Evidence map›Paper›PMID 41351772›Full record

ArticleWorld journal of urology2025

Comparative study of laser technologies in endoscopic enucleation of the prostate: noise impact and surgical implications.

Richard Mallet, Jessica Heringer, Mario Flores-Violante, Michael Baboudjian, Steeve Doizi

Abstract readComparative Study
PubMed Publisher
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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Richard MalletDepartment of Urology, Hôpital Privé Francheville, Périgueux, France. richard.mallet1@gmail.com.
Jessica HeringerColoplast interventional Urology, Medical-department, Le Plessis-robinson, France.
Mario Flores-ViolanteAlispharm, Lyon, France.
Michael BaboudjianDepartment of Urology, Marseille public university hospital, North Hospital, Marseille, France.
Steeve DoiziDepartment of urology, Tenon Hospital, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo objectively assess and compare intraoperative noise levels generated by four different laser technologies used in endoscopic enucleation of the prostate (EEP) and evaluate their perceived impact on the operating room (OR) staff.

methodsIn this prospective study, 20 laser (EEP) procedures were indifferently assigned to four laser systems according to their availability in the OR: Holmium: YAG (Ho: YAG), Holmium Moses, Pulsed Thulium: YAG, and Thulium Fiber Laser (TFL). Noise levels were recorded using a calibrated sound level meter at six intraoperative time points, from standby to 20 min into the procedure. OR staff independently rated noise perception and related discomfort on validated Likert scales.

resultsTFL consistently produced the lowest noise levels throughout the procedure (61.1 ± 1.4 dBA at 10 min) compared to Ho: YAG (67.7 ± 3.7 dBA), Holmium Moses (65.2 ± 1.1 dBA), and Pulsed Thulium: YAG (64.3 ± 1.6 dBA) (p < 0.05). Corrected for background noise, TFL was up to 6.5 times quieter than Ho: YAG after 20 min. OR staff perceived significantly lower auditory disturbance with TFL, while nurses reported greater noise-related fatigue and communication difficulties than surgeons overall.

conclusionAlthough none of the laser systems exceeded occupational noise safety thresholds (85 dBA), differences in intraoperative sound levels were clinically meaningful. TFL technology was associated with significantly reduced noise exposure and perceived OR disruption, supporting its value in improving surgical working conditions.

Indexed as

EndoscopyLasers, Solid-StateLaser TherapyNoiseProstatectomyProstatic HyperplasiaHumansMaleOperating RoomsProspective StudiesThuliumThuliumEndoscopic enucleation of the prostateHolmium laserLaser technologieNoise exposureOperating room environmentThulium fiber laserThulium YAG laser

Identifiers

PMID41351772

What OpenQuestion holds

Textmetadata
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.