Seth K. Bechis, MD, presented “Lasers in Stone Surgery: Principles and Tips/Tricks for Lasers in URS and PCNL” during the 43rd Annual Ralph E. Hopkins Urology Seminar on January 31, 2024, in Jackson Hole, Wyoming.

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How to cite: Bechis, Seth K. Lasers in Stone Surgery: Principles and Tips/Tricks for Lasers in URS and PCNL.” January 31, 2024. Accessed Jun 2024. https://grandroundsinurology.com/lasers-in-stone-surgery-principles-and-tips-tricks-for-lasers-in-urs-and-pcnl/

Lasers in Stone Surgery: Principles and Tips/Tricks for Lasers in URS and PCNL – Summary

Seth K. Bechis, MD, discusses applications, principles, and tips for using lasers in ureteroscopy and percutaneous nephrolithotomy. He begins by providing an overview of currently available laser technology, including short vs. long pulse and pulse modulation lasers, and their underlying mechanics.

Dr. Bechis then delves into how to match the appropriate laser with the desired treatment result based on the pros and cons of each device. Dr. Bechis provides real-world examples and use cases for laser devices, including:

  • Low Power Holmium Lasers
  • High Power Holmium Lasers
  • Pulse Modulation Lasers
  • Thulium Fiber Lasers
  • Thulium:YAG Lasers

Dr. Bechis concludes by summarizing laser-based approaches to stone treatment, explaining that important considerations include the desired treatment result and the laser’s pulse energy, frequency, and pulse width/modulation. He notes the importance of accounting for unique patient factors, such as anatomy and comorbidities, in addition to the technology’s capabilities when selecting laser treatment.

About The 43rd Annual Ralph E. Hopkins Urology Seminar:

The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 43rd iteration of the meeting took place from January 31st to February 2nd, 2024, in Jackson Hole, Wyoming.

For further educational activities from this conference, visit our collection page.