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Published on: September 28, 2022
Emerging Laser Techniques for the Management of Stones
Ali H Aldoukhi1, Kristian M Black1, Khurshid R Ghani2
1Department of Urology, University of Michigan, Medical Sciences Unit I, 1301 Catherine Street, Room 4432, Ann Arbor, MI 48109, USA.
Abstract:
Next-generation holmium laser systems provide the user with a range of parameters that can help optimize fragmentation efficiency. Ureteroscopic strategies broadly consist of fragmentation with active retrieval, or dusting, which uses low pulse energy settings to break stones into fine fragments for spontaneous passage. Techniques for dusting include dancing, chipping, and popcorning. The Moses technology is a multipulse mode that may help reduce retropulsion and increase fragmentation. The thulium fiber laser is an emerging laser technology that provides an extensive parameter range for dusting. Future studies are needed to define the role of these technologies and techniques for laser lithotripsy.
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