Thullium Fibre Laser
Thulium Fibre Laser (TFL) is the latest and most advanced laser technology used in the treatment of urinary stones, offering a safer, faster, and more efficient alternative to conventional Holmium lasers.
overview
It is used primarily in procedures like RIRS (Retrograde Intrarenal Surgery) and URSL (Ureteroscopic Lithotripsy) to fragment kidney or ureteric stones into fine dust, allowing them to be passed naturally through urine.
TFL uses a laser wavelength of 1940 nm, which offers greater absorption in water and tissues, resulting in more precise energy delivery and reduced damage to surrounding tissue. This means it can pulverize stones with greater speed and minimal heat production, making the procedure safer and more comfortable for patients.
Symptoms & Diagnosis
TFL is particularly beneficial in treating all stone types and sizes, including hard stones like calcium oxalate monohydrate, and is ideal for use in flexible ureteroscopy, where access is limited. It also produces less retropulsion (stone movement), allowing for better control during the procedure and more efficient stone clearance.
Advantages of Thulium Fibre Laser (TFL):
- High precision
- More efficient stone dusting
- Less retropulsion
- Shorter patient recovery time
- Faster procedure times
- Lower heat generation
- Smaller and more flexible laser fibers