Holmium and Thulium Fiber Lasers: What You Need to Know.
Publication
, Journal Article
Pingle, S-R; Margolin, EJ; Antonelli, J; Lipkin, ME
Published in: Urol Clin North Am
August 2025
Laser technology has rapidly propelled surgical techniques in urinary tract calculus removal. The thulium fiber laser (TFL) is a relatively new tool that can be used for laser lithotripsy, as an alternative to the holmium: yttrium-aluminum-garnet (Ho:YAG) laser. TFL differs from Ho:YAG in several important ways including longer pulse width, lower peak power, and higher absorption in water. Surgically, this translates to less retropulsion, improved visibility, and improved stone dusting capability. The clinical literature to date supports comparable efficacy and safety between TFL and Ho:YAG. Each laser serves an important role in the treatment of urinary calculi.
Duke Scholars
Published In
Urol Clin North Am
DOI
EISSN
1558-318X
Publication Date
August 2025
Volume
52
Issue
3
Start / End Page
365 / 374
Location
United States
Related Subject Headings
- Urology & Nephrology
- Urinary Calculi
- Thulium
- Lithotripsy, Laser
- Lasers, Solid-State
- Humans
- 3202 Clinical sciences
- 1103 Clinical Sciences
Citation
APA
Chicago
ICMJE
MLA
NLM
Pingle, S.-R., Margolin, E. J., Antonelli, J., & Lipkin, M. E. (2025). Holmium and Thulium Fiber Lasers: What You Need to Know. Urol Clin North Am, 52(3), 365–374. https://doi.org/10.1016/j.ucl.2025.04.013
Pingle, Srinath-Reddi, Ezra J. Margolin, Jodi Antonelli, and Michael E. Lipkin. “Holmium and Thulium Fiber Lasers: What You Need to Know.” Urol Clin North Am 52, no. 3 (August 2025): 365–74. https://doi.org/10.1016/j.ucl.2025.04.013.
Pingle S-R, Margolin EJ, Antonelli J, Lipkin ME. Holmium and Thulium Fiber Lasers: What You Need to Know. Urol Clin North Am. 2025 Aug;52(3):365–74.
Pingle, Srinath-Reddi, et al. “Holmium and Thulium Fiber Lasers: What You Need to Know.” Urol Clin North Am, vol. 52, no. 3, Aug. 2025, pp. 365–74. Pubmed, doi:10.1016/j.ucl.2025.04.013.
Pingle S-R, Margolin EJ, Antonelli J, Lipkin ME. Holmium and Thulium Fiber Lasers: What You Need to Know. Urol Clin North Am. 2025 Aug;52(3):365–374.
Published In
Urol Clin North Am
DOI
EISSN
1558-318X
Publication Date
August 2025
Volume
52
Issue
3
Start / End Page
365 / 374
Location
United States
Related Subject Headings
- Urology & Nephrology
- Urinary Calculi
- Thulium
- Lithotripsy, Laser
- Lasers, Solid-State
- Humans
- 3202 Clinical sciences
- 1103 Clinical Sciences