ReviewJournal of clinical medicine2021
Managing Urolithiasis with Thulium Fiber Laser: Updated Real-Life Results-A Systematic Review.
Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 3 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.
TFL vs Ho:YAG - A Prospective Study to Compare the Effectiveness of Thulium Fiber Laser and Holmium YAG Laser for Ureteroscopic Lithotripsy
Prospective Clinical Trial To Evaluate The Thulium Fiber Laser For The Ureteroscopic Treatment Of Nephrolithiasis
Who cites it
28 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
- Comparison of Thulium Fiber Laser versus Holmium laser in ureteroscopic lithotripsy: a Meta-analysis and systematic review.BMC urology · 2024Pooled it
- International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.BJU international · 2023Guideline
- Optimization of Thulium Fiber Laser Lithotripsy Efficacy Based on Multidimensional Parameter Combination Strategies.European urology open science · 2026Article
- Power is not performance: Analysis of laser-use metrics from a randomised clinical trial comparing low- and high-power ureteroscopic lithotripsy.BJUI compass · 2026Article
- Vacuum-Assisted Mini-PCNL is Associated with Lower Postoperative SIRS: A Real-World Cohort Study.Research and reports in urology · 2026Article
- Endoscopic thulium-fiber laser deroofing and dual stenting for adult duplex ureterocele with preserved upper renal moiety: a case report.Annals of medicine and surgery (2012) · 2025Article
- Management of a giant bladder stone in a 14-years-old female with SuperPulsed thulium fiber laser.Urology case reports · 2025Article
- Safety and Efficacy of Thulium Fiber Laser Versus Pneumatic Lithotripsy in Ureteric Stones During Semirigid Ureteroscopy.Urology research & practice · 2025Article
- Temperature variations with Ho: YAG and thulium fiber lasers, including advanced fragmentation pulse (AFP) technology: an experimental analysis.World journal of urology · 2025Article
- Kidney stone disease Practice patterns among urologists in Canada.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Optimal stone density for ablation lithotripsy with vapor tunnel Ho:YAG pulse modality.International urology and nephrology · 2025Article
- 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
- Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report.SAGE open medical case reports · 2024Article
- Thulium:YAG laser: a good compromise between holmium:YAG and thulium fiber laser for endoscopic lithotripsy? A narrative review.World journal of urology · 2023Review
- Application of tip-bendable ureteral access sheath in flexible ureteroscopic lithotripsy: an initial experience of 224 cases.BMC urology · 2023Article
- New Technologies in Endourology and Laser Lithotripsy: The Need for Evidence in Comprehensive Clinical Settings.Journal of clinical medicine · 2023Article
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Thirty-three years ago, pulsed lasers marked the beginning of a new era in endoscopic lithotripsy, and the one that was highlighted because of its potential was the Holmium: YAG laser, which became and still is the gold standard in endourology. Recently, a new laser technology has been accepted for clinical use in lithotripsy: the thulium fiber laser (TFL), showing appealing characteristics not seen before in several preclinical studies. A review of the literature was performed and all relevant in vitro studies and clinical trials until April 2021 were selected. The search came back with 27 clinical experiences (7 full-text clinical trials and 20 peer-reviewed abstracts) and 33 laboratory studies (18 full-text articles and 15 peer-reviewed abstracts). The clinical experiences confirmed the clinical safety of using the wide parameter range of the TFL. This technology demonstrated the performance at a higher ablation speed, the higher ablation efficiency, and the better dust quality of the TFL, as well as reduced stone retropulsion, thus helping to maintain an optimal visibility. No thermal or radiation damage was found. Given the current evidence, we may be facing the future gold standard laser in endoscopic lithotripsy.
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.