Evidence map›Paper›PMID 40249411›Full record

ArticleWorld journal of urology2025

With great power comes great risk: High ureteral stricture rate after high-power, high-frequency Thulium fiber laser lithotripsy in ureteroscopy.

Riccardo Villani, Thibaut Dominique Liernur, Olivier Laurent Windisch, Massimo Valerio, Fabian Thierry Schoofs, Jia-Lun Kwok, Alba Sierra, Daniel Eberli, Christophe Iselin, Olivier Traxer and 1 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pediatric Endourology Advances.Current urology reports · 2026
    Review
  4. Article
  5. Article
  6. Article
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  8. The future of endourology is now.World journal of urology · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Riccardo VillaniDepartment of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Thibaut Dominique LiernurDepartment of Surgery, Service of Urology, University Hospital Geneva, University of Geneva, Geneva, Switzerland.
Olivier Laurent WindischDepartment of Surgery, Service of Urology, University Hospital Geneva, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-8963-5445
Massimo ValerioDepartment of Surgery, Service of Urology, University Hospital Geneva, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-1059-2340
Fabian Thierry SchoofsDepartment of Surgery, Service of Urology, University Hospital Geneva, University of Geneva, Geneva, Switzerland.
Jia-Lun KwokDepartment of Urology, Tan Tock Seng Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9758-6225
Alba SierraProgressive Endourological Association for Research and Leading Solutions (PEARLS), Paris, France.ORCID http://orcid.org/0000-0003-3016-7963
Daniel EberliDepartment of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-8866-8010
Christophe IselinDepartment of Surgery, Service of Urology, University Hospital Geneva, University of Geneva, Geneva, Switzerland.
Olivier TraxerProgressive Endourological Association for Research and Leading Solutions (PEARLS), Paris, France.ORCID http://orcid.org/0000-0002-2459-3803
Etienne Xavier KellerDepartment of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. etiennexavier.keller@usz.ch.ORCID http://orcid.org/0000-0003-1667-7609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the safety and efficacy of Thulium Fiber Laser (TFL) using either manufacturer presets (MP) or individualized presets (IP) in ureteroscopy.

methodsMulti-institutional, retrospective analysis on the first patients treated with SOLTIVE

resultsA total of 158 patients were analyzed, 79 in each group. Demographics were similar between the two groups, except for a lower pre-stenting rate in the MP group (56% vs. 91%; p < 0.001) and a higher rate of ureteral access sheath use in the MP group (65% vs. 44%; p = 0.011). No significant differences in stone burden (median stone diameter 9 mm, median stone volume 267 mm

conclusionHigh-power, high-frequency laser settings from manufacturer laser presets increase the risk of US, without improving SFR. Future studies shall further evaluate optimal laser settings depending on patient characteristics and intraoperative situation.

Indexed as

Lasers, Solid-StateLithotripsy, LaserPostoperative ComplicationsThuliumUreteral CalculiUreteral ObstructionUreteroscopyAdultAgedConstriction, PathologicFemaleHumansMaleMiddle AgedRetrospective StudiesThuliumLaser presetsLithotripsyPowerThulium fiber laserUreteral strictureUreteroscopy

Identifiers

PMID40249411
PMCPMC12008075

What OpenQuestion holds

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Registered trials

None linked

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.