AI Article Synopsis
- - The thulium fiber laser (TFL) shows promising results in laser lithotripsy, a field traditionally dominated by the holmium:yttrium-aluminium-garnet laser (Ho:YAG) for the past 30 years, marking a potential shift in technology.
- - Comparative studies indicate that TFL may offer technical advantages over the Ho:YAG laser, although the initial clinical data is limited and further research is needed to establish optimal usage settings.
- - While TFL could serve as a viable alternative to Ho:YAG for treating urinary tract stones, more comprehensive studies are required to assess its effectiveness, safety, and cost compared to existing methods.
Article Abstract
Objective: The holmium:yttrium-aluminium-garnet laser (Ho:YAG) has been the gold standard for laser lithotripsy over the last three decades. After demonstrating good efficacy, the thulium fiber laser (TFL) has been recently released in the market and the initial clinical results are encouraging. This article aims to review the main technology differences between the Ho:YAG laser and the TFL, discuss the initial clinical results with the TFL as well as the optimal settings for TFL lithotripsy.
Methods: We reviewed the literature focusing on the technological aspects of the Ho:YAG laser and TFL as well as the results of and studies comparing both technologies.
Results: studies show a technical superiority of TFL compared to the Ho:YAG laser and encouraging results have been demonstrated in clinical practice. However, as TFL is a new technology, limited studies are currently available, and the optimal settings for lithotripsy are not yet established.
Conclusion: TFL has the potential to be an alternative to the Ho:YAG laser, but more reports are still needed to determine the optimal laser for lithotripsy of urinary tract stones when considering all parameters including effectiveness, safety, and costs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394282 | PMC |
| http://dx.doi.org/10.1016/j.ajur.2022.11.003 | DOI Listing |
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