Application status of holmium and thulium fiber laser for urological calculi

Holmium:YAG(Ho:YAG) is still recognized as the gold standard for lithotripsy due to its advantages of high efficiency, safety, wide indications and high compatibility with minimally invasive techniques. However, it still faces challenges such as calculi retropulsion and heat generation risk in clini...

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Main Authors: Shu-Ping Hou, Yu-Guo Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Physics
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Online Access:https://www.frontiersin.org/articles/10.3389/fphy.2025.1590456/full
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author Shu-Ping Hou
Yu-Guo Wang
author_facet Shu-Ping Hou
Yu-Guo Wang
author_sort Shu-Ping Hou
collection DOAJ
description Holmium:YAG(Ho:YAG) is still recognized as the gold standard for lithotripsy due to its advantages of high efficiency, safety, wide indications and high compatibility with minimally invasive techniques. However, it still faces challenges such as calculi retropulsion and heat generation risk in clinical applications. With its unique structure and physical properties, thulium fiber laser (TFL) boasts advantages such as higher performance efficiency, superior stability, and an increased energy conversion rate. These features endow TFL with broad application prospects in the treatment for urological calculi, and it is anticipated to become for calculi fragmentation in the future. This article will analyze the performance characteristics of Ho:YAG and TFL, and explore their characteristics and advantages in urolithiasis surgery, in order to provide guidance and inspiration for clinical practice.
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institution Kabale University
issn 2296-424X
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publishDate 2025-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physics
spelling doaj-art-45e14be2eb2c4c13b3dcf3c9cbf6ff822025-08-20T03:25:50ZengFrontiers Media S.A.Frontiers in Physics2296-424X2025-06-011310.3389/fphy.2025.15904561590456Application status of holmium and thulium fiber laser for urological calculiShu-Ping HouYu-Guo WangHolmium:YAG(Ho:YAG) is still recognized as the gold standard for lithotripsy due to its advantages of high efficiency, safety, wide indications and high compatibility with minimally invasive techniques. However, it still faces challenges such as calculi retropulsion and heat generation risk in clinical applications. With its unique structure and physical properties, thulium fiber laser (TFL) boasts advantages such as higher performance efficiency, superior stability, and an increased energy conversion rate. These features endow TFL with broad application prospects in the treatment for urological calculi, and it is anticipated to become for calculi fragmentation in the future. This article will analyze the performance characteristics of Ho:YAG and TFL, and explore their characteristics and advantages in urolithiasis surgery, in order to provide guidance and inspiration for clinical practice.https://www.frontiersin.org/articles/10.3389/fphy.2025.1590456/fullurological calculilaser lithotripsyholmium:YAGthulium fiber lasermechanism of laser lithotripsy
spellingShingle Shu-Ping Hou
Yu-Guo Wang
Application status of holmium and thulium fiber laser for urological calculi
Frontiers in Physics
urological calculi
laser lithotripsy
holmium:YAG
thulium fiber laser
mechanism of laser lithotripsy
title Application status of holmium and thulium fiber laser for urological calculi
title_full Application status of holmium and thulium fiber laser for urological calculi
title_fullStr Application status of holmium and thulium fiber laser for urological calculi
title_full_unstemmed Application status of holmium and thulium fiber laser for urological calculi
title_short Application status of holmium and thulium fiber laser for urological calculi
title_sort application status of holmium and thulium fiber laser for urological calculi
topic urological calculi
laser lithotripsy
holmium:YAG
thulium fiber laser
mechanism of laser lithotripsy
url https://www.frontiersin.org/articles/10.3389/fphy.2025.1590456/full
work_keys_str_mv AT shupinghou applicationstatusofholmiumandthuliumfiberlaserforurologicalcalculi
AT yuguowang applicationstatusofholmiumandthuliumfiberlaserforurologicalcalculi