2022 Recommendations of the AFU Lithiasis Committee: Laser  - utilization and settings

Prog Urol. 2023 Nov;33(14):825-842. doi: 10.1016/j.purol.2023.08.008.ABSTRACTEndocorporeal lithotripsy has progressed thanks to the development of lasers. Two laser sources are currently available: Holmium:YAG (Ho:YAG) and more recently Thulium Fiber Laser (TFL). The settings generally used are dusting, fragmentation, and "pop-corning". These are the first recommendations on laser use for stone management and their settings. Settings must be modulated and can be changed during the treatment according to the expected and obtained effects, the location and stone type that is treated. METHODOLOGY: These recommendations have been developed using two methods: the Clinical Practice Recommendation (CPR) method and the ADAPTE method, depending on whether or not the question was considered in the European Association of Urology (EAU) recommendations (https://uroweb.org/guidelines/urolithiasis [EAU Guidelines on urolithiasis. 2022]) and their adaptability to the French context.PMID:37918982 | DOI:10.1016/j.purol.2023.08.008

Source: Progres en Urologie - November 2, 2023 Category: Urology & Nephrology Authors: F Panthier N Abid A Hoznek O Traxer P Meria C Almeras lithiasis committee of the French Association of Urology (CLAFU) Source Type: research