Thulium fiber laser lithotripsy: Is it living up to the hype?

Denstedt, John D.; Berto, Fernanda Christina Gabrigna

doi:10.1016/j.ajur.2022.11.003

Cited by 5 publications

(2 citation statements)

References 75 publications

(137 reference statements)

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“…In the modern era of lithotripsy, we have two effective modalities for stone clearance. These are Holmium laser and Thulium laser, which are the result of technological development in order to improve efficiency and safety [9].…”

Section: Laser Lithotripsy Typesmentioning

confidence: 99%

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Perspective Chapter: Clinical Indications for the Use of Laser in Urolithiasis

Enrique Corona-Montes,

Júarez-Cataneo,

Eduardo Sánchez-Núñez

2023

Lithotripsy - Novel Technologies, Innovations and Contemporary Applications

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Current technology has improved the modalities of intra-corporeal lithotripsy, including: ultrasound and ballistic, combined with different laser energies useful in the most important procedures for resolving urinary system stones. Nowadays, the amount of lasers and their availability has grown considerably, lasers like Holmium:Yttrium-Aluminum-Garnet (Ho:YAG) and Thulium Fiber Laser (TFL) are the most effective and safest alternatives for lithotripsy in several types of endo urological strategies for lithotripsy. The selection of appropriate laser energy is crucial to optimize the usefulness in the management of urinary tract stones and it depends on the clinical indications validated for the International Urolithiasis Alliance based in technology but also in principles of management from the reported outcomes based in the expertise of several endo urological surgeons. Both, Ho:YAG laser and TFL are effective systems of fragmentation in retrograde intrarenal surgery (RIRS) and percutaneous nephrolitotomy (PNL), even in the miniaturized percutaneous tracts enhanced with suction. Comparative with other types of lithotripsy, they have the same stone-free rates, low complication indexes, and optimal surgical operative times. Urologists must be familiar of with the properties of each laser to get the best surgical outcomes for the benefits of their patients. The present chapter will describe the clinical indications and the adequate use of laser fibers.

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Section: Laser Lithotripsy Typesmentioning

confidence: 99%

“…Laser energies in recent years have offerred very new modalities. Thulium laser which has exceptional results in stone fragmentation and seems to be promising given that it offers good clinical results compared to Ho:YAG laser [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Perspective Chapter: Clinical Indications for the Use of Laser in Urolithiasis

Enrique Corona-Montes,

Júarez-Cataneo,

Eduardo Sánchez-Núñez

2023

Lithotripsy - Novel Technologies, Innovations and Contemporary Applications

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Thulium fibre laser (TFL) lithotripsy in paediatric urology

Abdelbary,

Cao,

Wiseman

et al. 2024

J Ped Endosc Surg

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Advances in HoLEP technology and technique – Current state of play

Dean,

Thiruchelvam,

Guo

et al. 2024

Journal of Clinical Urology

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Background: Until recently, Holmium laser enucleation of the prostate (HoLEP) utilisation has been limited despite its perceived benefits over alternative surgical and minimally invasive benign prostatic hyperplasia (BPH) treatments. Objective: The purpose of this review is to highlight our experience with recent advances in laser and morcellator technologies that have made it easier for urologists to consistently offer HoLEP as a safe, efficient, and effective in an ambulatory (day surgery) setting. Methods: Our narrative review focused on contemporary studies published within the last five years. Conclusions: Technological advances coupled with increasing availability of training opportunities has and will continue to improve patients’ accessibility to the gold standard in BPH surgical treatment. Furthermore, we will describe refinements in laser enucleation techniques that have improved procedural efficiencies, rates of temporary post-operative urinary incontinence, and preservation of sexual function. The effects of technical modifications on functional and durability outcomes are to be seen in further prospective studies. Level of Evidence: Level 7 (Expert Opinion)

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Thulium fiber laser lithotripsy: Is it living up to the hype?

Cited by 5 publications

References 75 publications

Perspective Chapter: Clinical Indications for the Use of Laser in Urolithiasis

Perspective Chapter: Clinical Indications for the Use of Laser in Urolithiasis

Thulium fibre laser (TFL) lithotripsy in paediatric urology

Advances in HoLEP technology and technique – Current state of play

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