{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:02:08Z","timestamp":1791975728349,"version":"4.4.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Freiburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Technological advancements in the field of urology have led to a paradigm shift in the management of urolithiasis towards minimally invasive endourological interventions, namely ureteroscopy and percutaneous nephrolithotomy. However, concerns regarding the potential for thermal injury during laser lithotripsy have arisen, as studies have indicated that the threshold for cellular thermal injury (43\u00a0\u00b0C) can be exceeded, even with conventional low-power laser settings. This review aims to identify the factors that contribute to temperature increments during laser treatment using current laser systems and evaluate their impact on patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>To select studies for inclusion, a search was performed on online databases including PubMed and Google Scholar. Keywords such as 'temperature' or 'heat' were combined with 'lithotripsy', 'nephrolithotomy', 'ureteroscopy', or 'retrograde intrarenal surgery', both individually and in various combinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Various strategies have been proposed to mitigate temperature rise, such as reducing laser energy or frequency, shortening the duration of laser activation, increasing the irrigation fluid flow rate, and using room temperature or chilled water for irrigation. It is important to note that higher irrigation fluid flow rates should be approached cautiously due to potential increases in intrarenal pressure and associated infectious complications. The utilization of a ureteral access sheath (UAS) may offer benefits by facilitating irrigation fluid outflow, thereby reducing intrapelvic pressure and intrarenal fluid temperature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Achieving a balance between laser power, duration of laser activation, and irrigation fluid rate and temperature appears to be crucial for urologists to minimize excessive temperature rise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-023-04652-0","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T05:04:08Z","timestamp":1701061448000},"page":"3853-3865","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["The heat is on: the impact of excessive temperature increments on complications of laser treatment for ureteral and renal stones"],"prefix":"10.1007","volume":"41","author":[{"given":"Senol","family":"Tonyali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian Ferry","family":"von Bargen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif","family":"Ozkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Gratzke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5894-9647","authenticated-orcid":false,"given":"Arkadiusz","family":"Miernik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"issue":"1","key":"4652_CR1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1089\/end.2017.0658","volume":"32","author":"DA Wollin","year":"2018","unstructured":"Wollin DA, Carlos EC, Tom WR, Simmons WN, Preminger GM, Lipkin ME (2018) Effect of laser settings and irrigation rates on ureteral temperature during holmium laser lithotripsy, an in vitro model. J Endourol 32(1):59\u201363. https:\/\/doi.org\/10.1089\/end.2017.0658","journal-title":"J Endourol"},{"issue":"10","key":"4652_CR2","doi-asserted-by":"publisher","first-page":"3951","DOI":"10.1007\/s00345-021-03619-3","volume":"39","author":"WR Molina","year":"2021","unstructured":"Molina WR, Carrera RV, Chew BH, Knudsen BE (2021) Temperature rise during ureteral laser lithotripsy: comparison of super pulse thulium fiber laser (SPTF) vs high power 120 W holmium-YAG laser (Ho:YAG). World J Urol 39(10):3951\u20133956. https:\/\/doi.org\/10.1007\/s00345-021-03619-3","journal-title":"World J Urol"},{"issue":"2","key":"4652_CR3","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1089\/end.2014.0305","volume":"29","author":"WR Molina","year":"2015","unstructured":"Molina WR, Silva IN, da Silva RD, Gustafson D, Sehrt D, Kim FJ (2015) Influence of saline on temperature profile of laser lithotripsy activation. J Endourol 29(2):235\u2013239. https:\/\/doi.org\/10.1089\/end.2014.0305","journal-title":"J Endourol"},{"issue":"8","key":"4652_CR4","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1089\/end.2020.1067","volume":"35","author":"AH Aldoukhi","year":"2021","unstructured":"Aldoukhi AH, Dau JJ, Majdalany SE, Hall TL, Ghani KR, Hollingsworth JM, Ambani SN, Dauw CA, Roberts WW (2021) Patterns of laser activation during ureteroscopic lithotripsy: effects on caliceal fluid temperature and thermal dose. J Endourol 35(8):1217\u20131222. https:\/\/doi.org\/10.1089\/end.2020.1067","journal-title":"J Endourol"},{"issue":"8","key":"4652_CR5","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1089\/end.2018.0395","volume":"32","author":"AH Aldoukhi","year":"2018","unstructured":"Aldoukhi AH, Hall TL, Ghani KR, Maxwell AD, MacConaghy B, Roberts WW (2018) Caliceal fluid temperature during high-power holmium laser lithotripsy in an in vivo porcine model. J Endourol 32(8):724\u2013729. https:\/\/doi.org\/10.1089\/end.2018.0395","journal-title":"J Endourol"},{"issue":"9","key":"4652_CR6","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1089\/end.2021.0842","volume":"36","author":"JD Belle","year":"2022","unstructured":"Belle JD, Chen RCY, Srikureja N, Amasyali AS, Keheila M, Baldwin DD (2022) Does the novel thulium fiber laser have a higher risk of urothelial thermal injury than the conventional holmium laser in an in vitro study? J Endourol 36(9):1249\u20131254. https:\/\/doi.org\/10.1089\/end.2021.0842","journal-title":"J Endourol"},{"issue":"5","key":"4652_CR7","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1089\/end.2020.0896","volume":"35","author":"JJ Dau","year":"2021","unstructured":"Dau JJ, Hall TL, Maxwell AD, Ghani KR, Roberts WW (2021) Effect of chilled irrigation on caliceal fluid temperature and time to thermal injury threshold during laser lithotripsy. in vitro model. J Endourol 35(5):700\u2013705. https:\/\/doi.org\/10.1089\/end.2020.0896","journal-title":"J Endourol"},{"issue":"4","key":"4652_CR8","doi-asserted-by":"publisher","first-page":"588","DOI":"10.5173\/ceju.2021.0092","volume":"74","author":"H Gallegos","year":"2021","unstructured":"Gallegos H, Bravo JC, Sepulveda F, Astroza GM (2021) Intrarenal temperature measurement associated with holmium laser intracorporeal lithotripsy in an ex vivo model. Centr Eur J Urol 74(4):588\u2013594. https:\/\/doi.org\/10.5173\/ceju.2021.0092","journal-title":"Centr Eur J Urol"},{"issue":"4","key":"4652_CR9","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1007\/s00345-020-03287-9","volume":"39","author":"YA Noureldin","year":"2020","unstructured":"Noureldin YA, Farsari E, Ntasiotis P, Adamou C, Vagionis A, Vrettos T, Liatsikos EN, Kallidonis P (2020) Effects of irrigation parameters and access sheath size on the intra-renal temperature during flexible ureteroscopy with a high-power laser. World J Urol 39(4):1257\u20131262. https:\/\/doi.org\/10.1007\/s00345-020-03287-9","journal-title":"World J Urol"},{"key":"4652_CR10","unstructured":"Hardy LA, Wilson CR, Irby PB, Fried NM (2015) Kidney Stone Ablation Times and Peak Saline Temperatures During Holmium: YAG and Thulium Fiber Laser Lithotripsy, In Vitro, in a Ureteral Model. In: Conference on Photonic Therapeutics and Diagnostics XI, San Francisco, CA, Feb 07\u201308 2015. Proceedings of SPIE. doi:930310.1117\/12.2076744"},{"issue":"9","key":"4652_CR11","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1007\/s00345-018-2303-x","volume":"36","author":"S Hein","year":"2018","unstructured":"Hein S, Petzold R, Schoenthaler M, Wetterauer U, Miernik A (2018) Thermal effects of Ho: YAG laser lithotripsy: real-time evaluation in an in vitro model. World J Urol 36(9):1469\u20131475. https:\/\/doi.org\/10.1007\/s00345-018-2303-x","journal-title":"World J Urol"},{"issue":"3","key":"4652_CR12","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1007\/s00345-019-02808-5","volume":"38","author":"S Hein","year":"2020","unstructured":"Hein S, Petzold R, Suarez-Ibarrola R, Mueller PF, Schoenthaler M, Miernik A (2020) Thermal effects of Ho:YAG laser lithotripsy during retrograde intrarenal surgery and percutaneous nephrolithotomy in an ex vivo porcine kidney model. World J Urol 38(3):753\u2013760. https:\/\/doi.org\/10.1007\/s00345-019-02808-5","journal-title":"World J Urol"},{"issue":"1","key":"4652_CR13","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1089\/end.2021.0383","volume":"36","author":"NR Khajeh","year":"2022","unstructured":"Khajeh NR, Hall TL, Ghani KR, Roberts WW (2022) Pelvicaliceal volume and fluid temperature elevation during laser lithotripsy. J Endourol 36(1):22\u201328. https:\/\/doi.org\/10.1089\/end.2021.0383","journal-title":"J Endourol"},{"issue":"5","key":"4652_CR14","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1007\/s00240-022-01342-1","volume":"50","author":"A Peteinaris","year":"2022","unstructured":"Peteinaris A, Faitatziadis S, Tsaturyan A, Pagonis K, Liatsikos E, Kallidonis P (2022) MOSES (TM) pulse modulation technology versus conventional pulse delivery technology: the effect on irrigation fluid temperature during flexible ureteroscopy. Urolithiasis 50(5):613\u2013618. https:\/\/doi.org\/10.1007\/s00240-022-01342-1","journal-title":"Urolithiasis"},{"key":"4652_CR15","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12010149","author":"A Sierra","year":"2023","unstructured":"Sierra A, Corrales M, Somani B, Traxer O (2023) Laser efficiency and laser safety: holmium yag vs thulium fiber laser. J Clin Med. https:\/\/doi.org\/10.3390\/jcm12010149","journal-title":"J Clin Med"},{"issue":"12","key":"4652_CR16","doi-asserted-by":"publisher","first-page":"3261","DOI":"10.1007\/s00345-020-03122-1","volume":"38","author":"M Taratkin","year":"2020","unstructured":"Taratkin M, Laukhtina E, Singla N, Kozlov V, Abdusalamov A, Ali S, Gabdullina S, Alekseeva T, Enikeev D (2020) Temperature changes during laser lithotripsy with Ho:YAG laser and novel Tm-fiber laser: a comparative in-vitro study. World J Urol 38(12):3261\u20133266. https:\/\/doi.org\/10.1007\/s00345-020-03122-1","journal-title":"World J Urol"},{"issue":"3","key":"4652_CR17","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1007\/s11255-020-02665-x","volume":"53","author":"JF Teng","year":"2021","unstructured":"Teng JF, Wang Y, Jia ZM, Guan YW, Fei WW, Ai X (2021) Temperature profiles of calyceal irrigation fluids during flexible ureteroscopic Ho:YAG laser lithotripsy. Int Urol Nephrol 53(3):415\u2013419. https:\/\/doi.org\/10.1007\/s11255-020-02665-x","journal-title":"Int Urol Nephrol"},{"issue":"11","key":"4652_CR18","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1089\/end.2019.0496","volume":"33","author":"B Winship","year":"2019","unstructured":"Winship B, Terry R, Boydston K, Carlos E, Wollin D, Peters C, Li JQ, Preminger G, Lipkin M (2019) Holmium:yttrium-aluminum-garnet laser pulse type affects irrigation temperatures in a benchtop ureteral model. J Endourol 33(11):896\u2013901. https:\/\/doi.org\/10.1089\/end.2019.0496","journal-title":"J Endourol"},{"issue":"10","key":"4652_CR19","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1089\/end.2019.0084","volume":"33","author":"B Winship","year":"2019","unstructured":"Winship B, Wollin D, Carlos E, Peters C, Li JQ, Terry R, Boydston K, Preminger GM, Lipkin ME (2019) The rise and fall of high temperatures during ureteroscopic holmium laser lithotripsy. J Endourol 33(10):794\u2013799. https:\/\/doi.org\/10.1089\/end.2019.0084","journal-title":"J Endourol"},{"issue":"2","key":"4652_CR20","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s00345-022-04255-1","volume":"41","author":"R Wriedt","year":"2023","unstructured":"Wriedt R, Yilmaz M, Lottner T, Reichert A, Wilhelm K, Pohlmann PF, Gratzke C, Bock M, Miernik A (2023) Assessing critical temperature dose areas in the kidney by magnetic resonance imaging thermometry in an ex vivo Holmium:YAG laser lithotripsy model. World J Urol 41(2):543\u2013549. https:\/\/doi.org\/10.1007\/s00345-022-04255-1","journal-title":"World J Urol"},{"issue":"6","key":"4652_CR21","doi-asserted-by":"publisher","first-page":"1707","DOI":"10.1007\/s00345-020-03357-y","volume":"39","author":"JG Williams","year":"2021","unstructured":"Williams JG, Goldsmith L, Moulton DE, Waters SL, Turney BW (2021) A temperature model for laser lithotripsy. World J Urol 39(6):1707\u20131716. https:\/\/doi.org\/10.1007\/s00345-020-03357-y","journal-title":"World J Urol"},{"issue":"7","key":"4652_CR22","doi-asserted-by":"publisher","first-page":"1813","DOI":"10.1007\/s00345-019-02908-2","volume":"38","author":"S Tonyali","year":"2019","unstructured":"Tonyali S (2019) How to prevent infectious complications following flexible ureteroscopy? World J Urol 38(7):1813\u20131814. https:\/\/doi.org\/10.1007\/s00345-019-02908-2","journal-title":"World J Urol"},{"key":"4652_CR23","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1007\/s00345-018-2455-8","volume":"37","author":"Z Zhu","year":"2019","unstructured":"Zhu Z, Cui Y, Zeng F, Li Y, Chen Z, Hequn C (2019) Comparison of suctioning and traditional ureteral access sheath during flexible ureteroscopy in the treatment of renal stones. World J Urol 37:921\u2013929","journal-title":"World J Urol"},{"issue":"3\u20134","key":"4652_CR24","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1111\/j.1365-2702.2010.03484.x","volume":"20","author":"Y Jin","year":"2011","unstructured":"Jin Y, Tian J, Sun M, Yang K (2011) A systematic review of randomised controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries. J Clin Nurs 20(3\u20134):305\u2013316","journal-title":"J Clin Nurs"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04652-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-023-04652-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04652-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T07:06:16Z","timestamp":1701500776000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-023-04652-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,27]]},"references-count":24,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["4652"],"URL":"https:\/\/doi.org\/10.1007\/s00345-023-04652-0","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,27]]},"assertion":[{"value":"20 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Senol Tonyali has received a grant from European Urology Scholarship Programme (EUSP).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with human participants performed by the author.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}