Alba Sierra1,2, Mariela Corrales1,2, Adrià Piñero1,2, Olivier Traxer3,4. 1. Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France. 2. Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France. 3. Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France. olivier.traxer@aphp.fr. 4. Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France. olivier.traxer@aphp.fr.
Abstract
INTRODUCTION: Thulium fiber laser (TFL) is a novel laser in the field of urology. There is no consensus for optimal parameters. As most urologists use social media, being Twitter the platform with the most dissemination in healthcare, we aim to review the preferred TFL settings chosen by the experts and, to evaluate their pros and cons. MATERIALS AND METHODS: A Twitter review was performed from November 2019 (firsts TFL experiences in urology) until October 2021 using the hashtags: "thuliumfiber", "ThuliumFiberLaser", "TFL" "soltive", "fiberdust", "OlympusUrology", "quanta_system", "IPG_Photonics", "rocamed". Only board-certified urologists were considered. The "tweets" selected include information about TFL preferred settings for stone lithotripsy and tissue ablation. Additionally, we also seek information regarding laser technique, fiber size, laser time, stone type and equipment. RESULTS: A total of 42 opinions were identified. The 23 endourologists have a median of 2.298 followers (range 202-10.000). Most comments were about TFL settings for kidney stone dusting (61%). There was a significant difference (p < 0.05) for kidney stone dusting settings (dusting, frequency, and power) between endourologists. Only 24% reported their fiber size, 4 reported the stone composition and 2 endourologists mentioned their type of ureteroscope. There was no discussion about technique used (burst or continuous) nor equipment. Surgery time was reported 3 times. CONCLUSION: There is no consensus in TFL pre-settings. When a pre-setting is proposed, it should also recommend technique to be used. Settings are personal and related to multiple factors, such as training, technique, equipment and fiber size.
INTRODUCTION: Thulium fiber laser (TFL) is a novel laser in the field of urology. There is no consensus for optimal parameters. As most urologists use social media, being Twitter the platform with the most dissemination in healthcare, we aim to review the preferred TFL settings chosen by the experts and, to evaluate their pros and cons. MATERIALS AND METHODS: A Twitter review was performed from November 2019 (firsts TFL experiences in urology) until October 2021 using the hashtags: "thuliumfiber", "ThuliumFiberLaser", "TFL" "soltive", "fiberdust", "OlympusUrology", "quanta_system", "IPG_Photonics", "rocamed". Only board-certified urologists were considered. The "tweets" selected include information about TFL preferred settings for stone lithotripsy and tissue ablation. Additionally, we also seek information regarding laser technique, fiber size, laser time, stone type and equipment. RESULTS: A total of 42 opinions were identified. The 23 endourologists have a median of 2.298 followers (range 202-10.000). Most comments were about TFL settings for kidney stone dusting (61%). There was a significant difference (p < 0.05) for kidney stone dusting settings (dusting, frequency, and power) between endourologists. Only 24% reported their fiber size, 4 reported the stone composition and 2 endourologists mentioned their type of ureteroscope. There was no discussion about technique used (burst or continuous) nor equipment. Surgery time was reported 3 times. CONCLUSION: There is no consensus in TFL pre-settings. When a pre-setting is proposed, it should also recommend technique to be used. Settings are personal and related to multiple factors, such as training, technique, equipment and fiber size.
Authors: Kevan M Sternberg; Stacy L Loeb; David Canes; Laura Donnelly; Mitchell H Tsai Journal: J Am Med Inform Assoc Date: 2018-02-01 Impact factor: 4.497
Authors: Hendrik Borgmann; Matthew Cooperberg; Declan Murphy; Stacy Loeb; James N'Dow; Maria Jose Ribal; Henry Woo; Morgan Rouprêt; Andrew Winterbottom; Carl Wijburg; Manfred Wirth; James Catto; Alexander Kutikov Journal: Eur Urol Date: 2018-09-01 Impact factor: 20.096
Authors: Stacy Loeb; Jacob Taylor; James F Borin; Rada Mihalcea; Veronica Perez-Rosas; Nataliya Byrne; Austin L Chiang; Aisha Langford Journal: Eur Urol Focus Date: 2019-12-23