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Urolithiasis
Urolithiasis
Urolithiasis
2194-7228
2194-7236
Springer Berlin Heidelberg Berlin/Heidelberg

39237838
1612
10.1007/s00240-024-01612-0
Correction
Correction to Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases
Gul Tawiz tgulistan@hamad.qa

12
laymon Mahmoud dr_mahmoudlaymon@mans.edu.eg

3
Alrayashi Maged 1
Abdelkareem Mohamed 1
Salah Morshed 12
1 https://ror.org/02zwb6n98 grid.413548.f 0000 0004 0571 546X Urology Section, Surgery Department, Hazm Mebaireek general hospital, Hamad medical corporation, Doha, Qatar
2 https://ror.org/00yhnba62 grid.412603.2 0000 0004 0634 1084 College of Medicine, Qatar University, Doha, Qatar
3 https://ror.org/01k8vtd75 grid.10251.37 0000 0001 0342 6662 Urology and Nephrology center, Mansoura University, Mansoura, Egypt
6 9 2024
6 9 2024
2024
52 1 128© The Author(s) 2024
2024
https://creativecommons.org/licenses/by/4.0/ Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Purpose

To investigate the efficacy and safety of flexible ureteroscopy with thulium fiber laser lithotripsy for management of renal staghorn stones.

Materials and methods

Thirty-two patients with staghorn stones were recruited. Stone characteristics including: width, length, volume and density were analyzed. Ablation speed, laser efficacy and laser activity were recorded. The primary outcome was to assess stone free rate after the procedure using spiral CT scan.

Results

The median stone volume was 7339 (3183–53838) mm3. Median operative and lasing time were 135 (70–200) and 117 (50–180) minutes, respectively. The mean total energy delivered was 63.9±30 KJ with a median ablation speed of 1.3 (0.5–4.9) mm3/sec. Mean laser efficacy was 7.5 ±3.6 Joules/mm3. A total of 12 complications occurred in 8 patients (25%). The median hospital stay was 7 (3.5–48) hours and 30 patients (93.7%) were discharged on the same day of surgery. After the first session, seventeen patients (53%) were stone free with no residual fragments while six (19%) patients had residuals ≤ 2 mm. Nine patients (28%) had residuals > 2 mm with median residual size of 4 (3–9) mm. A second intervention was required in 4 cases.The overall stone free rate after completion of treatment was 65.6%.

Conclusion

Flexible ureteroscopy with thulium fiber laser lithotripsy is a safe and effective treatment option for staghorn stones with stone free rate comparable to standard PCNL with advantages of minimal morbidity, minimal blood loss and shorter hospital stay.

issue-copyright-statement© Springer-Verlag GmbH Germany, part of Springer Nature 2024
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pmc Urolithiasis (2024) 52:102

10.1007/s00240-024-01598-9

In the original version of this article, the abstract was missing and should have read.

The original article has been corrected.

The online version of the original article can be found at 10.1007/s00240-024-01598-9

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