Comparative outcomes of laser and pneumatic lithotripsy for solitary mid and lower ureteric stones

INTRODUCTION: The management of ureteric stones has been revolutionized by minimally invasive techniques, with Holmium:YAG laser lithotripsy (LL) and pneumatic lithotripsy (PL) being two primary modalities. While effective, they differ in mechanism, cost, and potential complications. This study aims to compare the intraoperative and postoperative outcomes of LL versus PL for solitary mid and lower ureteric stones. METHODS: < 0.05 considered significant. RESULTS: = 0.02). The incidence of other complications was comparable between the two groups. CONCLUSION: Both modalities are effective for managing ureteric stones. However, LL is superior in preventing stone retropulsion and leading to a shorter hospital stay. The choice of lithotripsy depends on available resources, stone characteristics, and surgical expertise.

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Journal
Urologia Journal
Published
2026-04-16
DOI
https://doi.org/10.1177/03915603261439614
Primary Topic
Kidney Stones and Urolithiasis Treatments
Type
article
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article

Comparative outcomes of laser and pneumatic lithotripsy for solitary mid and lower ureteric stones

Nabnita Patnaik, Kumar Guru Mishra, Amiya Shankar Paul, Kallam Chandana Reddy et al.
Urologia Journal
Kidney Stones and Urolithiasis Treatments
article

Comparative outcomes of laser and pneumatic lithotripsy for solitary mid and lower ureteric stones

Nabnita Patnaik, Kumar Guru Mishra, Amiya Shankar Paul, Kallam Chandana Reddy, Nihar Ranjan Pradhan
article en

Abstract

INTRODUCTION: The management of ureteric stones has been revolutionized by minimally invasive techniques, with Holmium:YAG laser lithotripsy (LL) and pneumatic lithotripsy (PL) being two primary modalities. While effective, they differ in mechanism, cost, and potential complications. This study aims to compare the intraoperative and postoperative outcomes of LL versus PL for solitary mid and lower ureteric stones. METHODS: < 0.05 considered significant. RESULTS: = 0.02). The incidence of other complications was comparable between the two groups. CONCLUSION: Both modalities are effective for managing ureteric stones. However, LL is superior in preventing stone retropulsion and leading to a shorter hospital stay. The choice of lithotripsy depends on available resources, stone characteristics, and surgical expertise.

Urologia Journal
Shadan Hospital and Institute of Medical Sciences (IN), CARE Hospitals (IN), Sriram Chandra Bhanja Medical College Hospital (IN), Apollo Institute of Medical Sciences & Research (IN), Asian Institute of Gastroenterology (IN), ESIC Hospital (IN), All India Institute of Medical Sciences (IN)
Openalex Percentile: Top 15%
Kidney Stones and Urolithiasis Treatments
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