ArticleWorld journal of urology2020
Thulium-fiber laser for lithotripsy: first clinical experience in percutaneous nephrolithotomy.
Article 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 trial NCT04556201 (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), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.
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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
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Stone dust in endourology: a systematic review of its definition, management, and clinical impact.BJU international · 2025Pooled it
- Advances in lasers for the minimally invasive treatment of upper and lower urinary tract conditions: a systematic review.World journal of urology · 2023Pooled it
- Outcomes of thulium fibre laser for treatment of urinary tract stones: results of a systematic review.Current opinion in urology · 2021Pooled it
- 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
- Pulsed solid-state thulium: YAG laser compared to holmium: YAG laser during mini-PCNL.The Canadian journal of urology · 2026Article
- Comparative analysis of thulium fiber and holmium: YAG lasers on retropulsion and stone migration in ureteroscopic lithotripsy: real-world data.Lasers in medical science · 2025Article
- Article
- Prospective evaluation of efficacy, safety, cumulative laser energy, and stone-free rates in the post-market SOLTIVEUrolithiasis · 2025Article
- Evaluating the learning curve for flexible ureteroscopic thulium fiber laser lithotripsy using CUSUM analysis.International journal of surgery (London, England) · 2025Article
- International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy.Military Medical Research · 2024Article
- Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases.Urolithiasis · 2024Article
- The global, prevalence, and risk factors of postoperative fever after percutaneous nephrolithotomy: A systematic review and meta-analysis.Asian journal of urology · 2024Review
- Navigating urolithiasis treatment: assessing the practicality and performance of thulium fiber laser, holmium YAG, and thulium YAG in real-world scenarios.World journal of urology · 2023Review
- A multicentric non-randomized prospective observational study on the clinical efficiency of thulium fibre laser in large volume stones (> 1000 mmWorld journal of urology · 2023Observational
- Thulium fiber laser lithotripsy: Is it living up to the hype?Asian journal of urology · 2023Review
- First Clinical Experience of a Novel Pulsed Solid-State Thulium:YAG Laser during Percutaneous Nephrolithotomy.Journal of clinical medicine · 2023Article
- Dissipative Soliton Mode-Locked Erbium-Doped Fiber Laser Using NbNanomaterials (Basel, Switzerland) · 2023Article
- Understanding the ablation rate of Holmium:YAG and thulium fiber lasers. Perspectives from an in vitro study.Urolithiasis · 2023Article
- Cystine Stones: Developments in Minimally Invasive Surgery and Their Impact on Morbidity and Stone Clearance.Research and reports in urology · 2023Review
- Laser Efficiency and Laser Safety: Holmium YAG vs. Thulium Fiber Laser.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the efficacy and safety of thulium-fiber laser (TFL) in laser lithotripsy during percutaneous nephrolithotomy (PCNL).
methodsPatients with stones < 30 mm were prospectively recruited to undergo PCNL using TFL "FiberLase" (NTO IRE-Polus, Russia). Stone size, stone density, operative time, and "laser on" time (LOT) were recorded. Study included only cases managed with fragmentation. Stone-free rate and residual fragments were determined on postoperative computer tomography. Complications were classified using the Clavien-Dindo grade. Stone retropulsion and endoscopic visibility were assessed based on surgeons' feedback using a questionnaire.
resultsA total of 120 patients were included in the study with a mean age of 52 (± 1.8) years; of these 77 (56%) were males. Mean stone size was 12.5 (± 8.8) mm with a mean density of 1019 (± 375) HU. Mean operative time was 23.4 (± 17.9) min and mean LOT was 5.0 (± 5.7) min. Most used settings were of 0.8 J/25-30 W/31-38 Hz (fragmentation). The mean total energy for stone ablation was 3.6 (± 4.3) kJ. Overall stone-free rate was 85%. The overall complication rate was 17%. Surgeons reported stone retropulsion that interfered with surgery in 2 (1.7%) cases insignificant retropulsion was noted in 16 (10.8%) cases. Poor visualization was reported in three (2.5%) cases and minor difficulties with visibility in four (3.3%) cases.
conclusionsTFL is a safe and effective modality for lithotripsy during PCNL and results in minimal retropulsion.
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Registered trials
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