Abstract:
: Purpose: To examine gas bubbles generated by two laser lithotripsy devices, a pulsed thulium solid-state laser and a holmium:yttrium-aluminum-garnet (Ho:YAG) device, and their possible effects in lithotripsy. Materials and Methods: We investigated two Dornier laser devices, a Medilas H Solvo 35 and a pulsed solid-state thulium laser evaluation model (Dornier MedTech Laser GmbH, Wessling, Germany). Our setup consisted of a water-filled glass tank heated to 37/60/70°C. Different laser power/frequency settings and short/long pulses were examined for both laser devices. We analyzed the impact of degraded, cut, and broken fibers on gas bubble anatomy. Furthermore, high-speed recordings of BegoStone ablation were analyzed. For all recordings, we used a Photron Nova S12 camera. Results: These two devices produced differently shaped gas bubbles under different fiber conditions, temperatures, power settings, and short and long pulse settings, which explain the differing repulsive force and pressure values. Inside the gas bubble, a cone was visible whose angle correlates with the protruding jet. We observed turbulences and swirls moving back and forth the fiber tip. During fragmentation, sparks are generated that demonstrate the photothermal effect, and we recorded stone fragments being pulled toward the fiber. Both devices showed comparable results with differences mainly due to pulse lengths. Conclusion: The shapes of the vapor bubbles formed during laser lithotripsy depend on several factors. Excessive transoperative fiber cleavage seems to be unnecessary. Due to the large gas bubbles observed and because of the amount of potential pressure generated, only low energies should be applied in the ureter.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Petzold R,Suarez-Ibarrola R,Miernik Adoi
10.1089/end.2020.0526subject
Has Abstractpub_date
2020-12-22 00:00:00eissn
0892-7790issn
1557-900Xpub_type
杂志文章abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836631
更新日期:2004-02-01 00:00:00
abstract::Abstract Since the first description of percutaneous nephrolithotripsy (PNL) over 30 years ago, the indications for this procedure in the management of upper tract urinary stones has greatly expanded. Despite recent advances in shock wave lithotripsy and ureteroscopic technologies, PNL maintains a dominant role in the...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.1518
更新日期:2009-10-01 00:00:00
abstract:INTRODUCTION/OBJECTIVE:We sought to examine the contemporary relationship between case volume and outcome for percutaneous nephrolithotomy (PCNL) using a publically available administrative database. METHODS:A weighted sample of 7785 patients was obtained from the 2010 Healthcare Cost and Utilization Project (HCUP) Na...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0172
更新日期:2013-09-01 00:00:00
abstract::We report our experience in the laparoscopic transperitoneal repair of retrocaval ureter in two cases, highlighting a new technique of stenting. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790360587397
更新日期:2003-03-01 00:00:00
abstract:PURPOSE:To compare the efficacy of extracorporeal shockwave lithotripsy (SWL) in patients with radiopaque and radiolucent ureteral calculi. PATIENTS AND METHODS:Between September 2001 and August 2002, a total of 113 consecutive patients with ureteral calculi (58 radiopaque [Group 1], 55 radiolucent [Group 2]) were tre...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903772036154
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Protease inhibitors, specifically indinavir, have historically been implicated as a cause of nephrolithiasis in the human immunodeficiency virus (HIV) infected patients. There is a paucity of data, however, on stone disease with nonindinavir etiologies since the introduction of highly active anti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0639
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bacterial colonization of indwelling ureteral stents may serve as a nidus for bacteriuria in operations where stents are manipulated. The predictive value of urine cultures in the assessment of stent colonization was examined in 65 patients with indwelling ureteral stents. PATIENTS AND METHODS:P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.735
更新日期:1999-12-01 00:00:00
abstract:INTRODUCTION/PURPOSE:Medical simulation offers the advantage of improving resident skill and comfort without impacting patient care. Five years ago, we identified trends in the use of robotic and laparoscopic simulation in 2008 and 2009 at American urology residency training programs. We seek to identify the changes in...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0561
更新日期:2016-03-01 00:00:00
abstract::The identification of calcium-binding proteins in urine and kidney stones has led to a closer look at the role of matrix proteins in urolithiasis. We analyzed five struvite stones for protein content and identified two bands (8 and 14 KDa) that were confirmed by gel electrophoresis and amino acid sequencing to be calg...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.95
更新日期:1994-04-01 00:00:00
abstract:PURPOSE:To determine the effects of previous open nephrolithotomy on the results and morbidity of subsequent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Between March 2005 and January 2006, 89 patients underwent PCNL at our institution. We compared the patients who had had previous open surgery on the sa...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0293
更新日期:2007-04-01 00:00:00
abstract::During cryotherapy of the prostate, identification of probe tips that are misplaced into the bladder is often not readily apparent via transrectal ultrasonography. Ultimately, cystoscopy is needed to ensure this has not occurred before initiating a freeze. We describe the innovative use of continuous flexible cystosco...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0417
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:We evaluated whether epigallocatechin gallate (EGCG), a main constituent of green tea polyphenols, could protect against cellular toxicity by oxalate and whether green tea supplementation attenuates the development of nephrolithiasis in an animal model. MATERIALS AND METHODS:Cells of the NRK-52E line were incu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.356
更新日期:2006-05-01 00:00:00
