Urinary Stones Management
Stone Dusting & Fragmentation
The Holmium laser has significantly improved the management of stones, providing a less invasive and more effective treatment. Holmium lasers and associated fibers effectively fragment stones of any composition or size throughout the urinary tract.
Holmium lasers are used in urology procedures such as percutaneous nephrolithotomy (PCNL) and ureteroscopy.
When it comes to urinary stones treatment, there is no “one-size-fits-all”. In some cases, stone-dusting technique can be applies by using low energy and high repetition rates, while in other cases, fragmentation and retrieval is the optimal solution.
The use of the Lumenis MOSES Pulse 120H and Lumenis Pulse and VersaPulse® PowerSuite™, enables the full spectrum of stone management techniques, both Stone-Dusting™ and fragmentation.
Using high repetition rates (up to 120 Hertz) at lower energy pulses (0.2-0.5 Joules), the Lumenis MOSES lases, as well as the Pulse 100 and VersaPulse lasers, effectively pulverize stones to fine dust. This reduces the use of baskets and other fragment extraction tools, as well as stents and ureteral access sheaths.
|ESWL vs. Holmium Stone Outcomes||ESWL||Holmium|
|Number of treatments||2.5||1|
|Single treatment success||20-60 %||90-100%|
|Result||Smaller Stones||Stone free|
Lumenis Holmium Laser and Fibers for Optimal Lithotripsy Outcome
Lumenis provides a range of state of the art fibers to deliver the optimal amount of energy to the target.
For flexible Laser Ureteroscopy, the most suitable fiber is the MOSES™ 200 D/F/L with the ball tip technology. On top of the MOSES Technology advantages, this MOSES fiber allows for maximal deflection of the flexible scope and effectively fragment or dust stones in hard to reach locations.
Lumenis disposable SlimLine D/F/L™ and SlimLine EZ™, as well as the reusable SlimLine™ fibers for Laser Lithotripsy, are custom designed to be used with Lumenis lasers.
Benefits of Stone Management with Lumenis Lasers
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- Journal of Clinical Laser Medicine & Surgery, 1998 Vol. 16, M. Grasso, MD & Y. Chalik, MD,
Principles and Applications of Laser Lithotripsy: Experience with the Holmium Laser Lithotrite
- Ibrahim A, Elhilali MM, Fahmy N, Carrier S, Andonian S. Double-Blinded Prospective Randomized Clinical Trial Comparing Regular and Moses Modes of Holmium Laser Lithotripsy. J Endourology. 2020;34(5):624-628. doi:10.1089/end.2019.0695
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