Episode # 152 • 20 Feb 2024
Laser Options for Kidney Stones: A Clinician’s Guide
with Dr. Ben Chew, Dr. Jose Silva
This week on BackTable Urology, Dr. Ben Chew, professor and clinical researcher with the University of British Columbia, provides valuable insights on laser treatments for kidney stones.
Timestamps
00:00 - Introduction
06:49 - Choosing the Right Laser
12:11 - Energy Settings for Lasers
18:49 - Upper Tract Tumors and Lasers
23:54 - Preventing Thermal Injuries During Laser Treatment
27:03 - Dusting vs Fragmentation with Lasers
34:27 - The Impact of New Technologies on Kidney Stone Treatment
41:30 - Final Thoughts and Safety Recommendations
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More about this episode
First, Dr. Chew provides a comprehensive overview of the current landscape of laser treatment for kidney stones. Dr. Silva and Dr. Chew then discuss the unique characteristics of different laser types, such as the Holmium and the Thulium lasers. Dr. Chew also covers critical safety considerations, like maintaining low intravenous pressure, using cold irrigation, and taking breaks during sustained laser treatment. Additionally, they delve into emerging technology, such as the use of electromagnetic guidance, for more accurate laser application.
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