abstract::Small renal lesions often confer relatively low oncologic risk and, as such, dictate for treatment strategies with low morbidity. Minimally invasive ablative techniques have been developed and can deliver good outcomes where used judiciously. The potential risks of treatment relate to the method of ablation, the route...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0542
更新日期:2010-05-01 00:00:00
abstract::In 2005 we reported in this journal the treatment of cystic nephroma, a rare but presumed benign renal tumor, with percutaneous resection. Initial follow-up confirmed removal of the intra-pelvic portion of the cystic nephroma and persistence of the unresected intra-parenchymal portion. Surveillance with computed tomog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0441
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:We determined the effect of an anterior urethropexy (AU) stitch on postoperative urinary continence, irritative urinary symptoms, and sexual function after robotic radical prostatectomy (RP). METHODS:Consecutive patients undergoing robotic RP for prostate cancer were prospectively evaluated. The Expanded Pr...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0413
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:Ureteral stents are commonly inserted under fluoroscopic guidance. Our objective was to determine the intravesical landmarks for stent insertion by mapping the fluoroscopic location of the ureteral orifices (UOs) and bladder neck (BN) in relation to the pubic symphysis (PS). METHODS:In patients undergoing uret...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0048
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Various laparoscopic devices have been described for suture anchoring during solidorgan parenchymal closure. Application of these devices expedites the closure of parenchymal defects and minimizes ischemia time. We compared different technologies as suture anchors for parenchymal closure. MATERI...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.1221
更新日期:2005-12-01 00:00:00
abstract:PURPOSE:Retroperitoneal lymph node dissection is the most sensitive and specific diagnostic modality for detecting occult lymph node metastases in clinical stage I testicular tumor. In stage II disease, residual tumors after chemotherapy have to be removed surgically. To reduce the morbidity of these procedures we have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901300189538
更新日期:2001-05-01 00:00:00
abstract:PURPOSE:To assess the clinical efficacy and safety of photoselective laser vaporization of the prostate (PVP) in the treatment of patients with acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Forty-two patients (mean age 72 +/- 5 years, range 65-89) with AUR because ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0045
更新日期:2008-03-01 00:00:00
abstract:PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.586
更新日期:2006-08-01 00:00:00
abstract::Distal ureteral stones are usually treated today by extracorporeal shock wave lithotripsy or extraction by retrograde ureteroscopy with or without previous fragmentation. We performed a cost-efficacy study of three methods to treat them: extracorporeal lithotripsy using either a spark gap lithotripter, the unmodified ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.289
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. PATIENTS AND METHODS:In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 le...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.948
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic adrenalectomy remains a controversial procedure for large tumors. We examined the outcome and complications of laparoscopic adrenalectomy for such lesions. PATIENTS AND METHODS:A total of 178 patients underwent laparoscopic adrenalectomy, of whom 29 patients had large (>or =5 cm) tu...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2005.19.537
更新日期:2005-06-01 00:00:00
abstract::Five patients with major (Grade IV) renal trauma required ureteral stent placement to facilitate urinary drainage. Three of these patients had stents placed for recurrent gross hematuria with flank pain. All three had obstructing blood clots present at the time of stent placement. The fourth patient had a stent placed...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.545
更新日期:1998-12-01 00:00:00
abstract:PURPOSE:To report our experience with congenital inferior vena cava (IVC) anomalies found during laparoscopic retroperitoneal lymph node dissection (LRPLND). PATIENTS AND METHODS:Two men with a mean age of 31.5 years (range 26-37 years) underwent LRPLND because of nonseminomatous germ-cell tumors (NSGCT) between Decem...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0112
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We present the role of the transportal technique of laparoscopy-assisted surgeries.This report highlights the advantages of transportal technique over pure laparoscopic surgeries and laparoscopy-assisted surgeries. PATIENTS AND METHODS:In the last 3 years, we have adopted this approach for six p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0209
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The gold standard treatment for upper-tract transitional-cell carcinoma is radical nephroureterectomy, but management of the distal ureter is not standardized. Two treatment options to detach the distal ureter are open cystotomy (OC) and excision of a bladder cuff or transurethral incision of the...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0374
更新日期:2007-07-01 00:00:00
abstract::We identified 40 patients (25 men and 15 women) who developed calculi composed totally or partially of sulfonamides (acetylsulfamethoxazole, sulfadiazine, and acetylsulfisoxazole) between 1980 and 1987. The incidence of sulfonamide stones is less than 1% of stones. Patient characteristics were determined from question...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.401
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:In most cases, analgesia is required for extracorporeal shockwave lithotripsy (SWL) treatment. Commonly, a combination of a sedative and a synthetic opioid is used, with a wide range of undesirable side effects. To provide an alternative analgesic especially for outpatients, we performed a prospe...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2004.18.634
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.135
更新日期:2006-02-01 00:00:00