{"id":1245,"date":"2020-06-26T10:48:59","date_gmt":"2020-06-26T03:48:59","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1245"},"modified":"2026-08-15T00:21:25","modified_gmt":"2026-08-14T17:21:25","slug":"%ed%99%80%eb%ae%b4-%eb%a0%88%ec%9d%b4%ec%a0%80-%ec%8b%a0%ec%9e%a5%ec%84%9d","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ko\/2020\/06\/26\/holmium-laser-kidney-stone\/","title":{"rendered":"Holmium Laser Stone Surgery: What It Is and What to Expect"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"\ucd0c\ubd80\ub9ac\uc640 \uce84\ubcf4\ub514\uc544\uc5d0\uc11c \uc77c\ud558\ub294 \ucd5c\uace0\uc758 \ube44\ub1e8\uae30\uacfc\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"\uad6c\uae00 \ud559\uc220 \uac80\uc0c9\"\n     aria-label=\"\uad6c\uae00 \ud559\uc220 \ud504\ub85c\ud544 \ubcf4\uae30\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">If you have a stone that will not pass on its own, laser surgery is one of the two main ways of dealing with it. The idea sounds alarming \u2014 a laser, inside the urinary tract \u2014 but in practice it is a keyhole procedure with no cuts at all, and it has become the standard treatment for good reasons.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"571\" data-attachment-id=\"1247\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2020\/06\/26\/holmium-laser-kidney-stone\/kidney-stones\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?fit=1200%2C857&amp;ssl=1\" data-orig-size=\"1200,857\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Doctors are advising the old kidney stones.\\nHe with pain. Vector cartoon illustration&quot;,&quot;created_timestamp&quot;:&quot;1512818860&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Kidney Stones&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Kidney Stones\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Doctors are advising the old kidney stones.&lt;br \/&gt;He with pain. Vector cartoon illustration&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?fit=800%2C571&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?resize=800%2C571&#038;ssl=1\" alt=\"A man in severe flank pain from a urinary tract stone\" class=\"wp-image-1247\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?resize=300%2C214&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?resize=1024%2C731&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Stone-pain.jpg?resize=768%2C548&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Stone pain is among the most severe pain in medicine \u2014 and the reason most patients want it dealt with quickly.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How the operation works<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A thin telescope \u2014 flexible or semi-rigid \u2014 is passed along the natural urinary passage, through the urethra and bladder and up the ureter, until the stone is in view. A laser fibre is then passed down the scope and used to break the stone into fragments small enough to pass, or into dust. <strong>There is no incision anywhere on the body.<\/strong> It is done under general or spinal anaesthesia, so you feel nothing during it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why the holmium laser specifically<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Endoscopic laser stone surgery was first reported by German and British researchers in 1988, with a success rate of around 84%. Its weakness was <strong>retropulsion<\/strong> \u2014 the laser&#8217;s energy pushing the stone back up into the kidney before it could be broken \u2014 which sometimes meant converting to open surgery to retrieve it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three decades of development later, the <strong>Holmium:Yttrium-Aluminium-Garnet (Ho:YAG)<\/strong> laser is the gold standard for endoscopic stone treatment.