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Retrograde Intrarenal Surgery (Flexible Uretero-renoscopy) and Laser Lithotripsy With Lumenis P120H

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With our new 120 Watts Lumenis Laser, which has Moses Technology as well, we can take out large kidney stones in a short time. In this instance, the entire stone was pulverized in just 30 minutes. We have been doing laser lithotripsy since 2011. Although we have always used holmium laser, this is a new device we just installed; a more powerful laser that can do HoLEP or Holmium Laser Enucleation of the Prostate as well. This is the first Moses Technology Laser in Africa! HoLEP procedure can take out prostates of any size, unlike TURP, which is the what has always been available in Nigeria before now.

This was a partial staghorn calculus in the left kidney, with several other smaller stones. Stone measured about 5cm across.

Entire surgery time was less than one hour.

Some of the larger stones that were removed with Dormia basket after lithotripsy. These “larger” stones are actually small, measuring just about 1mm each. Smaller stones will pass out along with the urine.

There was little bleeding. Urine was clear immediately procedure was over.

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