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Our hospital has maturely carried out holmium laser lithotripsy for urinary system stones, making the "stones" no longer "solid"

A small urinary stone is like setting up a "roadblock" on the main road of the urinary system, which can cause consequences such as renal colic, hematuria, infection, hydronephrosis, and renal function damage. In severe cases, it can lead to one side of the kidney not functioning, sepsis, and even uremia. Faced with this difficult problem, our hospital has successfully carried out ureteroscopy and ureteroscopy holmium laser lithotripsy, using minimally invasive methods to quickly and efficiently relieve pain for patients with urinary tract stones.

So, does the surgery really hurt? Are there any side effects?

Today, let's unveil the mystery of this surgery together!

How is the surgery completed? Three easy steps to understand

Image source: Visual China

Step 1: Accurate navigation to reach the stone nest directly

The doctor will manipulate this slender ureteroscope to enter through a natural channel outside the urethra (without any incision on the surface), pass through the bladder, accurately locate the "entrance" of the ureter on the side with stones, and then go all the way up to accurately reach the location of the stones. All of this is instantly displayed on the screen through the high-definition camera at the front end of the lens.

Step 2: Laser lithotripsy, the "stone" flies away in smoke

After finding the stone, the real "protagonist" - holmium laser fiber - will protrude through the channel inside the ureteroscope, and the emitted laser will instantly crush the hard stone into small powder or particles. This process is like a sniper rifle, targeting only stones with minimal damage to surrounding tissues.

Step 3: Placement of ureteral stent

After lithotripsy, to prevent small stones from blocking the ureter and causing pain or infection, doctors will place a temporary ureteral stent (double ureteral stent) inside the ureter J Pipe). It is like placing a "small water tube" in the ureter, which can ensure smooth urine drainage, help the ureteral mucosa recover well, largely prevent ureteral stenosis, and play a role in dilating the ureter.

Attention: Generally, patients can move around on their own within 6 hours after surgery. They will be discharged 24-48 hours after surgery and have their breasts removed 2-4 weeks after surgery J Manage. The chronological order is incorrect, it should be: discharge 24-48 hours after surgery, and bilateral extubation 2-4 weeks after surgery J Manage.

Most lower ureteral stones can undergo daytime surgery with morning surgery and afternoon discharge.

Application of holmium laser

Holmium laser wavelength 2140 nm， Pulsed laser is the latest type of laser used in many surgical procedures. It has taken the treatment of urinary tract stones to a new level. The generated energy can vaporize the water between the fiber end and the stone, forming tiny bubbles and transmitting the energy to the stone, causing it to be crushed into powder. Water absorbs a large amount of energy, reducing damage to surrounding tissues. At the same time, the penetration depth of holmium laser into human tissue is very shallow, only 0.4 mm。 Therefore, when crushing stones, it is possible to minimize damage to surrounding tissues and achieve extremely high safety.

Technical advantages of ureteroscopic holmium laser lithotripsy

Image source: Visual China

1. No surgery:

Without the need to cut open the skin, it can enter the ureter and kidneys through the human urethra, with minimal surgical trauma and fast postoperative recovery.

2. Efficient:

It can quickly and effectively crush stones in real time, and the stone crushing and removal are synchronized, greatly improving surgical efficiency and achieving a high postoperative stone clearance rate.

3. Safety:

Compared with extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy avoids problems such as repeated treatment, long waiting time for stone removal, and uncertainty of stone fragmentation effect. And the damage to surrounding tissues is minimal, reducing related risks.

In addition, ureteroscopy/ureteroscopic lithotripsy is also suitable for patients with severe cardiovascular and cerebrovascular diseases who require anticoagulant medication, and these patients are usually contraindicated for open surgery or extracorporeal lithotripsy.

4. Accurate

The success rate of holmium laser lithotripsy under ureteroscopy is over 95%, and the success rate for treating bladder stones can reach 100%. It is an efficient, safe, low consumption, time-saving, and extremely low side effect method for treating urinary tract stones.

However, laser lithotripsy is not suitable for all situations, and postoperative recovery time varies from person to person. For patients with underlying diseases, recovery may be slightly slower. Before deciding whether to perform laser lithotripsy, doctors will conduct a detailed evaluation of the patient, including the size, location, shape, and health status of the stones.

Surgical indications

(1) Kidney stones, ureteral stones.

(2) Upper ureteral calculi after failed extracorporeal lithotripsy.

(3) The 'Stone Street' after extracorporeal fragmentation.

(4) The stone is accompanied by a suspected urothelial tumor.

（5）X Negative ureteral stones.

(6) Stunted stones with long residence time and difficulty in extracorporeal lithotripsy.

(7) For patients with benign prostatic hyperplasia and bladder stones, bladder stone fragmentation and prostate laser enucleation can be performed simultaneously.

Finally, can you feel pain during the surgery?

The surgery is usually performed under general anesthesia, and there is an anesthesiologist present during the operation, so there will be no pain. Moreover, the surgery is close to non-invasive, so the pain during postoperative recovery is also minimal.

Shenzhen Xinfeng United Family Hospital, making "stones" no longer "solid"

Image source: Visual China

In the fast-paced urban life, the sudden and severe pain caused by urinary tract stones can disrupt all plans and make people suffer greatly. It is crucial to receive timely and professional treatment for such emergencies. Shenzhen Xinfeng United Family Hospital provides 7 services x24 Hourly emergency services ensure that patients with acute stone attacks can receive professional evaluation and timely intervention at any time, quickly relieving pain.

On this basis, choosing a medical institution with mature technology, experienced doctors, and the ability to provide personalized care is crucial for rehabilitation. Our hospital relies on an international medical platform and mature minimally invasive technology, committed to providing every patient with a full cycle efficient, comfortable, and private diagnosis and treatment experience from emergency response to precise treatment, making the process of breaking stones easy and worry free.

At present, our hospital has achieved successful experience in ureteroscopy/ureteroscopy holmium laser lithotripsy. Our urologist, Wei Benlin, graduated from Shandong University and studied under the renowned Professor Guan Zhichen in the Department of Urology at Peking University. He obtained a Master's degree in Surgery from Peking University in 2008. Dr. Wei has been engaged in clinical work in the field of urology at Peking University Shenzhen Hospital for 24 years, serving as the teaching director. He is a new generation urologist who is playing an important role in clinical practice!

He is currently specialized in various minimally invasive treatments for prostate hyperplasia, including holmium laser enucleation, blue laser ablation, and plasma resection Rezum Hot steam, prostate lifting suspension, prostate urethral stent placement, etc.), minimally invasive treatment of urinary tract stones (percutaneous nephrolithotomy, ureteroscope and ureteroscope, laparoscopic stone removal), female stress urinary incontinence (TVT-E/TVT-O), correction of male penile curvature deformity, male sexual dysfunction, etc., have great expertise in minimally invasive surgery for kidney tumors, bladder tumors, and comprehensive treatment of prostate cancer. We have completed more than 18000 minimally invasive surgeries such as percutaneous nephrolithotomy, laparoscopy, ureteroscopy, and prostate laser enucleation, as well as correction of phimosis and penile deformities.

If you or your family members are suffering from urinary system diseases such as urinary stones, especially acute attacks, please remember our hospital's 7 x24 The hourly emergency department is your reliable backup. No longer need to endure pain and confusion. Welcome to the emergency department or make an appointment with Dr. Wei Benlin's clinic for one-on-one professional consultation. Let us tailor the best treatment plan for you and regain health and relaxation.

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