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"520\" data-attachment-id=\"1248\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2020\/06\/26\/holmium-laser-kidney-stone\/holmium-laser-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?fit=900%2C585&amp;ssl=1\" data-orig-size=\"900,585\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Holmium laser mechanism\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Holmium laser mechanism&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?fit=800%2C520&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?resize=800%2C520&#038;ssl=1\" alt=\"Diagram of the holmium Ho:YAG laser mechanism used to fragment urinary stones\" class=\"wp-image-1248\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?w=900&amp;ssl=1 900w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?resize=300%2C195&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Holmium-laser.jpg?resize=768%2C499&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The Ho:YAG laser is strongly absorbed by water, which is what keeps its energy where it is aimed.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>It is strongly absorbed by water<\/strong>, so its energy dissipates within a fraction of a millimetre and does not heat the surrounding urinary tract \u2014 the problem that limited some earlier lasers.<\/li>\n\n\n\n<li><strong>Modern generators cut retropulsion sharply<\/strong>, using pulse-shaping technology that fragments the stone faster while pushing it far less.<\/li>\n\n\n\n<li><strong>It cannot travel more than about 5 cm in air<\/strong>, which is why it is safe for the surgical team, with no reported eye injuries.<\/li>\n\n\n\n<li><strong>Reported success of 95\u201396%<\/strong> for stones at any position in the urinary tract \u2014 kidney, ureter or bladder alike. That versatility is what makes it the default.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Laser surgery or shockwave treatment?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is the choice most stone patients actually face. <a href=\"https:\/\/drsoaraweeurology.com\/ko\/2020\/05\/02\/eswl-soarawee-thai-%eb%b9%84%eb%87%a8%ea%b8%b0%ea%b3%bc-%ec%a0%84%eb%ac%b8%ec%9d%98\/\">Shockwave lithotripsy (ESWL)<\/a> breaks the stone from outside the body with no instrument entering it at all, and at Bangkok Hospital Headquarters it is a daycare treatment \u2014 you go home the same day. Laser surgery is more invasive but clears the stone in a single sitting far more reliably, and works on stones that shockwave struggles with.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Which suits you depends on the stone&#8217;s size, position and hardness, on your kidney anatomy, and on how quickly the stone needs to be gone. It is a decision worth making with your urologist rather than by reading success rates \u2014 the headline figures come from different patient groups.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What to expect afterwards<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most patients go home the same day or the next. Mild burning, urinary frequency and some blood in the urine are normal for the first few days.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The part worth preparing for is the <a href=\"https:\/\/drsoaraweeurology.com\/ko\/2020\/12\/26\/dj-stent-symptoms\/\">ureteric (DJ) stent<\/a>, which is often left in place to keep the ureter draining while it settles. It is removed at a follow-up visit after 1\u20132 weeks, and until then it commonly causes urinary frequency, urgency and a dragging discomfort in the flank. This surprises patients who expected to feel completely better the moment the stone was gone \u2014 the stent, not the surgery, is usually what they notice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Normal daily activity resumes within 1\u20133 days and full activity within 1\u20132 weeks. Follow-up imaging confirms the stone has cleared and looks for any residual fragments.