The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra
We present a case of cystolitholapaxy using the LithoClast Trilogy lithotripter device per urethra via a rigid 26F nephroscope in a 36-year-old female with chondrodysplasia, paraplegia, contractures, and history of bladder augment managed with clean intermittent catheterization. The stone was 4cm in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | Urology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442019302529 |
| _version_ | 1811275958200565760 |
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| author | Brian C. Sninsky Jason F. Flamiatos Stephen Y. Nakada |
| author_facet | Brian C. Sninsky Jason F. Flamiatos Stephen Y. Nakada |
| author_sort | Brian C. Sninsky |
| collection | DOAJ |
| description | We present a case of cystolitholapaxy using the LithoClast Trilogy lithotripter device per urethra via a rigid 26F nephroscope in a 36-year-old female with chondrodysplasia, paraplegia, contractures, and history of bladder augment managed with clean intermittent catheterization. The stone was 4cm in diameter with an average of 1300 Hounsfield Units, and composed of 45% calcium phosphate, 40% struvite, and 15% ammonium urate. Advantages include faster fragmentation time versus holmium laser, improved safety with suction extraction and improved vision, ability to treat larger stones endoscopically, and control of all variables by one surgeon with only a single foot pedal. Keywords: Cystolitholapaxy, Lithoclast trilogy, Holmium laser |
| first_indexed | 2024-04-12T23:47:59Z |
| format | Article |
| id | doaj.art-4b4b0f9c9dbc4ec1b21bce2ed5edb8a6 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-04-12T23:47:59Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-4b4b0f9c9dbc4ec1b21bce2ed5edb8a62022-12-22T03:11:48ZengElsevierUrology Case Reports2214-44202019-09-0126The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethraBrian C. Sninsky0Jason F. Flamiatos1Stephen Y. Nakada2Department of Urology, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USACorresponding author. 600 Highland Ave, Madison, WI, 53792, USA.; Department of Urology, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USADepartment of Urology, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USAWe present a case of cystolitholapaxy using the LithoClast Trilogy lithotripter device per urethra via a rigid 26F nephroscope in a 36-year-old female with chondrodysplasia, paraplegia, contractures, and history of bladder augment managed with clean intermittent catheterization. The stone was 4cm in diameter with an average of 1300 Hounsfield Units, and composed of 45% calcium phosphate, 40% struvite, and 15% ammonium urate. Advantages include faster fragmentation time versus holmium laser, improved safety with suction extraction and improved vision, ability to treat larger stones endoscopically, and control of all variables by one surgeon with only a single foot pedal. Keywords: Cystolitholapaxy, Lithoclast trilogy, Holmium laserhttp://www.sciencedirect.com/science/article/pii/S2214442019302529 |
| spellingShingle | Brian C. Sninsky Jason F. Flamiatos Stephen Y. Nakada The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra Urology Case Reports |
| title | The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| title_full | The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| title_fullStr | The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| title_full_unstemmed | The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| title_short | The end of “Cutting for Stone”? Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| title_sort | end of cutting for stone using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra |
| url | http://www.sciencedirect.com/science/article/pii/S2214442019302529 |
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