LLLT AND PHOTOBIMODULATION ON KIDNEY DISEASE

Low-level laser therapy (LLLT) and Photobimodulation on chronic kidney disease (CKD) in a model of unilateral ureteral obstruction (UUO), is scientifically proven its efficacy.

 

Regardless of the etiology, CKD involves progressive widespread tissue fibrosis, tubular atrophy, and loss of kidney function.

For the first time, we showed that LLLT had a protective effect regarding renal interstitial fibrosis. It is conceivable that by attenuating inflammation, LLLT can prevent tubular activation and transdifferentiation, which are the two processes that mainly drive the renal fibrosis of the UUO model.

Laser lithotripsy uses a laser that is mounted on the end of a fiber optic scope. The scope is inserted into the patient’s body through the urethra and bladder up to the ureter. Once the scope is advanced to the level of the stone, the laser is turned on and the stone is pulverized.

The holmium YAG laser offer advantages over previous types of lasers. Lasers for lithotripsy were first used in the late 1980’s but were limited in power by the diameter of the fiber used. Larger fibers meant more power, but they were more rigid and less suited to the environment which demanded flexibility and freedom of movement. The YAG holmium also is capable of producing smaller stone fragments than previous laser treatments.

This method is rapidly replacing traditional lithotripsy for the removal of kidney stones. The advantages of laser surgery over traditional lithotripsy are that there is a higher first time rate of success with laser surgery than with traditional lithotripsy methods and the laser is more effective on complex stones. The patient can resume their daily routine within one to two days of the procedure.

 

 

How Do Lasers Work in Kidney Stones treatment?

All lasers work by delivering energy in the form of light. When used for surgical and external procedures, the laser acts as a dissolving instrument or a vaporizer of kidney stones tissue that it comes in contact with. When used in, the laser acts as a heat source and enhances the effect of tissues dissolving process.

Complication rates for any type of Intracorporeal surgery for kidney stones is approximately 3%. The incidence of major complications is approximately 1%. Other complications from the procedure can include infection, tissue scarring, and fluid overload (most common in patients with heart disease or the very young).

With its high safety rating, low rate of complications and quicker recovery time, the laser lithotripsy procedure is viewed by many as the most effective way to remove kidney stones that cannot be passed from the body.

What Are the Pros and Cons of Using a Laser in Kidney industry?

 

Pros 
Compared to the traditional procedures, lasers:

 

  • May cause less pain in some instances, so reduces the need for anesthesia

  • Minimize bleeding and swelling during soft tissue treatments

  • May preserve more faster and  healthy during the treatment.

 

Cons 
The disadvantages of lasers are that:

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  • Lasers can't be used in many commonly performed procedures. 

  • Longer time for optimized results.

  • Lasers do not eliminate the need for anesthesia.

  • Laser treatment tends to be more expensive -- the cost of the laser is much higher than a regular procedures. Lasers can cost between $39,000 and $45,000, compared to about $5000 for a standard procedure.