Dusting of Kidney Stone is a hot topic today!Dust produced by holmium laser lithotripsy during RIRS

Dusting of Kidney Stone is a hot topic today!
Dust produced by holmium laser lithotripsy during RIRS of kidney stone has big NUISANCE VALUE. It has following disadvantages:-
1. It obscures the vision.
2. Spreads all over the PCS
3. Difficult to be removed
4. If left alone, it may settle down in the lower pole calyx & cause recurrence.
See the dust produced in this Kidney stone of high density ( HU 1429 ). It was difficult to remove this dust from the PCS. We made several excursions with 16 wire basket to minimise this residual dust & debris.

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