1586:
172:(Ho:YAG) laser for the treatment of kidney stones. The TFL has several potential advantages compared to Ho:YAG laser for lithotripsy, including a four times lower ablation threshold, a near single-mode beam profile, and higher pulse rates, resulting in up to four times as fast ablation rates and faster procedural times.
101:
was invented at the
Wellman Center for Photo medicine at Massachusetts General Hospital in the 1980s to remove impacted urinary stones. Optical fibers carry light pulses that pulverize the stone. Candela licensed the technology and released the first commercial laser lithotripsy system. Initially
487:, using a Thulium fiber laser at pulse rates up to 500 Hz with a stone basket". In Choi, Bernard; Kollias, Nikiforos; Zeng, Haishan; Kang, Hyun Wook; Wong, Brian J. F.; Ilgner, Justus F.; Tearney, Guillermo J.; Gregory, Kenton W.; Marcu, Laura; Mandelis, Andreas; Morris, Michael D. (eds.).
153:
Shock Wave lithotripsy (ESWL), finding both to be safe and effective. ESWL may be safer for small stones (<10 mm), but less effective for 10–20 mm stones. A 2013 meta-analysis found LL can treat larger stones (> 2 cm) with good stone-free and complication rates.
122:, renoscope or nephroscope. An optical fiber is inserted through the working channel of the scope, and laser light is directly emitted to the stone. The stone is fragmented and the remaining pieces are collected in a "basket" and/or washed out of the
265:
Kumar A, Vasudeva P, Nanda B, Kumar N, Das MK, Jha SK (Nov 18, 2014). "A Prospective
Randomized Comparison Between Shock Wave Lithotripsy and Flexible Ureterorenoscopy for Lower Caliceal Stones ≤2 cm: A Single-Center Experience".
190:
and Nd:Yag lasers, with ablative and coagulation effects. Holmium laser use results in smaller fragments than 320 or 365 micron pulsed dye lasers or electrohydraulic and mechanical methods.
317:"Flexible Ureterorenoscopy versus Extracorporeal Shock Wave Lithotripsy for the treatment of upper/middle calyx kidney stones of 10-20 mm: a retrospective analysis of 174 patients"
741:
Wilson CR, Hutchens TC, Hardy LA, Irby PB, Fried NM (October 2015). "A Miniaturized, 1.9F Integrated
Optical Fiber and Stone Basket for Use in Thulium Fiber Laser Lithotripsy".
847:
Blackmon R.L., Hutchens T.C., Hardy L.A., Wilson C.R., Irby P.B., Fried N.M. (2015). "Thulium fiber laser ablation of kidney stones using a 50-μm-core silica optical fiber".
380:
Aboumarzouk OM, Monga M, Kata SG, Traxer O, Somani BK (Oct 2012). "Flexible ureteroscopy and laser lithotripsy for stones >2 cm: a systematic review and meta-analysis".
698:
Wilson CR, Hardy LA, Irby PB, Fried NM (July 2015). "Collateral damage to the ureter and
Nitinol stone baskets during thulium fiber laser lithotripsy".
890:
833:
645:
415:
366:
301:
186:
Ho:YAG lasers have wavelength of 2100 nm (infrared) and are used for medical procedures in urology and other areas. They have qualities of CO
431:"Management of impacted proximal ureteral stone: Extracorporeal shock wave lithotripsy versus ureteroscopy with holmium: YAG laser lithotripsy"
922:
29:
236:
583:
Grasso M, Bagley D, Sullivan K (October 1991). "Pulsed dye laser lithotripsy--currently applied to urologic and biliary calculi".
1546:
158:
150:
915:
661:"Holmium:YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy"
1285:
1243:
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1615:
1101:
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908:
138:
1511:
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183:
have been used with fiber diameters of 200–550 microns for lithotripsy of biliary and urinary stones.
900:
534:
497:
1136:
953:
314:
36:
548:
Grasso M, Bagley DH (Feb 1994). "Endoscopic pulsed-dye laser lithotripsy: 159 consecutive cases".
