Transurethral Cystolithotripsy with Holmium:YAG Laser

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  • Ｈｏｌｍｉｕｍ：ＹＡＧ　ｌａｓｅｒを用いた経尿道的膀胱砕石術

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Bladder calculi account for 5% of urinary calculi and usually occur because of bladder outlet obstruction, neurogenic bladder, urinary tract infection, or foreign bodies. In adults, bladder calculi can be treated endoscopiccally by mechanical cystolithotripsy, ultrasound and electrohydraulic lithotripsy, pneumatic lithotripsy, and Holmium:yttrium-aluminum garnet (Ho:YAG) laser. Recent studies have demonstrated the advantages the Ho:YAG laser lithotripsy for the treatment of bladder calculi, in comparison with other modalities. We assessed the safety and effectiveness of transurethral Ho:YAG laser cystolithotripsy for the treatment of bladder calculi. From January 2007 to December 2009, transurethral cystolithotripsy with Ho:YAG laser was done for 13 patients. All the patients became stone-free at one session. No major intra and post-operative complication occurred. It is concluded that transurethral Ho:YAG laser cystolithotripsy is safe and effective in patient with bladder stone.

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