HOW I DO IT

• How I Do It: Ureteroscopy and high-power holmium laser lithotripsy to treat renal stones

  Higgins M. Andrew, Wolf J. Michael, Becker E. N. Russell, Ghani R. Khurshid Division of Endourology, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA

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  In North America, ureteroscopy has become the most popular treatment modality for upper urinary tract urinary calculi. Herein we describe our technique for the treatment of renal stones with flexible ureteroscopy and high-power holmium laser lithotripsy. We discuss preoperative planning, intraoperative strategies, and laser settings for a high-frequency dusting technique with the goal to provide optimal patient outcomes.

  Keywords: ureteroscopy, urolithiasis, laser lithotripsy, dusting, fragmentation,

  Jun 2023 (Vol. 30, Issue 3 , Page 11574)
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• The prone ureteroscopic technique for managing large stone burdens

  Sternberg M. Kevan, Jacobs L. Bruce, King J. Benjamin, Wachterman B. Jared, Shahrour Khaled, Theisen M. Katherine, Sprauer E. Sarah, Ohmann Erin, Averch D. Timothy, MD University of Vermont, Burlington, Vermont, USA

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  Percutaneous nephrolithotomy (PCNL) is the standard treatment for patients with large stone burdens, but can be associated with significant complications. Flexible ureteroscopy is an alternative approach that is less invasive, but often requires multiple procedures. Typically, many factors play a role in the decision to perform PCNL or ureteroscopy. The challenge is that it is difficult to predict which stone burdens will be able to be cleared ureteroscopically. We describe our approach using initial prone ureteroscopy with the transition to standard prone PCNL if required.

  Keywords: percutaneous nephrolithotomy (PCNL), prone ureteroscopy, ureteroscopy, renal calculi, shock wave lithotripsy (SWL),

  Apr 2015 (Vol. 22, Issue 2 , Page 7758)
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