Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study - Takeaways - MDSpire

Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study

  • By

  • Alejandra Bravo-Balado

  • Antoni Sánchez-Puy

  • Paula Izquierdo

  • Pietro Diana

  • Alberto Piana

  • Damiano Stracci

  • Paola Arena

  • Sílvia Gràcia Garcia

  • Andrés Koey Kanashiro

  • Félix Millán

  • Francisco Sánchez-Martín

  • Cristina Esquinas

  • Oriol Angerri

  • Olivier Traxer

  • Joan Palou

  • Esteban Emiliani

  • June 18, 2026

  • 0 min

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  • 1

    The Holmium: YAG laser has been the standard for lithotripsy, but thulium fiber laser technology is emerging as a competitive alternative.

  • 2

    Advancements in Ho: YAG technology, such as MOSES™, VB™, and VT™, utilize pulse modulation to enhance performance and reduce retropulsion.

  • 3

    This study compares the ablation volume of thulium fiber laser and various pulse-modulated Ho: YAG technologies using artificial stone models.

  • 4

    The influence of laser fiber diameter on lithotripsy efficiency remains debated, with conflicting results reported in existing literature.

  • 5

    Different pulse modulation techniques in Ho: YAG lasers affect peak power and retropulsion, impacting their suitability for stone fragmentation or dusting.

Original Source(s)

Comparison of TFL and high-power Ho: YAG lasers with multiple pulse modulations: an in vitro study

  • by Alejandra Bravo-Balado, Antoni Sánchez-Puy, Paula Izquierdo, Pietro Diana, Alberto Piana, Damiano Stracci, Paola Arena, Sílvia Gràcia Garcia, Andrés Koey Kanashiro, Félix Millán, Francisco Sánchez-Martín, Cristina Esquinas, Oriol Angerri, Olivier Traxer, Joan Palou, Esteban Emiliani

  • June 18, 2026

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