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• W2016373345 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Jan 1998HOLMIUM: YAG LITHOTRIPSY YIELDS SMALLER FRAGMENTS THAN LITHOCLAST, PULSED DYE LASER OR ELECTROHYDRAULIC LITHOTRIPSY Joel M.H. Teichman, George J. Vassar, Jay T. Bishoff, and Gary C. Bellman Joel M.H. TeichmanJoel M.H. Teichman More articles by this author , George J. VassarGeorge J. Vassar More articles by this author , Jay T. BishoffJay T. Bishoff More articles by this author , and Gary C. BellmanGary C. Bellman More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63998-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The mechanism of lithotripsy differs among electrohydraulic lithotripsy, mechanical lithotripsy, pulsed dye lasers and holmium:YAG lithotripsy. It is postulated that fragment size from each of these lithotrites might also differ. This study tests the hypothesis that holmium:YAG lithotripsy yields the smallest among the lithotrites. Materials and Methods: We tested 3F electrohydraulic lithotripsy, 2 mm. mechanical lithotripsy, 320 micro m. pulsed dye lasers and 365 micro m. holmium:YAG fiber on stones composed of calcium hydrogen phosphate dihydrate, calcium oxalate monohydrate, cystine, magnesium ammonium phosphate and uric acid. Fragments were dessicated and sorted by size. Fragment size distribution was compared among lithotrites for each composition. Results: Holmium:YAG fragments were significantly smaller on average than fragments from the other lithotrites for all compositions. There were no holmium:YAG fragments greater than 4 mm., whereas there were for the other lithotrites. Holmium:YAG had significantly greater weight of fragments less than 1 mm. compared to the other lithotrites. Conclusions: Holmium:YAG yields smaller fragments compared to electrohydraulic lithotripsy, mechanical lithotripsy or pulsed dye lasers. These findings imply that fragments from holmium:YAG lithotripsy are more likely to pass without problem compared to the other lithotrites. Furthermore, the significant difference in fragment size adds evidence that holmium:YAG lithotripsy involves vaporization. References 1 : Transient oscillation of cavitation bubbles near stone surface during electrohydraulic lithotripsy.. J. Endourol.1997; 11: 55. Google Scholar 2 : Intracorporeal lithotripsy: instrumentation and development.. Urol. Clin. N. Amer.1997; 24: 13. Google Scholar 3 : Fragmentation process of current laser lithotripters.. Lasers Surg. Med.1995; 16: 134. Google Scholar 4 : Transient cavitation and acoustic emission produced by different laser lithotripters.. J. Endourol.1996; 10: S132. Google Scholar 5 : Holmium:YAG cystolithotripsy of large bladder calculi.. Urology1997; 50: 44. 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Google Scholar From The Division of Urology, University of Texas Science Center, San Antonio and Wilford Hall Medical Center, Lackland Air Force Base, Texas, and Southern California Permanente Medical Group, Los Angeles, CaliforniaAccepted for publication July 18, 1997The opinions expressed herein are those of the authors and do not necessarily reflect those of United States Air Force or Department of Defense(Teichman) Requests for reprints: Division of Urology, UTHSCSA, 7703 Floyd Curl Dr., San Antonio, Texas 78284-7845© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySea J, Jonat L, Chew B, Qiu J, Wang B, Hoopman J, Milner T and Teichman J (2018) Optimal Power Settings for Holmium:YAG LithotripsyJournal of Urology, VOL. 187, NO. 3, (914-919), Online publication date: 1-Mar-2012.Schatloff O, Lindner U, Ramon J and Winkler H (2018) Randomized Trial of Stone Fragment Active Retrieval Versus Spontaneous Passage During