MP35-09 SUPERPULSED THULIUM LASER&[TRADE] FIBER VERSUS HIGH-POWER HOLMIUM:YAG LASER IN URETEROSCOPIC LASER LITHOTRIPSY: A CASE-CONTROL STUDY

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP35-09 SUPERPULSED THULIUM LASER&[TRADE] FIBER VERSUS HIGH-POWER HOLMIUM:YAG LASER IN URETEROSCOPIC LASER LITHOTRIPSY: A CASE-CONTROL STUDY Willian Ito, Nicholas Choi, George Letner, Dillon Prokop, Nicholas Genz, Bristol Whiles, Crystal Valadon, Md Islam, Mihaela Sardiu, Donald Neff, David Duchene, and Wilson Molina Willian ItoWillian Ito More articles by this author , Nicholas ChoiNicholas Choi More articles by this author , George LetnerGeorge Letner More articles by this author , Dillon ProkopDillon Prokop More articles by this author , Nicholas GenzNicholas Genz More articles by this author , Bristol WhilesBristol Whiles More articles by this author , Crystal ValadonCrystal Valadon More articles by this author , Md IslamMd Islam More articles by this author , Mihaela SardiuMihaela Sardiu More articles by this author , Donald NeffDonald Neff More articles by this author , David DucheneDavid Duchene More articles by this author , and Wilson MolinaWilson Molina More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003269.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Currently, a limited number of studies have compared high-power laser platforms for ureteroscopic lithotripsy (URS-L). We aimed to examine the outcomes of the SuperPulsed Thulium Fiber™ (SPTF) vs. the high-power holmium:YAG (HoYAG) laser for URS-L. METHODS: We conducted a retrospective chart review from 01/2019-12/2021 of patients undergoing elective URS-L for nephrolithiasis with HoYAG (Lumenis Pulse P120H™, 120W, Boston Sci®) or SPTF (Soltive™, 60W, Olympus®) laser modalities, regardless of stone size, location, or scope type. Exclusion criteria included patients with any urinary diversion, patients who did not undergo follow-up imaging or complete a 12-week post-procedural visit. Stone free status (SFS) was defined as the absence of stone fragments ≥2 mm on follow up imaging (ultrasound or CT scan). RESULTS: Of the initial 508 patients, 336 met inclusion criteria. Table 1 displays basic characteristics, with no significant difference between HoYAG and SPTF groups. Dusting technique was utilized more often in the SPTF group (18.5% vs. 6.2%, p=.039). Overall, SFS for HoYAG and SPTF were 85.9% vs. 85.3% (OR 1.07, CI 95% 0.56–2.06, p=0.82), respectively. In the stone location subgroup analysis, SFS results were comparable (Table 2). In our model, only BMI (OR 0.94, p=.002) and stone size (OR 0.94, p<.001) were correlated with SFS. When controlling for patients’ BMI, stone size, density, location, and use of ureteral access sheath, we found an adjusted OR 1.01 (CI 95% 0.46–2.23), with no statistical difference between laser modalities (p=0.96). CONCLUSIONS: Overall, there is no significant difference in SFS between HoYAG and SPTF groups, along with similar ablation efficiency and complication rates. Although ablation speed was significantly higher in the SPTF, total operative time was comparable. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e472 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Willian Ito More articles by this author Nicholas Choi More articles by this author George Letner More articles by this author Dillon Prokop More articles by this author Nicholas Genz More articles by this author Bristol Whiles More articles by this author Crystal Valadon More articles by this author Md Islam More articles by this author Mihaela Sardiu More articles by this author Donald Neff More articles by this author David Duchene More articles by this author Wilson Molina More articles by this author Expand All Advertisement PDF downloadLoading ...