A review of the Moses effect and its applications in endourology

The holmium:yttrium aluminum garnet laser, the gold standard for lithotripsy, is widely used in various endourological fields. Their physical characteristics contribute to the Moses effect. This narrative review aimed to analyze the current knowledge of the Moses effect and its applications in endou...

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Autores: Piñero, Adrià, Narváez, Alonso, Placer, José, Miret Alomar, Enric|||0000-0002-6656-5050, Trilla Herrera, Enrique|||0000-0001-9401-0872, Morote Robles, Juan|||0000-0002-2168-323X
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:dnet:uabarcelona_::6f03cac9234b49ba5df9097b542e7c85
Acceso en línea:https://ddd.uab.cat/record/327173
https://dx.doi.org/urn:doi:10.1097/CU9.0000000000000239
Access Level:acceso abierto
Palabra clave:Moses effect
Holmium:yttrium aluminum garnet
Lithotripsy
Benign prostatic hyperplasia
Holmium laser enucleation of the prostate
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spelling A review of the Moses effect and its applications in endourologyPiñero, AdriàNarváez, AlonsoPlacer, JoséMiret Alomar, Enric|||0000-0002-6656-5050Trilla Herrera, Enrique|||0000-0001-9401-0872Morote Robles, Juan|||0000-0002-2168-323XMoses effectHolmium:yttrium aluminum garnetLithotripsyBenign prostatic hyperplasiaHolmium laser enucleation of the prostateThe holmium:yttrium aluminum garnet laser, the gold standard for lithotripsy, is widely used in various endourological fields. Their physical characteristics contribute to the Moses effect. This narrative review aimed to analyze the current knowledge of the Moses effect and its applications in endourology. The Moses effect involves the rapid formation of a vapor bubble that allows the remaining energy to reach the target with less attenuation. Lumenis® developed pulse modulation technology, the MOSES™ technology, that harnesses the Moses effect to optimize holmium energy. Preclinical studies concluded that the new technology improves stone retropulsion, allowing for reduced lithotripsy duration. However, the heterogeneity of clinical studies and the lack of randomized controlled trials do not allow definitive conclusions. The MOSES™ technology has also been applied in holmium laser enucleation of the prostate, reducing enucleation and hemostasis times, leading to improved enucleation efficiency. However, minimal changes occurred in hemoglobin or hematocrit levels and no significant differences were noted in complications or functional outcomes. Further research is needed to fully evaluate the benefits and limitations of MOSES™ technology in clinical practice. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/327173https://dx.doi.org/urn:doi:10.1097/CU9.0000000000000239reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dnet:uabarcelona_::6f03cac9234b49ba5df9097b542e7c852026-06-06T12:50:31Z
dc.title.none.fl_str_mv A review of the Moses effect and its applications in endourology
title A review of the Moses effect and its applications in endourology
spellingShingle A review of the Moses effect and its applications in endourology
Piñero, Adrià
Moses effect
Holmium:yttrium aluminum garnet
Lithotripsy
Benign prostatic hyperplasia
Holmium laser enucleation of the prostate
title_short A review of the Moses effect and its applications in endourology
title_full A review of the Moses effect and its applications in endourology
title_fullStr A review of the Moses effect and its applications in endourology
title_full_unstemmed A review of the Moses effect and its applications in endourology
title_sort A review of the Moses effect and its applications in endourology
dc.creator.none.fl_str_mv Piñero, Adrià
Narváez, Alonso
Placer, José
Miret Alomar, Enric|||0000-0002-6656-5050
Trilla Herrera, Enrique|||0000-0001-9401-0872
Morote Robles, Juan|||0000-0002-2168-323X
author Piñero, Adrià
author_facet Piñero, Adrià
Narváez, Alonso
Placer, José
Miret Alomar, Enric|||0000-0002-6656-5050
Trilla Herrera, Enrique|||0000-0001-9401-0872
Morote Robles, Juan|||0000-0002-2168-323X
author_role author
author2 Narváez, Alonso
Placer, José
Miret Alomar, Enric|||0000-0002-6656-5050
Trilla Herrera, Enrique|||0000-0001-9401-0872
Morote Robles, Juan|||0000-0002-2168-323X
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Moses effect
Holmium:yttrium aluminum garnet
Lithotripsy
Benign prostatic hyperplasia
Holmium laser enucleation of the prostate
topic Moses effect
Holmium:yttrium aluminum garnet
Lithotripsy
Benign prostatic hyperplasia
Holmium laser enucleation of the prostate
description The holmium:yttrium aluminum garnet laser, the gold standard for lithotripsy, is widely used in various endourological fields. Their physical characteristics contribute to the Moses effect. This narrative review aimed to analyze the current knowledge of the Moses effect and its applications in endourology. The Moses effect involves the rapid formation of a vapor bubble that allows the remaining energy to reach the target with less attenuation. Lumenis® developed pulse modulation technology, the MOSES™ technology, that harnesses the Moses effect to optimize holmium energy. Preclinical studies concluded that the new technology improves stone retropulsion, allowing for reduced lithotripsy duration. However, the heterogeneity of clinical studies and the lack of randomized controlled trials do not allow definitive conclusions. The MOSES™ technology has also been applied in holmium laser enucleation of the prostate, reducing enucleation and hemostasis times, leading to improved enucleation efficiency. However, minimal changes occurred in hemoglobin or hematocrit levels and no significant differences were noted in complications or functional outcomes. Further research is needed to fully evaluate the benefits and limitations of MOSES™ technology in clinical practice.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/327173
https://dx.doi.org/urn:doi:10.1097/CU9.0000000000000239
url https://ddd.uab.cat/record/327173
https://dx.doi.org/urn:doi:10.1097/CU9.0000000000000239
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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