1610:
1221:
1178:
618:
Chun SS, Razvi HA, Denstedt JD (Winter 1995). "Laser prostatectomy with the holmium: YAG laser".
483:
Hardy, L.A; Wilson, C.R.; Irby, P.B.; Fried, N.M. (2014). "Rapid vaporization of kidney stones,
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8:
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169:
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Holmium laser lithotripsy had superior initial success and re-treatment rate compared to
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Cecen K, Karadag MA, Demir A, Bagcioglu M, Kocaaslan R, Sofikerim M (Sep 24, 2014).
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504 nm dye lasers were used, then holmium lasers were studied in the 1990s.
42:
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inserts a scope into the urinary tract to locate the stone. The scope may be a
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78:
74:
617:
1294:
778:"Thulium fiber laser lithotripsy in an in vitro ureter model"
1263:
168:(TFL) is being studied as a potential alternative to the
141:. It is widely available in most hospitals in the world.
740:
776:
Hardy L.A, Wilson C.R., Irby P.B., Fried N.M. (2014).
697:
582:
482:
547:
658:
239:. Wellman Center for Photomedicine. Archived from
149:Laser lithotripsy (LL) has been evaluated against
1602:
223:"Laser Lithotripsy | Winchester Hospital"
1279:
916:
193:Thulium fiber lasers are being investigated.
889:: CS1 maint: multiple names: authors list (
832:: CS1 maint: multiple names: authors list (
644:: CS1 maint: multiple names: authors list (
414:: CS1 maint: multiple names: authors list (
365:: CS1 maint: multiple names: authors list (
300:: CS1 maint: multiple names: authors list (
126:, along with the finer particulate "dust."
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332:
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1547:Multiple-prism grating laser oscillator
489:Photonic Therapeutics and Diagnostics X
1603:
473:
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904:
159:extracorporeal shock wave lithotripsy
260:
258:
931:Tests and procedures involving the
659:Teichman Joel M.H. (January 1998).
491:. Vol. 8926. pp. 89261H.
129:The procedure is done under either
13:
14:
1627:
255:
1585:
1584:
1244:Extracorporeal shockwave therapy
840:
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1456:Amplified spontaneous emission
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1:
677:10.1016/s0022-5347(01)63998-3
208:
144:
1102:Artificial urinary sphincter
961:Percutaneous nephrolithotomy
139:minimally-invasive procedure
105:
7:
1512:Chirped pulse amplification
1107:Urethral bulking injections
196:
10:
1632:
1316:List of laser applications
1293:
1194:Voiding cystourethrography
803:10.1117/1.jbo.19.12.128001
92:
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164:The experimental thulium
71:stones from urinary tract
49:
35:
23:
18:
1137:Urinary tract ultrasound
869:10.1117/1.oe.54.1.011004
585:J. Clin. Laser Med. Surg
448:10.4103/0974-7796.110004
161:(ESWL) in a 2013 trial.
1222:Urinary catheterization
1179:Radioisotope renography
334:10.1186/2193-1801-3-557
1306:List of laser articles
1189:Retrograde urethrogram
993:Kidney transplantation
597:10.1089/clm.1991.9.355
237:"Research Discoveries"
1059:Suprapubic cystostomy
755:10.1089/end.2015.0124
562:10.1089/end.1994.8.25
429:Khalil M (Apr 2013).
394:10.1089/end.2012.0217
280:10.1089/end.2013.0473
1481:Population inversion
1026:Ureterosigmoidostomy
137:and is considered a
1616:Urologic procedures
1532:Laser beam profiler
1451:Active laser medium
1391:Free-electron laser
1311:List of laser types
861:2015OptEn..54a1004B
794:2014JBO....19l8001H
1199:Urodynamic testing
1112:Cystourethrography
507:10.1117/12.2037263
135:general anesthesia
67:surgical procedure
1598:
1597:
1552:Optical amplifier
1401:Solid-state laser
1261:
1260:
1257:
1256:
1237:Laser lithotripsy
1092:Urethral sounding
1021:Urinary diversion
712:10.1002/lsm.22348
181:Pulsed dye lasers
63:Laser lithotripsy
60:
59:
19:Laser lithotripsy
1623:
1588:
1587:
1562:Optical isolator
1527:Injection seeder
1507:Beam homogenizer
1486:Ultrashort pulse
1476:Lasing threshold
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700:Lasers Surg. Med
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243:on 15 April 2013
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1330:Types of lasers
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1227:Kidney dialysis
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1174:Abdominal x-ray
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388:(10): 1257–63.
