What is Holmium Laser Lithotripsy?

Holmium laser lithotripsy is a minimally invasive procedure that uses laser energy to break stones located in the urinary tract. These stones can be in the:

• Kidneys
• Ureters (tubes carrying urine from kidneys to bladder)
• Bladder
• Urethra (tube through which urine exits the body)

A flexible laser fiber is passed through a scope (camera) inserted via the urethra. The laser breaks the stones into smaller fragments, which are then removed with a basket or other instruments. This procedure is done without making any incisions.

Why is Holmium Laser Lithotripsy Done?

This procedure is an effective alternative to extracorporeal shockwave lithotripsy (ESWL), which uses sound waves from outside the body to break stones. Unlike ESWL, holmium laser lithotripsy is effective regardless of:

• Stone size
• Stone location
• Stone hardness

Procedure Details

How to Prepare for the Procedure

• Consult your doctor regarding any medications to avoid before the procedure.
• You will likely be asked to avoid food and drink after midnight before surgery.

What to Expect After the Procedure

• Some blood in the urine
• Mild discomfort or burning while urinating
• Possible bladder irritation if a stent was placed
• Nausea and fatigue due to anesthesia

Risks and Benefits

Advantages of Holmium Laser Lithotripsy

• Higher success rate than extracorporeal shockwave lithotripsy
• Lower risk of complications such as steinstrasse
• Effective in patients with multiple stones
• Can be used safely in patients on blood thinners

Potential Complications

• Pain or discomfort
• Hematuria (blood in the urine)
• Difficulty urinating or urinary symptoms
• Possible injury to the ureters