Holmium Laser Lithotripsy for Ureteral StonesJournal of Urology, VOL. 183, NO. 3, (1031-1036), Online publication date: 1-Mar-2010.Mues A, Teichman J and Knudsen B (2018) Evaluation of 24 Holmium:YAG Laser Optical Fibers for Flexible UreteroscopyJournal of Urology, VOL. 182, NO. 1, (348-354), Online publication date: 1-Jul-2009.Mariani A (2018) Combined Electrohydraulic and Holmium:YAG Laser Ureteroscopic Nephrolithotripsy of Large (Greater Than 4 cm) Renal CalculiJournal of Urology, VOL. 177, NO. 1, (168-173), Online publication date: 1-Jan-2007.Preminger G, Tiselius H, Assimos D, Alken P, Buck C, Gallucci M, Knoll T, Lingeman J, Nakada S, Pearle M, Sarica K, Türk C and Wolf J (2018) 2007 Guideline for the Management of Ureteral CalculiJournal of Urology, VOL. 178, NO. 6, (2418-2434), Online publication date: 1-Dec-2007.MARIANI A (2018) COMBINED ELECTROHYDRAULIC AND HOLMIUM:YAG LASER URETEROSCOPIC NEPHROLITHOTRIPSY FOR 20 TO 40 MM RENAL CALCULIJournal of Urology, VOL. 172, NO. 1, (170-174), Online publication date: 1-Jul-2004.WU C, SHEE J, LIN W, LIN C and CHEN C (2018) COMPARISON BETWEEN EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND SEMIRIGID URETERORENOSCOPE WITH HOLMIUM: YAG LASER LITHOTRIPSY FOR TREATING LARGE PROXIMAL URETERAL STONESJournal of Urology, VOL. 172, NO. 5, (1899-1902), Online publication date: 1-Nov-2004.SOFER M, WATTERSON J, WOLLIN T, NOTT L, RAZVI H and DENSTEDT J (2018) HOLMIUM: YAG LASER LITHOTRIPSY FOR UPPER URINARY TRACT CALCULI IN 598 PATIENTSJournal of Urology, VOL. 167, NO. 1, (31-34), Online publication date: 1-Jan-2002.DENSTEDT J, WOLLIN T, SOFER M, NOTT L, WEIR M and D’A. HONEY R (2018) A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL COMPARING NONSTENTED VERSUS STENTED URETEROSCOPIC LITHOTRIPSYJournal of Urology, VOL. 165, NO. 5, (1419-1422), Online publication date: 1-May-2001.Teichman J, Chan K, Cecconi P, Corbin N, Kamerer A, Glickman R and Welch A (2018) ERBIUM:YAG VERSUS HOLMIUM:YAG LITHOTRIPSYJournal of Urology, VOL. 165, NO. 3, (876-879), Online publication date: 1-Mar-2001.PRABAKHARAN S, TEICHMAN J, SPORE S, SABANEGH E, GLICKMAN R and McLEAN R (2018) PROTEUS MIRABILIS VIABILITY AFTER LITHOTRIPSY OF STRUVITE CALCULIJournal of Urology, VOL. 162, NO. 5, (1666-1669), Online publication date: 1-Nov-1999.REDDY P, BARRIERAS D, BÄGLI D, McLORIE G, KHOURY A and MERGUERIAN P (2018) INITIAL EXPERIENCE WITH ENDOSCOPIC HOLMIUM LASER LITHOTRIPSY FOR PEDIATRIC UROLITHIASISJournal of Urology, VOL. 162, NO. 5, (1714-1716), Online publication date: 1-Nov-1999.WOLLIN T, TEICHMAN J, ROGENES V, RAZVI H, DENSTEDT J and GRASSO M (2018) HOLMIUM: YAG LITHOTRIPSY IN CHILDRENJournal of Urology, VOL. 162, NO. 5, (1717-1720), Online publication date: 1-Nov-1999.TEICHMAN J, VASSAR G, GLICKMAN R, BESERRA C, CINA S and THOMPSON I (2018) HOLMIUM: YAG LITHOTRIPSY: PHOTOTHERMAL MECHANISM CONVERTS URIC ACID CALCULI TO CYANIDEJournal of Urology, VOL. 160, NO. 2, (320-324), Online publication date: 1-Aug-1998.TEICHMAN J, CHAMPION P, WOLLIN T and DENSTEDT J (2018) HOLMIUM: YAG LITHOTRIPSY OF URIC ACID CALCULIJournal of Urology, VOL. 160, NO. 6 Part 1, (2130-2132), Online publication date: 1-Dec-1998.TEICHMAN J, RAO R, GLICKMAN R and HARRIS J (2018) HOLMIUM: YAG PERCUTANEOUS NEPHROLITHOTOMY: THE LASER INCIDENT ANGLE MATTERSJournal of Urology, VOL. 159, NO. 3, (690-694), Online publication date: 1-Mar-1998. Volume 159Issue 1January 1998Page: 17-23 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information Joel M.H. Teichman More articles by this author George J. Vassar More articles by this author Jay T. Bishoff More articles by this author Gary C. Bellman More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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