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One last thing worth saying: clearing a stone does not stop the next one forming. If this is not your first, it is worth reading about <a href=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/09\/03\/%ea%b5%ac%ec%97%b0%ec%82%b0-%ec%b9%bc%eb%a5%a8-%ec%8b%a0%ec%9e%a5-%ea%b2%b0%ec%84%9d\/\">how recurrence is prevented<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uc2e0\uc7a5 \uacb0\uc11d\uc774\ub098 \uc694\uad00 \uacb0\uc11d\uc774 \uc788\uace0 \ucd5c\uc18c \uce68\uc2b5 \ud640\ubbb4 \ub808\uc774\uc800 \uce58\ub8cc\uc5d0 \ub300\ud574 \ub17c\uc758\ud558\uace0 \uc2f6\uc73c\uc2dc\ub2e4\uba74, Soarawee Weerasopone \ubc15\uc0ac\uac00 \ubc29\ucf55 \ubcd1\uc6d0 \ubcf8\uc6d0\uc5d0\uc11c \uc804\ubb38 \uc9c4\ub8cc\ub97c \uc81c\uacf5\ud569\ub2c8\ub2e4. <a href=\"\/ko\/\uc9c4\ub8cc \uc608\uc57d\/\">\uc9c4\ub8cc \uc608\uc57d<\/a>. \uc0ac\ubbf8\uc988 \uc2dc\ub77c\ucc28 \ubcd1\uc6d0 \uc608\uc57d\uc740 \ube44\ub1e8\uae30\uacfc\ub85c \uc804\ud654\ud558\uc5ec \ud558\uc2e4 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\ud640\ubbb4 \ub808\uc774\uc800 \uc2e0\uc7a5 \uacb0\uc11d \uc218\uc220\uc5d0 \ub300\ud55c \uc790\uc8fc \ubb3b\ub294 \uc9c8\ubb38<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">\uc2e0\uc7a5 \uacb0\uc11d\uc5d0 \ub300\ud55c \ud640\ubbb4 \ub808\uc774\uc800 \uc218\uc220\uc774\ub780 \ubb34\uc5c7\uc778\uac00\uc694?<\/strong> <p class=\"schema-faq-answer\">Holmium laser ureteroscopy, also called retrograde intrarenal surgery (RIRS), is a minimally invasive endoscopic procedure where a thin flexible or semi-rigid scope is passed through the urethra and ureter to reach the stone. A Ho:YAG laser fiber is then used to fragment the stone into small pieces or dust, which can pass naturally or be extracted. It is the gold standard for treating ureteral and kidney stones with a reported success rate of 95&#8211;96%.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">\ud640\ubbb4 \ub808\uc774\uc800\uac00 \uc2e0\uc7a5 \uacb0\uc11d\uc5d0 \ub2e4\ub978 \uc885\ub958\uc758 \ub808\uc774\uc800\ubcf4\ub2e4 \ub354 \ub098\uc740 \uc774\uc720\ub294 \ubb34\uc5c7\uc785\ub2c8\uae4c?<\/strong> <p class=\"schema-faq-answer\">\ud638\ub968:YAG \ub808\uc774\uc800\ub294 \ubb3c\uc5d0 \uc758\ud574 \ub192\uc740 \ud761\uad11\ub3c4\ub97c \ubcf4\uc5ec \uc5f4 \ud655\uc0b0\uc744 \uc81c\ud55c\ud558\uace0 \uc8fc\ubcc0 \ube44\ub1e8\uae30 \uc870\uc9c1\uc744 \uc5f4 \uc190\uc0c1\uc73c\ub85c\ubd80\ud130 \ubcf4\ud638\ud569\ub2c8\ub2e4. \uacf5\uae30 \uc911 5cm \uc774\uc0c1 \ud22c\uacfc\ud558\uc9c0 \ubabb\ud574 \uc758\uc0ac\uc5d0\uac8c \uc548\uc804\ud569\ub2c8\ub2e4. \ud604\ub300 \ud638\ub968:YAG \uc2dc\uc2a4\ud15c\uc740 \ubc18\ub3d9 \ubc29\uc9c0 \uae30\uc220\uacfc \uace0\uc8fc\ud30c \ud384\uc2a4 \ubaa8\ub4dc\ub97c \ud1b5\ud569\ud558\uc5ec \uacb0\uc11d\uc744 \ub354 \ud6a8\uc728\uc801\uc73c\ub85c \ubd84\uc1c4\ud558\uace0 \uc2dc\uc220 \uc911 \uacb0\uc11d\uc774 \uc2e0\uc7a5\uc73c\ub85c \ub2e4\uc2dc \ubc00\ub824\uac00\ub294 \uac83\uc744 \uc904\uc785\ub2c8\ub2e4.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">\uc2e0\uc7a5 \uacb0\uc11d\uc744 \uc704\ud55c \ub0b4\uc2dc\uacbd \ub808\uc774\uc800 \uc218\uc220\uc740 \ud1b5\uc99d\uc774 \uc788\ub098\uc694?<\/strong> <p class=\"schema-faq-answer\">\uc218\uc220\uc740 \uc804\uc2e0 \ub9c8\ucde8 \ub610\ub294 \ucc99\ucd94 \ub9c8\ucde8 \ud558\uc5d0 \uc9c4\ud589\ub418\ubbc0\ub85c \uc218\uc220 \uc911 \ud1b5\uc99d\uc740 \uc5c6\uc2b5\ub2c8\ub2e4. \uc218\uc220 \ud6c4 \ud658\uc790\ub294 \uacbd\ubbf8\ud55c \ubc30\ub1e8 \ubd88\ud3b8\uac10, \ube48\ub1e8, \ub610\ub294 \uac04\ud639 \ud608\ub1e8\ub97c \uacbd\ud5d8\ud560 \uc218 \uc788\uc73c\uba70, \uc774\ub294 \ubcf4\ud1b5 \uba70\uce60 \ub0b4\uc5d0 \ud638\uc804\ub429\ub2c8\ub2e4. \uc218\uc220 \ud6c4 \ubc30\uc561\uc744 \uc6d0\ud65c\ud558\uac8c \ud558\uae30 \uc704\ud574 \uc77c\uc2dc\uc801\uc778 \uc694\uad00 \uc2a4\ud150\ud2b8\ub97c \uc0bd\uc785\ud558\ub294 \uacbd\uc6b0\uac00 \ub9ce\uc73c\uba70, \uc774\ub294 \ucd94\ud6c4 \uc678\ub798 \ubc29\ubb38 \uc2dc \uc81c\uac70\ud569\ub2c8\ub2e4. \ub300\ubd80\ubd84\uc758 \ud658\uc790\ub294 \ub2f9\uc77c \ub610\ub294 \ub2e4\uc74c \ub0a0 \ud1f4\uc6d0\ud569\ub2c8\ub2e4.