Posters

• Publisher: John Wiley and Sons
• Year: 2006
• Tongue: English
• Weight: 266 KB
• Volume: 38
• Category: Article
• ISSN: 0196-8092
• DOI: 10.1002/lsm.20322

✦ Synopsis

Background and Objectives: Holmium laser has been successfully utilized to fragment the intraluminal ureteral stone. Totally embedded ureteral stones present a challenging problem in stone management. Evaluation of efficacy of retrograde ureteroscopic holmium laser ablation in management of completely embedded ureteral stone is presented. Material and Methods: 34-year old female presented with 2 years' history of recurrent flank pain following ureteral perforation and stone migration during an attempted stone extraction by percutaneous antegrade approach. Endoluminal ultrasound and subsequent ureteroscopy confirmed a completely embedded proximal ureteral stone. Ureteroscopy using ''double guide-wire technique'' in combination with fluoroscopy was utilized to locate the ureteral stone site. Overlying urothelium was ablated by means of holmium laser energy. Exposed stone was subsequently fragmented and teased off the wall by laser fiber tip. Ureter was subsequently left stented for 4 weeks. Results: Uneventful complete stone extraction was accomplished. Patient is now symptom free. Conclusions: Ureteroscopic holmium laser ablative technique offers an attractive and effective minimally invasive alternative for management of completely embedded ureteral stone.