Subject: R Medicine (General)
Year: 2026
Type: Article
Type: NonPeerReviewed
Title: CLINICAL ASSESSMENT OF ENDOSCOPIC HOLMIUM: YAG LASER LITHOTRIPSY FOR URETERAL AND BLADDER STONES.INITIAL EXPERIENCE AT A SINGLE CENTER IN GOSTIVAR
Author: ADEMI, Ylber
Author: SALIU, Afrim
Author: ADEMI, Majlinda
Abstract: Background: Holmium:Yttrium-Aluminum-Garnet (Ho:YAG) laser lithotripsy has become the preferred modality for fragmented management of ureteral and bladder calculi due to its safety, applicability, and high stone-free rates. This study evaluates the clinical outcomes of endoscopic Holmium:YAG laser lithotripsy for ureteral and bladder calculi in a single-center study. Objective: To evaluate clinical outcomes of endoscopic Ho:YAG laser lithotripsy in patients treated for bladder and ureteral stones at a single center at the General hospital in Gostivar. Material and Methods: A retrospective study was conducted including 42 patients treated between January 2023 and December 2024 at the General Hospital “Ferid Murad” in Gostivar. Demographic characteristics, stone size, location, J-J stent placement, operative time, and postoperative outcomes were analyzed. Results: The mean age was 53.4 years, with 66.7% males and 33.3% females. Mean stone size was 11.3 mm. Distal ureteral stones were the most common (57.1%), followed by bladder (21.4%), proximal ureter (14.3%), and mid-ureter (7.2%). Stone-free rate was 95.2% (40/42). J-J stent placement was performed in 52.4% (22) of patients. Proximal migration occurred in 2 cases (4.8%). No major complications were observed. Conclusion: Endoscopic Ho:YAG lithotripsy is a highly effective and safe technique with low complication rates, making it suitable for ureteral and bladder stones. High stone-free rates and minimal morbidity support its adoption as a standard treatment option.
Publisher:
Relation: https://eprints.unite.edu.mk/2693/
Identifier: oai:eprints.unite.edu.mk:2693
Identifier: https://eprints.unite.edu.mk/2693/1/Acta%20Medica%20Balkanica%202026-126-132.pdfIdentifier: ADEMI, Ylber and SALIU, Afrim and ADEMI, Majlinda (2026) CLINICAL ASSESSMENT OF ENDOSCOPIC HOLMIUM: YAG LASER LITHOTRIPSY FOR URETERAL AND BLADDER STONES.INITIAL EXPERIENCE AT A SINGLE CENTER IN GOSTIVAR. ACTA MEDICA BALKANICA International Journal of Medical Sciences, 11 (21-22). pp. 126-132.
