Holmium laser cystolithotripsy in children: initial experience
Prem A. Ramakrishnan, Mohammed Medhat,
Younis H. Al-Bulushi, K. P. Gopakumar,
Venkat P. Sampige, Salim S. Al-Busaidy
Canadian Journal of Urology, Vol.12, No.6, pp. 2880-2886, 2005
Abstract Introduction: Management of vesical calculi in children poses an interesting challenge to the urologist. The treatment options currently available include open surgery, transurethral pneumatic cystolithotripsy, percutaneous suprapubic cystolithotomy and shockwave lithotripsy (SWL). Holmium:YAG (Ho:YAG) laser cystolithotripsy represents a novel modality of treatment that is minimally invasive.
Materials and methods: From July 1999 to January 2003 we treated 23 children with vesical calculi using transurethral Ho:YAG laser lithotripsy. The indications for cystolithotripsy were stone size ≤4 cm (N=19), or multiple stones with combined stone burden ≤4 cm (N=4). The mean patient age was 7.8 (range 2-12) years and… More >