Evidence map›Paper›PMID 40350451›Full record

ReviewEuropean journal of medical research2025

Expanding urolithiasis treatment: comparison of super pulsed thulium laser and holmium:YAG laser for ureteral stone management.

Qinghua Gan, Jun Li, Gaoqiang Zhai, Bangfeng Liu, Yan Qin, Shuting Tan, Wei Wang, Qinsong Zeng

Abstract readComparative StudyReview
In one paragraph

Review in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Qinghua Gan *Department of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Jun Li *Department of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Gaoqiang ZhaiDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Bangfeng LiuDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Yan QinDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Shuting TanDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China.
Wei WangDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China. wangwei_gxmu@163.com.
Qinsong ZengDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-Sen University, No.3 Fozi Ling Road, Qingxiu District, Nanning, 530022, Guangxi, China. zengqs3@mail.sysu.edu.cn.

Funding

Central-led Local Science and Technology Development Fund Guike ZY24212064Guangxi Key Research and Development Program No. Guike AB23075188
6 · The paper itself

Abstract

objectivesThe purpose of this review is to compare the effectiveness of SuperPulsed thulium fiber laser (SP TFL) and holmium:yttrium-aluminum-garnet (Ho:YAG) laser in lithotripsy, with the aim of evaluating the differences between the two in key indicators, such as lithotripsy efficiency and safety, and providing reference for clinical selection of better lithotripsy methods.

methodsBy searching multiple authoritative medical databases (PubMed, Embase, and Web of Science databases) and including the results of relevant clinical studies and laboratory studies, the indexes involving SP TFL and Ho:YAG lasers in the included literature were analyzed.

resultsWe found a total of 24 relevant pieces of literature. The laser parameters, such as ablation efficiency, ablation speed, operative time, dust quality, retropulsion, visibility, temperature safety, and stone-free rate, were compared between laboratory studies and clinical outcomes. Preclinical studies have shown that SP TFL has a higher rate of stone ablation, a weaker retropulsion and a lower risk of fiber breakage. The results of clinical studies showed that the two methods were comparable in the ablation rate, laser time and operative time, stone-free rate and complication. SP TFL offered better endoscopic view quality and less retropulsion.

conclusionsWhile the Ho:YAG laser remains the primary choice for endoscopic laser lithotripsy, the emergence of SP TFL offers a promising new option for the minimally invasive treatment of urinary calculi. Parameter range, retropulsion effect, laser fiber adaptability, and overall system performance demand comprehensive attention. SP TFL has a relatively short clinical application history, and further research is necessary to fully explore its long-term advantages, clinical significance, and possible limitations.

Indexed as

Lasers, Solid-StateLithotripsy, LaserThuliumUreteral CalculiUrolithiasisHumansTreatment OutcomeThuliumHolmium:yttrium–aluminum–garnetLithotripsySuperpulse thulium laserUreteral stones

Identifiers

PMID40350451
PMCPMC12067686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.