ReviewWorld journal of urology2020
Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser.
Review in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 171 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective, Multicenter, Post-Market Clinical Registry to Collect Real-World Evidence on the Clinical Performance of the SOLTIVE™ Laser for Treatment of Kidney or Ureteral Stones
TFL vs Ho:YAG - A Prospective Study to Compare the Effectiveness of Thulium Fiber Laser and Holmium YAG Laser for Ureteroscopic Lithotripsy
An Application of Super-pulsed TFL vs Ho:YAG Laser in Retrograde Intrarenal Surgery for Upper Ureter and Renal Stones: A Multi-center Prospective Randomized Controlled Trial
Holmium:YAG Laser With MOSES Technology vs Thulium Fiber Laser in Supine Mini-percutaneous Nephrolithotomy With Vacuum-assisted Renal Access Sheath: A Prospective, Randomized Clinical Trial
Fragmentation Vs Dusting Using TFL With FANS for Renal Stones Less Than 2cm
Who cites it
171 citing papers in PubMed, 8 syntheses or guidelines pooled it, 358 citations in OpenAlex.
- Thulium laser (1927 nm) for dermatological conditions: a systematic review.Lasers in medical science · 2025Pooled it
- Stone dust in endourology: a systematic review of its definition, management, and clinical impact.BJU international · 2025Pooled it
- Impact of ureteroscopy on renal function in solitary kidneys: a systematic review.World journal of urology · 2025Pooled it
- Efficacy and safety of thulium fiber laser versus holmium: yttrium-aluminum-garnet laser in lithotripsy for urolithiasis: a systematic review and meta-analysis.Urolithiasis · 2025Pooled it
- Comparison of Thulium Fiber Laser versus Holmium laser in ureteroscopic lithotripsy: a Meta-analysis and systematic review.BMC urology · 2024Pooled it
- What to expect from the novel pulsed thulium:YAG laser? A systematic review of endourological applications.World journal of urology · 2023Pooled it
- International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.BJU international · 2023Guideline
- Outcomes of thulium fibre laser for treatment of urinary tract stones: results of a systematic review.Current opinion in urology · 2021Pooled it
- Comparison of retrograde ıntrarenal surgery performed with thulium fiber laser lithotripsy and percutaneous nephrolithotomy in the treatment of 20-30 mm kidney stones in adults: a randomized prospective study.International urology and nephrology · 2026Trial
- High-power Ho:YAG lithotripsy increases subclinical renal stress: a prospective randomized KIM-1 study.Urolithiasis · 2025Trial
- Soft Tissue Safety Assessment of Pulsed Solid-State Thulium:YAG Versus Holmium:YAG Lasers: A Quantitative Porcine Model Simulation.Lasers in surgery and medicine · 2026Article
- Pulsed Thulium:Yag, Thulium Fiber, and Holmium:Yag Lasers in Mini-PCNL: A Three-Arm Comparative Cohort Study.Journal of clinical medicine · 2026Article
- Surgical management of urolithiasis in france from 2016 to 2022: epidemiological data from the national PMSI database.World journal of urology · 2026Article
- Smart Lithotripsy: Lasers, Energy Sources and Efficiency.Current urology reports · 2026Review
- Pre-clinical evaluation of a laser system with emission control based on stone vs soft tissue recognition.BJU international · 2026Article
- Optimization of Thulium Fiber Laser Lithotripsy Efficacy Based on Multidimensional Parameter Combination Strategies.European urology open science · 2026Article
- Clinical outcomes of thulium fiber laser versus holmium:YAG laser during pediatric retrograde ıntrarenal surgery: a multicenter cohort study.International urology and nephrology · 2026Article
- Adoption of thulium fiber laser for lithotripsy A scoping review and bibliometric analysis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Review
- The Changing Landscape of Urological Surgery: 10-Year Trends in Benign Prostatic Hyperplasia and Upper Urinary Tract Stone Management in the San-in Region, Japan.Yonago acta medica · 2026Article
- Pulsed solid-state thulium: YAG laser compared to holmium: YAG laser during mini-PCNL.The Canadian journal of urology · 2026Article
111 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the operating modes of the Holmium:YAG laser and Thulium fiber laser. Additionally, currently available literature on Thulium fiber laser lithotripsy is reviewed. MATERIALS AND
methodsMedline, Scopus, Embase, and Web of Science databases were searched for articles relating to the operating modes of Holmium:YAG and Thulium fiber lasers, including systematic review of articles on Thulium fiber laser lithotripsy.
resultsThe laser beam emerging from the Holmium:YAG laser involves fundamental architectural design constraints compared to the Thulium fiber laser. These differences translate into multiple potential advantages in favor of the Thulium fiber laser: four-fold higher absorption coefficient in water, smaller operating laser fibers (50-150 µm core diameter), lower energy per pulse (as low as 0.025 J), and higher maximal pulse repetition rate (up to 2000 Hz). Multiple comparative in vitro studies suggest a 1.5-4 times faster stone ablation rate in favor of the Thulium fiber laser.
conclusionsThe Thulium fiber laser overcomes the main limitations reported with the Holmium:YAG laser relating to lithotripsy, based on preliminary in vitro studies. This innovative laser technology seems particularly advantageous for ureteroscopy and may become an important milestone for kidney stone treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.