Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

Dusting technique for lithotripsy: what does it mean?

Nature Reviews Urology volume 15, pages 653–654 (2018)Cite this article

Subjects

Kidney stones are currently managed using laser lithotripsy and the most recent generation of laser generators have enabled the possibility of the dusting technique. Dusting avoids the use of a basket, as stone fragments are spontaneously evacuated; however, no consensus on the definition of dust currently exists.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Techniques of laser lithotripsy.

References

  1. Gupta, P. K. Is the holmium:YAG laser the best intracorporeal lithotripter for the ureter? A 3-year retrospective study. J. Endourol. 21, 305–309 (2007).

    Article  Google Scholar 

  2. Kronenberg, P. & Traxer, O. Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. World J. Urol. 33, 463–469 (2015).

    Article  Google Scholar 

  3. Spore, S. S. et al. Holmium: YAG lithotripsy: optimal power settings. J. Endourol. 13, 559–566 (1999).

    Article  CAS  Google Scholar 

  4. Corbin, N. S. et al. Laser lithotripsy and cyanide. J. Endourol. 14, 169–173 (2000).

    Article  CAS  Google Scholar 

  5. Sea, J. et al. Optimal power settings for holmium:YAG lithotripsy. J. Urol. 187, 914–919 (2012).

    Article  Google Scholar 

  6. Hecht, S. L. & Wolf, J. S. Jr. Techniques for holmium laser lithotripsy of intrarenal calculi. Urology 81, 442–445 (2013).

    Article  Google Scholar 

  7. Weiss, B. & Shah, O. Evaluation of dusting versus basketing — can new technologies improve stone-free rates? Nat. Rev. Urol. 13, 726–733 (2016).

    Article  CAS  Google Scholar 

  8. Humphreys, M. R. et al. Dusting versus basketing during ureteroscopy: which technique is more efficacious? A prospective multicenter trial from the EDGE Research Consortium. J. Urol. 199, 1272–1276 (2017).

    Article  Google Scholar 

  9. Li, R. et al. High-frequency dusting versus conventional holmium laser lithotripsy for intrarenal and ureteral calculi. J. Endourol. 31, 272–277 (2017).

    Article  Google Scholar 

  10. Matlaga, B. R. et al. Ureteroscopic laser lithotripsy: a review of dusting versus fragmentation with extraction. J. Endourol. 32, 1–6 (2018).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sorbonne Université, Service d’Urologie, AP-HP, Hôpital Tenon, Paris, France

    Steeve Doizi, Etienne Xavier Keller, Vincent De Coninck & Olivier Traxer

  2. Sorbonne Université, GRC n°20, Groupe de Recherche Clinique sur la Lithiase Urinaire, Hôpital Tenon, Paris, France

    Steeve Doizi, Etienne Xavier Keller, Vincent De Coninck & Olivier Traxer

Authors
  1. Steeve Doizi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Etienne Xavier Keller
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vincent De Coninck
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Olivier Traxer
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors made substantial contributions to discussion of content and reviewed and edited the manuscript before submission. S.D. researched data for and wrote the article.

Corresponding author

Correspondence to Olivier Traxer.

Ethics declarations

Competing interests

O.T. is a consultant for Boston Scientific, Coloplast, Olympus, and Rocamed. S.D. is a consultant for Coloplast. E.X.K. and V.D.C. declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Doizi, S., Keller, E.X., De Coninck, V. et al. Dusting technique for lithotripsy: what does it mean?. Nat Rev Urol 15, 653–654 (2018). https://doi.org/10.1038/s41585-018-0042-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41585-018-0042-9

This article is cited by

Search

Advanced search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing