Thulium fiber laser: ready to dust all urinary stone composition types?

Fourier transform infrared spectroscopy Lithotripsy Scanning electron microscopy Stone dust Thulium fiber laser Urolithiasis

Journal

World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 24 02 2020
accepted: 21 04 2020
pubmed: 5 5 2020
medline: 18 9 2021
entrez: 5 5 2020
Statut: ppublish

Résumé

To evaluate whether stone dust can be obtained from all prevailing stone composition types using the thulium fiber laser (TFL) for lithotripsy. Where applicable, stone dust was further characterized by morpho-constitutional analysis. Human urinary stones were submitted to in vitro lithotripsy using a FiberLase U2 TFL generator with 150 µm silica core fibers (IPG Photonics Stone dust could be retrieved from all evaluated urinary stones after TFL lithotripsy. Most stone dust samples revealed changes in crystalline organization, except for calcium oxalate monohydrate and carbapatite, which conserved their initial characteristics. Mean maximal width of stone dust particles did not exceed 254 µm. The TFL is capable to produce stone dust from all prevailing stone types. Morpho-constitutional changes found in stone dust suggest a photothermal interaction of laser energy with the stone matrix during TFL lithotripsy.

Identifiants

pubmed: 32363450
doi: 10.1007/s00345-020-03217-9
pii: 10.1007/s00345-020-03217-9
doi:

Substances chimiques

Dust 0
Thulium 8RKC5ATI4P

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1693-1698

Commentaires et corrections

Type : CommentIn

Références

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Auteurs

Etienne Xavier Keller (EX)

Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, 75020, Paris, France.
GRC n°20, Groupe de Recherche Clinique Sur La Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.
Department of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Vincent De Coninck (V)

Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, 75020, Paris, France.
GRC n°20, Groupe de Recherche Clinique Sur La Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.
Department of Urology, AZ Klina, Brasschaat, Belgium.

Steeve Doizi (S)

Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, 75020, Paris, France.
GRC n°20, Groupe de Recherche Clinique Sur La Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.

Michel Daudon (M)

Hôpital Tenon, CRISTAL Laboratory, Sorbonne Université, Paris, France.

Olivier Traxer (O)

Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, Sorbonne Université, 4 rue de la Chine, 75020, Paris, France. olivier.traxer@aphp.fr.
GRC n°20, Groupe de Recherche Clinique Sur La Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, 75020, Paris, France. olivier.traxer@aphp.fr.

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