rates are 95-97% for ureteric stones and 85-90% for renal stones. The procedure can often be performed as a day-case.

Symptoms

Severe flank pain (renal colic)
Hematuria (blood in urine)
Nausea and vomiting
Frequent and burning urination
Urinary tract infection
Hydronephrosis (on ultrasound)

Risk Factors

Recurrent stone disease
Metabolic stone disease (hypercalciuria, hyperoxaluria)
Inadequate fluid intake
Excessive salt and animal-protein intake
Ureteric stricture
Obesity and diabetes

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe flank pain with anuria
  • Stone obstruction with fever (obstructive pyelonephritis)
  • Ureteric stone larger than 6 mm that fails to pass
  • Stones resistant to ESWL

Treatment Methods

01
Semirigid ureteroscopy + holmium laser lithotripsy (ureteric stone)
02
Flexible ureteroscopy + holmium laser lithotripsy (kidney stone)
03
Dusting using Moses technology
04
Stone fragment retrieval with a basket catheter
05
DJ (double-J) stent placement (4-6 weeks)
06
Metabolic stone analysis and dietary advice

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.