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The Pulsed Dye Laser for Fragmenting Urinary Calculi

1987; Lippincott Williams & Wilkins; Volume: 138; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)43043-6

1527-3792

Graham Watson, Stephen Murray, Stephen P. Dretler, John A. Parrish,

Traumatic Ocular and Foreign Body Injuries

No AccessJournal of Urology1 Jul 1987The Pulsed Dye Laser for Fragmenting Urinary Calculi Graham Watson, Stephen Murray, Stephen P. Dretler, and John A. Parrish Graham WatsonGraham Watson , Stephen MurrayStephen Murray , Stephen P. DretlerStephen P. Dretler , and John A. ParrishJohn A. Parrish View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43043-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The properties of a laser which effect stone fragmentation have been studied. The pulsed dye laser emitting at 504nm. in one microsecond duration pulses appears to be the optimum out of a wide range of parameters tested. The laser is coupled to a 200 micron core fiber; this complete with its cladding has a total diameter of only 0.25mm. Most calculi are fragmented by a series of pulses of up to 30mJ. The system is used by firing bursts of pulses with the fiber actually in contact with the stone. The result is a very controlled fragmentation which is particularly suited to use in the confines of the ureter. This modality of treatment utilises less energy than ultrasound or electrohydraulic probes to fragment a stone and the very fine, flexible fiber represents a considerable miniaturisation. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySATAR N, ZEREN S, BAYAZIT Y, ARIDOĐAN I, SOYUPAK B and TANSUĐ Z (2018) RIGID URETEROSCOPY FOR THE TREATMENT OF URETERAL CALCULI IN CHILDRENJournal of Urology, VOL. 172, NO. 1, (298-300), Online publication date: 1-Jul-2004.Hofbauer J, Hobarth K and Marberger M (2018) Electrohydraulic Versus Pneumatic Disintegration in the Treatment of Ureteral Stones: A Randomized, Prospective TrialJournal of Urology, VOL. 153, NO. 3, (623-625), Online publication date: 1-Mar-1995.Vorreuther R, Corleis R, Klotz T, Bernards P and Engelmann U (2018) Investigative Urology: Impact of Shock Wave Pattern and Cavitation Bubble Size on Tissue Damage During Ureteroscopic Electrohydraulic LithotripsyJournal of Urology, VOL. 153, NO. 3, (849-853), Online publication date: 1-Mar-1995.Nelson J and Graham J (2018) Lithotripsy of Urinary Calculi by Tunable Pulsed Dye Lasers: A Randomized in Vitro StudyJournal of Urology, VOL. 151, NO. 3, (656-659), Online publication date: 1-Mar-1994.Bhatia V and Biyani C (2018) Vesical Lithiasis: Open Surgery Versus Cystolithotripsy Versus Extracorporeal Shock Wave TherapyJournal of Urology, VOL. 151, NO. 3, (660-662), Online publication date: 1-Mar-1994.Shah T, Watson G, Jiang Z and King T (2018) Nonvisual Laser Lithotripsy Aided by Plasma Spectral Analysis: Viability Study and Clinical ApplicationJournal of Urology, VOL. 149, NO. 6, (1431-1436), Online publication date: 1-Jun-1993.Preminger G (2018) Management of Ureteral Calculi: The Debate Continues ...Journal of Urology, VOL. 148, NO. 3 Part 2, (1102-1104), Online publication date: 1-Sep-1992.Psihramis K (2018) Laser Lithotripsy of the Difficult Ureteral Calculus: Results in 122 PatientsJournal of Urology, VOL. 147, NO. 4, (1010-1012), Online publication date: 1-Apr-1992.Dretler S and Bhatta K (2018) Clinical Experience With High Power (140MJ.), Large Fiber (320Micron) Pulsed Dye Laser LithotripsyJournal of Urology, VOL. 146, NO. 5, (1228-1231), Online publication date: 1-Nov-1991.Vandeursen H, Pittomvils G, Boving R and Baert L (2018) High Energy Pulsed Dye Laser Lithotripsy: Management of Ureteral Calcium Oxalate Monohydrate CalculiJournal of Urology, VOL. 145, NO. 6, (1146-1150), Online publication date: 1-Jun-1991.Dretler S (2018) An Evaluation of Ureteral Laser Lithotripsy: 225 Consecutive PatientsJournal of Urology, VOL. 143, NO. 2, (267-271), Online publication date: 1-Feb-1990.Lingeman J (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 2, (271-272), Online publication date: 1-Feb-1990.Higashihara E, Horie S, Takeuchi T, Kameyama S, Asakage Y, Hosaka Y, Honma Y, Minowada S and Aso Y (2018) Laser Ureterolithotripsy with Combined Rigid and Flexible UreterorenoscopyJournal of Urology, VOL. 143, NO. 2, (273-274), Online publication date: 1-Feb-1990.Zerbib M, Flam T, Belas M, Debre B and Steg A (2018) Clinical Experience with a new Pulsed Dye Laser for Ureteral Stone LithotripsyJournal of Urology, VOL. 143, NO. 3, (483-484), Online publication date: 1-Mar-1990.Govier F, Gibbons R, Correa R, Brannen G, Weissman R and Pritchett T (2018) Pulsed Dye Laser Fragmentation of Ureteral Calculi: A Review of the First 50 Cases Performed at Virginia Mason Medical CenterJournal of Urology, VOL. 143, NO. 4, (685-686), Online publication date: 1-Apr-1990.Assimos D, Boyce W, Harrison L, McCullough D, Kroovand R and Sweat K (2018) The Role of Open Stone Surgery Since Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 142, NO. 2 Part 1, (263-267), Online publication date: 1-Aug-1989.Hofmann R, Hartung R, Schmidt-Kloiber H and Reichel E (2018) First Clinical Experience with a Q-Switched Neodymium: YAG Laser for Urinary CalculiJournal of Urology, VOL. 141, NO. 2, (275-279), Online publication date: 1-Feb-1989.Jenkins A (2018) This Month in Investigative Urology Laser LithotripsyJournal of Urology, VOL. 139, NO. 5, (1076-1076), Online publication date: 1-May-1988. Volume 138Issue 1July 1987Page: 195-198 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Graham Watson More articles by this author Stephen Murray More articles by this author Stephen P. Dretler More articles by this author John A. Parrish More articles by this author Expand All Advertisement Loading ...