with Dr. Palle Osther
Dr. Palle Osther, Professor at Department of Urology Director of Urological Research Center at Lillebaelt Hospital, Director of Urological Research Center at Lillebaelt Hospital, Kolding, Denmark
Clinical History:
Clinical Background
54-year-old female
Numerous spontaneous stone passages - COM
Recent left-sided ureteral stone
Persistent flank pain
No infections
CT showing large peripheral stones in lower and middle calyces in the left kidney
Technique Description
Technique Description:
Flexible ureterorenoscopy with minimal irrigation
Thulium fiber laser settings and technique
Procedure Steps:
Placement of safety guidewire
Placement of ureteral access sheath
Inspection of collecting system
Tissue cutting with thulium fiber laser
Dusting/fragmenting/popcorning
Inspection of ureter
Placement of JJ-stent
Learning Points:
Inspection of calyces
Intra-papillary stones: to treat or not to treat
Thulium fiber laser settings for cutting, fragmenting, dusting and popcorning
When are fragments small enough for spontaneous passage?
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