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01-12-2024 | Laser | Topic Paper

Ho:YAG laser and dusting—high power vs low power: there is no difference

Author: Sara L. Best

Published in: World Journal of Urology | Issue 1/2024

Abstract

The introduction of the Ho:YAG laser 3 decades ago revolutionized the endoscopic treatment of urolithiasis. Since then, a variety of innovations have continued to evolve these devices, including the development of high-power lasers capable of high-frequency lithotripsy. The clinical utility of high-frequency lithotripsy, however, has not necessarily lived up to the potential suggested by in vitro studies. A review of the relevant literature, confirming strong similarities between the outcomes associated with high and lower power laser lithotripsy, follows.

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Aldoukhi AH et al (2018) Understanding the popcorn effect during holmium laser lithotripsy for dusting. Urology 122:52–57CrossRefPubMed

Sea J et al (2012) Optimal power settings for Holmium:YAG lithotripsy. J Urol 187(3):914–919CrossRefPubMed

Li R et al (2017) High-frequency dusting versus conventional holmium laser lithotripsy for intrarenal and ureteral calculi. J Endourol 31(3):272–277CrossRefPubMed

Ventimiglia E et al (2021) High- and low-power laser lithotripsy achieves similar results: a systematic review and meta-analysis of available clinical series. J Endourol 35(8):1146–1152CrossRefPubMed

Shrestha A et al (2022) Comparison of low power and high power holmium YAG laser settings in flexible ureteroscopy. World J Urol 40(7):1839–1844MathSciNetCrossRefPubMed

Sierra A et al (2022) Thermal injury and laser efficiency with holmium YAG and thulium fiber laser-an in vitro study. J Endourol 36(12):1599–1606CrossRefPubMed

Hein S et al (2020) Thermal effects of Ho:YAG laser lithotripsy during retrograde intrarenal surgery and percutaneous nephrolithotomy in an ex vivo porcine kidney model. World J Urol 38(3):753–760CrossRefPubMed

Aldoukhi AH et al (2020) Defining thermally safe laser lithotripsy power and irrigation parameters. In Vitro Model J Endourol 34(1):76–81CrossRefPubMed

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Dauw CA et al (2015) Contemporary practice patterns of flexible ureteroscopy for treating renal stones: results of a worldwide survey. J Endourol 29(11):1221–1230CrossRefPubMed

Title: Ho:YAG laser and dusting—high power vs low power: there is no difference
Author: Sara L. Best
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Laser
Urolithiasis
Published in: World Journal of Urology / Issue 1/2024
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-024-04788-7

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Ho:YAG laser and dusting—high power vs low power: there is no difference

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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