{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T04:35:32Z","timestamp":1778560532301,"version":"3.51.4"},"reference-count":12,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"3","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>In this paper, we aimed to verify the efficiency and functionality of the new Soltive Thulium Fiber Laser (TFL) in the treatment of urinary stones. The Soltive Laser System was used in 17 urolithiasis cases: 10 renal, 5 ureteral, and 2 bladder stone patients. The average stone size was 13.1 mm (ranging between 11\u201329 mm) for the kidney, 8 mm (ranging between 6\u201312 mm) for the ureter, and 31 mm (ranging between 27\u201334 mm) for the bladder. Only single calculi patients were included in the study. We used 100 and 150 \u03bcm core-diameters fibers (CDF). Three settings were applied: 0.15 J\/100 Hz for \u201cfine dusting\u201d, 0.5 J\/30 Hz for \u201cdusting\u201d and 1 J\/15 Hz for the fragmentation mode. The mean operative time was 34 minutes for renal, 21 minutes for ureteral, and 39 minutes for bladder stones. The visibility was optimal in all cases. The stone-free rate at 1 month after treatment was 95% for renal calculi and 100% for ureteral and bladder stones. Very fine dust made of stone fragments smaller than 1 mm in size that passed spontaneously through the access sheath was observed, especially subsequent to the \u201cfine dusting\u201d mode. The complication rate was very low: 1 patient was classified as Clavien grade 1 and 1 patient as Clavien grade 2, and this was the case for renal stones only. No urinary tract infections were observed. The new Soltive TFL appears to be a remarkably promising tool in the therapeutic approach of urolithiasis. Lithotripsy was achieved up to the level of extremely small stone fragments with improved efficiency while also optimizing the operative time.<\/jats:p>","DOI":"10.25122\/jml-2021-0103","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T11:43:30Z","timestamp":1634125410000},"page":"316-322","source":"Crossref","is-referenced-by-count":9,"title":["Romanian National premiere with the new Thulium SuperPulsed Laser in the endourological treatment of urolithiasis"],"prefix":"10.25122","volume":"14","author":[{"given":"Bogdan","family":"Geavlete","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Sanador Hospital, Bucharest, Romania","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Urology, Sf. Ioan Emergency Clinical Hospital, Bucharest, Romania","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Petrisor Geavlete, MD, Department of Urology, Sf. Ioan Emergency Clinical Hospital, 13 Vitan-Barzesti Street, 042122, Bucharest, Romania. Email: geavlete@gmail.com","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razvan","family":"Multescu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Sanador Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Urology, Sf. Ioan Emergency Clinical Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentin","family":"Iordache","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Sanador Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Urology, Sf. Ioan Emergency Clinical Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petrisor","family":"Geavlete","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Sanador Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Urology, Sf. Ioan Emergency Clinical Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10755","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"ref1","unstructured":"T\u00fcrk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Thomas K, Guidelines Associates: Davis NF, Donaldson JF, Lombardo R, Grivas N, Ruhayel Y. EAU Guidelines on Urolithiasis on European Association of Urology Guidelines, 2020."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Traxer O, Keller EX. Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser. World J Urol. 2020 Aug;38(8):1883\u20131894. Epub 2019 Feb 6.","DOI":"10.1007\/s00345-019-02654-5"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Jansen ED, van Leeuwen TG, Motamedi M, Borst C, Welch AJ. Temperature dependence of the absorption coefficient of water for midinfrared laser radiation. 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Epub 2020 Feb 27.","DOI":"10.1007\/s00345-020-03134-x"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Taratkin M, Laukhtina E, Singla N, Kozlov V, Abdusalamov A, Ali S, Gabdullina S, Alekseeva T, Enikeev D. Temperature changes during laser lithotripsy with Ho:YAG laser and novel Tm-fiber laser: a comparative in-vitro study. World J Urol. 2020 Dec;38(12):3261\u20133266. Epub 2020 Feb 20.","DOI":"10.1007\/s00345-020-03122-1"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Peng Y, Liu M, Ming S, Yu W, Li L, Lu C, Fang Z, Wang Z, Dong H, Shen R, Xie F, Gao X, Gao X. Safety of a Novel Thulium Fiber Laser for Lithotripsy: An In Vitro Study on the Thermal Effect and Its Impact Factor. J Endourol. 2020 Jan;34(1):88\u201392. Epub 2019 Dec 20.","DOI":"10.1089\/end.2019.0426"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Panthier F, Doizi S, Lapouge P, Chaussain C, Kogane N, Berthe L, Traxer O. Comparison of the ablation rates, fissures and fragments produced with 150 \u03bcm and 272 \u03bcm laser fibers with superpulsed thulium fiber laser: an in vitro study. World J Urol. 2020 Apr 6. Epub ahead of print.","DOI":"10.1007\/s00345-020-03186-z"},{"key":"ref12","unstructured":"Traxer, O. 2020. Innovations for flexible ureteroscopy, Thulium fiber laser: from the lab to the clinic. Kidney Stone \u2013 RIRS & Thulium Endourological Society Online Webinar. 26 June 2020."}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-316.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T05:36:27Z","timestamp":1634276187000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-316.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["JMedLife-14-316"],"URL":"https:\/\/doi.org\/10.25122\/jml-2021-0103","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"value":"1844-122X","type":"print"},{"value":"1844-3117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}