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1611:Laser medicine
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1567:Output coupler
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1557:Optical cavity
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1517:Gain-switching
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1364:Carbon dioxide
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1352:Liquid-crystal
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1337:Chemical laser
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933:urinary system
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788:(12): 128001.
782:J. Biomed. Opt
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151:Extracorporeal
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855:(1): 011004.
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706:(5): 403–10.
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626:(4): 217–21.
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1542:Mode locking
1495:Laser optics
1236:
1036:Ureteroscopy
1031:Ureterolysis
1016:Ureterostomy
983:Renal biopsy
954:percutaneous
885:cite journal
852:
848:
842:
828:cite journal
785:
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771:
746:
742:
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703:
699:
693:
671:(1): 17–23.
668:
664:
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640:cite journal
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591:(5): 355–9.
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441:(2): 88–92.
438:
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410:cite journal
385:
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361:cite journal
324:
321:SpringerPlus
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296:cite journal
271:
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245:. Retrieved
241:the original
231:
217:
203:Kidney stone
192:
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120:ureteroscope
109:
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62:
61:
1572:Q-switching
1433:X-ray laser
1426:Ti-sapphire
1396:Laser diode
1374:Helium–neon
1232:Lithotripsy
1184:Cystography
1147:Intravenous
1087:Urethrotomy
1082:Urethropexy
988:Nephrectomy
976:Nephroscopy
949:Nephrostomy
743:J. Endourol
556:(1): 25–7.
550:J. Endourol
382:J. Endourol
268:J. Endourol
170:holmium:YAG
166:fiber laser
99:lithotripsy
1605:Categories
1249:Urinalysis
1204:Cystometry
1169:CT urogram
1152:Retrograde
1064:Cystoscopy
1054:Cystectomy
998:Nephropexy
966:Nephrotomy
620:Tech. Urol
327:(1): 557.
209:References
145:Comparison
116:cystoscope
69:to remove
1537:M squared
1359:Gas laser
1342:Dye laser
1157:Antegrade
1142:Pyelogram
971:Endoscopy
877:120650738
533:ignored (
523:cite book
515:121794649
493:CiteSeerX
435:Urol. Ann
112:urologist
106:Procedure
1590:Category
1384:Nitrogen
849:Opt. Eng
820:12424266
812:25518001
763:26167738
728:35302695
720:25872759
605:10150133
467:23798864
402:22642568
353:25332859
288:25203489
247:30 April
197:See also
73:, i.e.,
25:ICD-9-CM
1369:Excimer
1129:Imaging
1121:General
1074:Urethra
1046:Bladder
857:Bibcode
790:Bibcode
685:9400428
665:J. Urol
632:9118394
570:8186779
485:ex vivo
458:3685752
344:4190185
93:History
87:urethra
83:bladder
43:D017602
1411:Nd:YAG
1406:Er:YAG
1347:Bubble
1295:Lasers
1008:Ureter
941:Kidney
875:
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513:
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286:
176:Lasers
97:Laser
79:ureter
75:kidney
1416:Raman
1215:Other
873:S2CID
816:S2CID
724:S2CID
511:S2CID
131:local
85:, or
65:is a
51:[
1421:Ruby
891:link
834:link
808:PMID
759:PMID
716:PMID
681:PMID
646:link
628:PMID
601:PMID
566:PMID
535:help
463:PMID
416:link
398:PMID
367:link
349:PMID
302:link
284:PMID
249:2011
37:MeSH
1379:Ion
1162:Gas
865:doi
798:doi
751:doi
708:doi
673:doi
669:159
593:doi
558:doi
503:doi
453:PMC
443:doi
390:doi
339:PMC
329:doi
276:doi
133:or
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