Abstract

PURPOSE LMA StonebreakerTM is a new type of ballistic intracorporeal lithotrite , which does not require any external electrical power or access to compressed air . It is small in size and portable . This study aims at evaluating the efficacy, safety and cost effectiveness of this lithotrite in the management of ureteric calculi in children. MATERIAL AND METHODS 10 children with ureteric calculi requiring intracorporeal lithotripsy were prospectively included in the study. The size of the stone, position of the stone, number of shocks required to fragment the stone to effect complete clearance and degree of retropulsion were documented in each case, and any evidence of urothelial trauma was noted. RESULTS All stones were satisfactorily fragmented and all were rendered stone free . The mean of shocks needed to fragment the stones was 6. The incidence of retropulsion was 10%. There was no evidence of urothelial trauma noted in any of the patients. CONCLUSIONS LMA StonebreakerTM is a safe, effective, cost effective, robust and portable device for intracorporeal lithotripsy in children.

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