{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:44:19Z","timestamp":1790963059071,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We aim to evaluate stone-free rate (SFR) and complications after flexible ureteroscopy (F-URS) for kidney stones, using a flexible and navigable suction ureteral access sheath (FANS), comparing thulium fiber laser (TFL) and high-power holmium:yttrium-aluminum-garnet laser (HPHL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data from adults who underwent F-URS in 15 centers were prospectively analyzed (August 2023\u2013January 2024). Exclusion criteria were ureteral stones, concomitant bilateral procedures, and renal abnormalities. One-to-one propensity score matching for age, gender, stone location, stone volume, and Hounsfield unit was performed. SFR was assessed using computed tomography scan within 30 days and defined as zero fragments. Data are presented as median (25th\u201375th quartiles). Multivariable logistic regression was performed to evaluate predictors of SFR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of included patients, HPHL was used in 114 patients and TFL in 181 patients. After matching, 96 patients from each group with similar baseline characteristics were included. There was no difference between the groups regarding the use of disposable scopes, lithotripsy mode, and ureteroscopy, lasing and total surgical time. There was no case of sepsis, and blood transfusion was necessary for only one patient in the HPHL group. The incidence of transient fever was similar (3.4% in HPHL\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      3.8% in TFL group). Postoperative day 1 loin pain did not differ significantly. Postoperative stay did not differ significantly [1 [0, 2] in HPHL\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      1 [0, 1] days in TFL group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.12]. Thirty-day SFR was similar (52.1% for HL\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      64.6% for TFL group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.11). At multivariable analysis, the use of TFL (odds ratio 1.95, 95% confidence interval 1.01\u20133.82) was significantly associated with higher odds of being stone-free.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Both lasers are safe and efficacious and can be suitably used for F-URS with FANS with high SFR and minimal complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0653","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T05:46:53Z","timestamp":1734328013000},"page":"42-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Comparing Thulium Fiber Versus High-Power Holmium Laser Lithotripsy Combined with the Flexible and Navigable Suction Access Sheath in Flexible Ureteroscopy for Kidney Stone Disease: A Propensity Score Matched Analysis by the Global FANS Collaborative Group"],"prefix":"10.1177","volume":"39","author":[{"given":"Vineet","family":"Gauhar","sequence":"first","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Traxer","sequence":"additional","affiliation":[{"name":"Department of Urology AP-HP, Sorbonne University, Tenon Hospital, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khi Yung","family":"Fong","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Sietz","sequence":"additional","affiliation":[{"name":"Department of Urology Medical, University of Vienna, Vienna, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-0710","authenticated-orcid":false,"given":"Ben Hall","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Urology, University of British Columbia, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed","family":"Bin Hamri","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Ministry of the National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2370-548X","authenticated-orcid":false,"given":"Mehmet Ilker","family":"G\u00f6kce","sequence":"additional","affiliation":[{"name":"Department of Urology, Ankara University School of Medicine, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6255-0193","authenticated-orcid":false,"given":"Nariman","family":"Gadzhiev","sequence":"additional","affiliation":[{"name":"Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russian Federation."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9956-1558","authenticated-orcid":false,"given":"Steffi Kar Kei","family":"Yuen","sequence":"additional","affiliation":[{"name":"SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vigen","family":"Malkhasyan","sequence":"additional","affiliation":[{"name":"Endourological Department, A. 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