Ureteroscopy: Surgeons show techniques, tips in videos
Ureteroscopic stone dusting
Stone dusting during ureteroscopy is an emerging technique that utilizes high-watt holmium lasers to ablate stones into sub-millimeter fragments. In this video, Khurshid R. Ghani, MD, describes some tips and tricks for high-frequency dusting when treating renal stones, including the new technique of pop-dusting.
Dr. Hotaling: Stone dusting is a novel technique that can greatly facilitate the speed and, potentially, the stone-free rate, after ureteroscopy. By obviating or minimizing the need to basket multiple small fragments of stones from a complex system, dusting allows rapid disintegration of a relatively large stone burden. Here, the authors give novel techniques to position stone fragments in locations that facilitate dusting, and they also provide their preferred energy and frequency settings for various techniques.