What is the difference between laser lithotripsy and ESWL?
In conclusion, ESWL as an outpatient procedure does not require analgesia or anesthesia; it remains the first line therapy for proximal ureteral stones while ureteroscopic laser lithotripsy as a surgical procedure requires general anesthesia, hospitalization and much more costs.
What are the two types of lithotripsy?
The two main types of lithotripsy are extracorporeal shock wave lithotripsy (ESWL) and laser lithotripsy. Laser lithotripsy is sometimes known as flexible ureteroscopy and laser lithotripsy (FURSL) because doctors use a tool called a ureteroscope.
Can you be awake for lithotripsy?
What can I expect during a shock wave lithotripsy procedure? Your provider will not need to make any incisions during a shock wave lithotripsy procedure. But you’ll still need some form of anesthesia (pain relief) to keep you comfortable. You may be awake but drowsy or asleep during the procedure.
Which is better ureteroscopy or laser lithotripsy for kidney stones?
Ureteroscopy often a good option for small stones in the ureter or kidney. Its success rate at clearing these types of stones is generally higher than that for shockwave lithotripsy. Compared with shockwave lithotripsy however, it may associated with increased discomfort after surgery, especially when a stentis required.
Which is better ESWL or ureteroscopic Holmium laser?
Renal colic and gross hematuria were more frequent with ESWL while voiding symptoms were more frequent with ureteroscopy. Both procedures used for ureteral stones ranging from 8 to 15 mm were safe and minimally invasive. ESWL remains first line therapy for proximal ureteral stones while ureteroscopic holmium laser lithotripsy costs more.
Which is less invasive, ESWL or ureteroscopy?
Patients will often prefer ESWL as it is less invasive in that typically no scopes are inserted into the patient’s bladder, and no stent is placed. However, often when faced with the disparity in stone free rates and the finality uieteroscopy often provides, the patient chooses ureteroscopy.
Are there any risks with ureteroscopy and laser lithotripsy?
As with any major surgery, complications, although rare, may occur with ureteroscopy. Potential risks and complications with this operation include but are not limited to the following: