Outpatient fragmentation of XXXX with mini-ureteroscopes and laser lithotripsy.

@entity1 @entity1607
Laser lithotripsy with mini-ureteroscopes is a minimally invasive method to fragment @entity1607 . This study reviewed the efficacy and morbidity of outpatient laser lithotripsy for the treatment of @entity1607 . The 248 @entity1 were initially treated by outpatient ureteroscopy and laser lithotripsy with the Candela pulsed-dye laser over a period of 3 1/2 years. Thirty-six @entity1 had prior unsuccessful fragmentation of @entity1607 by SWL. Twenty-eight @entity1 had undergone unsuccessful ureteroscopy with attempted basket extraction or attempted fragmentation with methods other than laser. Calculi were located in the upper ureter in 31% and in lower ureter in 69% of these @entity1 . The 1-month stone-free rate was 92% for upper @entity1607 and 96% for lower @entity1607 , with an overall success rate of 94.7%. Ninety per cent of the @entity1 were discharged the same day and 96% within 23 hours. Hospital admission was needed in only 4% of @entity1 . Parenteral analgesia was required in 18% of @entity1 , and major complications occurred in 0.8%. The combination of mini-ureteroscopes and laser lithotripsy is an effective method for fragmentation of @entity1607 in outpatients with low morbidity and few complications.
