Evidence map›Paper›PMID 42604890›Full record

ReviewCurrent urology reports2026

Smart Lithotripsy: Lasers, Energy Sources and Efficiency.

Gantapong Sainont, Michael Uy, Pankaj N Maheshwari, Hsiang Ying Lee, Daniele Castellani, Yasser A Noureldin, Brett A Johnson, Horacio Sanguinetti, Khurshid R Ghani, from the Office of Research FUTURE Collaborative of the Endourological Society

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Current urology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Gantapong SainontDepartment of Urology, University of Michigan, Ann Arbor, MI, USA. Gantapong.S@chula.ac.th.ORCID http://orcid.org/0009-0001-7905-4356
Michael UyDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Pankaj N MaheshwariChief of Urology, Fortis Hospital Mulund, Mumbai, India.
Hsiang Ying LeeDepartment of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Daniele CastellaniDepartment of Medicine and Surgery, LUM University, Casamassima, Bari, Italy.
Yasser A NoureldinUrology Department, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Brett A JohnsonDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Horacio SanguinettiUrology Department, Hospital de Clínicas, Buenos Aires, Argentina.
Khurshid R GhaniDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
from the Office of Research FUTURE Collaborative of the Endourological Society

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo examine the evidence on contemporary lasers and provide a practical framework for platform selection, parameter optimization, and thermal safety based on the principles of smart lithotripsy. RECENT

findingsHolmium: yttrium-aluminum-garnet (Ho:YAG) remains versatile for fragmentation and dusting, whereas thulium fiber laser (TFL) provides efficient fine-particle dusting with limited retropulsion. Pulsed thulium: YAG (p-Tm:YAG) shows an intermediate profile between Ho:YAG and TFL, but clinical evidence on lithotripsy outcomes is limited. Higher power settings with Ho:YAG may accelerate ablation, but have to be used carefully with high flow rates and access sheaths. For TFL, high-power settings have not been shown to shorten operative time or improve stone-free outcomes and may increase thermal risk. Future systems may incorporate stone recognition, composition prediction, and tissue protection. There is no ideal laser for every clinical scenario. Urologists should match the platform, settings, and treatment strategy to the intended endpoint, whether fragmentation with active extraction or dusting with passive clearance.

Indexed as

Lasers, Solid-StateLithotripsyLithotripsy, LaserHumansThuliumThuliumHolmium:YAG laserLaser lithotripsyPulsed Thulium:YAG laserSmart lithotripsyThulium fiber laserUreteroscopy

Identifiers

PMID42604890
PMCPMC13478032

What OpenQuestion holds

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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.