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">\ud640\ubbb4 \ub808\uc774\uc800\ub85c \uce58\ub8cc\ud560 \uc218 \uc788\ub294 \uc2e0\uc7a5 \uacb0\uc11d\uc758 \ud06c\uae30\ub294 \uc5bc\ub9c8\uc785\ub2c8\uae4c?<\/strong> <p class=\"schema-faq-answer\">Holmium laser ureteroscopy can treat stones of virtually any size. Current guidelines still list percutaneous nephrolithotomy (PCNL) as first-line for stones larger than 2 cm, but PCNL requires a tract created through the flank into the kidney and is considerably more invasive. Dr. Soarawee&#8217;s approach is to attempt retrograde intrarenal surgery (RIRS) with the holmium laser wherever it is feasible, since modern flexible ureteroscopy handles stones of almost any size through the natural urinary passage with no incision. For very small stones under 4&#8211;5 mm, spontaneous passage is usually expected without surgical intervention.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">\ud640\ubbb4 \ub808\uc774\uc800 \uacb0\uc11d \uc218\uc220 \ud6c4 \ud68c\ubcf5\uc5d0 \uc5bc\ub9c8\ub098 \uac78\ub9ac\ub098\uc694?<\/strong> <p class=\"schema-faq-answer\">\ud68c\ubcf5\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \ube60\ub985\ub2c8\ub2e4. \ub300\ubd80\ubd84\uc758 \ud658\uc790\ub294 1~3\uc77c \uc774\ub0b4\uc5d0 \uc77c\uc0c1\uc0dd\ud65c\ub85c \ubcf5\uadc0\ud558\uba70, 1~2\uc8fc \uc774\ub0b4\uc5d0 \ubaa8\ub4e0 \ud65c\ub3d9\uc73c\ub85c \ubcf5\uadc0\ud569\ub2c8\ub2e4. \uc694\uad00 \uc2a4\ud150\ud2b8\ub294 \uc0bd\uc785\ub41c \uacbd\uc6b0 \uc678\ub798 \uc2dc\uc220\uc5d0\uc11c 1~2\uc8fc \ud6c4\uc5d0 \uc81c\uac70\ub429\ub2c8\ub2e4. \uc218\uc220 \ud6c4 \ucd94\uc801 \uc601\uc0c1 \uac80\uc0ac\ub294 \uacb0\uc11d \uc81c\uac70\ub97c \ud655\uc778\ud558\uace0 \uc794\uc874 \uc870\uac01\uc774 \uc788\ub294\uc9c0 \ubaa8\ub2c8\ud130\ub9c1\ud558\uae30 \uc704\ud574 \uc608\uc815\ub418\uc5b4 \uc788\uc2b5\ub2c8\ub2e4.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\uace0\uc9c0 \uc0ac\ud56d:<\/strong> \uc774 \ucf58\ud150\uce20\ub294 \ubc29\ucf55\ubcd1\uc6d0 \ubcf8\uc6d0\uc758 \uacf5\uc778 \ube44\ub1e8\uae30\uacfc \uc804\ubb38\uc758\uc778 \uc18c\ub77c\uc704 \uc704\ub77c\uc18c\ud3f0(Soarawee Weerasopone) \ubc15\uc0ac\uac00 \uc791\uc131\ud558\uace0 \uac80\ud1a0\ud588\uc2b5\ub2c8\ub2e4. \uad50\uc721 \ubaa9\uc801\uc73c\ub85c\ub9cc \uc81c\uacf5\ub418\uba70 \uc758\ud559\uc801 \uc870\uc5b8\uc5d0 \ud574\ub2f9\ud558\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4. \uac1c\uc778 \uba54\uc2dc\uc9d5 \ucc44\ub110\uc744 \ud1b5\ud574 \uc758\ud559\uc801 \uc870\uc5b8, \uc9c4\ub2e8 \ub610\ub294 \ucc98\ubc29\uc740 \uc81c\uacf5\ub418\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4. \uc758\ud559\uc801 \uce58\ub8cc\ub97c \uc2dc\uc791\ud558\uae30 \uc804\uc5d0 \ud56d\uc0c1 \uc790\uaca9\uc744 \uac16\ucd98 \uc758\ub8cc \uc804\ubb38\uac00\uc640 \uc0c1\ub2f4\ud558\uc2ed\uc2dc\uc624.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Holmium Laser Stone Surgery: What It Is and What to Expect\",\n    \"description\": \"How holmium (Ho:YAG) laser stone surgery works, why it became the gold standard, how it compares with shockwave lithotripsy, and what recovery and the ureteric stent actually involve.\",\n    \"datePublished\": \"2020-06-26\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalProcedure\",\n        \"name\": \"Holmium Laser Lithotripsy\",\n        \"alternateName\": \"Ureteroscopic laser stone surgery\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Laser stone surgery clears 95\u201396% of stones wherever they sit in the urinary tract. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains how the holmium laser works, how it compares with shockwave treatment, and what recovery actually involves.<\/p>","protected":false},"author":185281453,"featured_media":10055,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Holmium laser (Ho:YAG) stone surgery explained: how the laser fragments stones, the 95\u201396% success rate, how it compares with ESWL, stent discomfort and recovery. 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