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May 8, 2023Kidney stones are a common urinary tract problem that affects approximately 10% of the population. These small, hard deposits can cause intense pain and may require medical intervention to remove them. Laser lithotripsy is a minimally invasive procedure that uses laser energy to break up and remove kidney stones. In this blog, we will discuss the benefits, risks, and procedure of laser lithotripsy in more detail.
What is Laser Lithotripsy?
Laser lithotripsy is a procedure that uses laser energy to break up kidney stones into smaller pieces, making them easier to pass through the urinary tract. The procedure is typically done under general anesthesia, and a ureteroscope is used to access the urinary tract. A laser fiber is then passed through the scope and positioned near the stone. The laser energy is then used to break the stone into smaller pieces, which are either removed through the scope or allowed to pass naturally through the urinary tract.
Benefits of Laser Lithotripsy
Laser lithotripsy has several benefits over traditional surgical procedures for kidney stones. One of the most significant advantages is that it is minimally invasive, meaning there is less cutting and scarring. This leads to less pain and a faster recovery time, allowing patients to return to their normal activities more quickly. Additionally, the laser energy can be precisely controlled, allowing for more targeted treatment of the stone. This can be particularly helpful for stones that are difficult to reach or larger in size.
Another benefit of laser lithotripsy is its high success rate. Up to 90% of stones are completely removed with this procedure, and the risk of recurrence is low. The procedure can also be repeated if necessary, with minimal risks to the patient.
Risks of Laser Lithotripsy
While laser lithotripsy is generally safe, like any medical procedure, it does carry some risks. These risks include bleeding, infection, and damage to surrounding tissue. In rare cases, the laser energy can cause injury to the ureter or bladder. However, the risks associated with laser lithotripsy are generally low, and the procedure is considered safe for most patients.
In some cases, patients may experience discomfort or pain during the procedure or after it is complete. This can be managed with pain medication and should subside within a few days. In rare cases, patients may experience complications such as fever or difficulty urinating. If you experience any unusual symptoms after laser lithotripsy, it is important to contact your doctor right away.
Procedure
The procedure for laser lithotripsy typically takes 1-2 hours, depending on the size and location of the stone. The patient is placed under general anesthesia, and a ureteroscope is passed through the urethra and into the urinary tract. The scope allows the surgeon to see the stone and guide the laser fiber into position.
Once the laser fiber is in position, the laser energy is used to break up the stone into smaller pieces. These pieces are then either removed through the scope or allowed to pass naturally through the urinary tract. Once the stone has been removed, the ureteroscope is removed, and the patient is monitored for a short time before being discharged.
After the procedure, patients may experience some discomfort or pain, as well as mild bleeding or irritation. This can be managed with pain medication and should subside within a few days. Patients should also drink plenty of fluids to help flush out any remaining stone fragments.
Laser lithotripsy is a safe and effective procedure for the removal of kidney stones. It is minimally invasive, has a high success rate, and offers many benefits over traditional surgical procedures. While there are some risks