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Transurethral Cystolithotripsy Using Holmium Laser

Omodu OJ and Jack I.

 

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ABSTRACT

Background: The bladder stones have been said to constitute 5% of urolithiasis in developed countries. The use of holmium laser has revolutionized the treatment of bladder stone. Aim: To share our experience as a single centre in the use of laser in the treatment of small bladder stones. Patients and methods: A prospective study between 2015 and 2019. A total number of 85 patients with bladder stone more than 1.5 cm were included in the study. Sex, size of stone, time of procedure, stone clearance, hospital stay complications were analysed. Results: A total of 85 patients with bladder stone underwent transurethral cystolithotripsy LA. The mean age of the patient was 52±7 years. There were 80 males and 5 females. The mean size of stone was 1±1.2cm. The mean operation time was 40±10 minutes. The complete stone clearance was achieved in all the patients. None of the patients required hospital stay following the procedure. Conclusion: Transurethral holmium laser lithotripsy is an effective and safe procedure for large bladder stones. This procedure can be easily performed as a day care procedure.

 Keywords: Bladder stone, Cystolithotripsy, Laser, Urolithiasis

 

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