Brazil intensifies investments in Tulium laser against renal calculation

Tulium laser revolutionizes the renal calculation treatment in Brazil with high precision and less pain

The Unified Health System (Sus) and university centers across the country are introducing the innovative Túlio fiber laser (Tulium fiber laser – TFL) to fight renal calculation, a disease that affects up to 12% of the global population and represents about 30% of care in urological emergencies in Brazil.

Pionieristico in Unicamp and first experiences

In September 2022, the UNICAMP DE CLínicas hospital was the first in Brazil to test, in three patients, the fiber powder system – a high -power TFL laser – for the endoscopic fragmentation of renal stone.

The result was considered “excellent”, with a reduction of up to 50% in the surgery time and a minimum amount of residual fragments.

According to the Unicamp team, Thulium technology required half of surgical time compared to the traditional Holmio: YAG systems, thanks to the thinner fibers and higher power, allowing a safe treatment of wider calculations without the need for abdominal cuts.

How does the Tulium fiber laser works?

Ablation rate up to 4 × fastest in Holmium: Yag; greater efficiency in the formation of “dusting” (spraying);

Fibers of only 50-150 µm, allowing better irrigation, less retrofession and visibility higher than 95%;

Flexible medical power: from 0.02 to 6 J per impulse and frequency of up to 2,500 Hz, with efficient air cooling and a compact design;

Safe, without a significant heating of the fabrics, provided that adequate parameters are used.

Clinical impact proven

Scientific studies, as one published in the International Brazilian Journal of Urology (July/2023), demonstrate the effectiveness of the TFL in rare urolitiasis such as cistine calculations, reaching an effective fragmentation with an average time of 120 minutes and few residual fragments.

Recent destination -analysis also underline that the TFL has a better rate of patient without patient (or 3.14; p <0.001) and a lower risk of complications (or 0.34; p <0.001) compared to Olymium.

Benefits for patients and Sus

According to Dr. Pedro Bastos, Urologist in Juiz de for.The benefits for patients include the fact that it is a less invasive procedure, without abdominal cuts and a faster maximum since many are downloaded on the same day.

“There are also less chances of remaining fragments and need for a new intervention,” added Dr. Bastos.

For Sus, the benefits include:

Reduction of hospitalizations, reinterventions and hospital expenses;

Efficiency in critical times, such as summer, when cases increase up to 30%.

Expansion in public and private centers

In addition to Unicamp, the hospitals of Sus University, in particular in San Paolo, Brasilia and Minas Gerais, have acquired the TFL. In Campinas, manage the Equipamentos signed by partnerships to train the teams and make the dust fiber available for clinical tests.

Already international studies, such as clinical experimentation in Norway (Hospital of the University of Haukeland), compared the Tulium to Olminio, strengthening its positive impact on kidney and urethral calculations.

Prevention: the human factor

Experts strengthen the importance of simple measures: constant hydration, balanced diet, low salt consumption and proteins and regular exams.

The Brazilian society of Nephrology recalls that 50% of patients form new calculations in 5 years.

Why does this technology represent real progress?

TFL redefines clinical models: safer, faster and more effective. Intense spraying reduces waste to a minimum, reduces surgical time and improves the patient’s quality of life.

Even more relevant in regional centers and su, it guarantees access to cutting technology even outside large centers.

What to wait for the next few years?

In the coming years, Thulium laser should be increasingly integrated with the Brazilian hospital routine, with the expansion of access by Sus, mainly through the implementation of equipment in new university hospitals and the internalization of services.

Digital integration will also be an important ally in this process of evolution.

The use of technologies as an increased reality in procedures, as well as in the collection devices of fragments, known as “filators”, will increase surgical accuracy and reduce hospitalization times, optimizing hospital resources.

Finally, there is significant progress in the exams of early diagnosis, with the dissemination of low -dose computerized tomography and the growing use of genetic analysis and population monitoring tools, which will allow interventions even before the formation of large calculations, making the treatment less invasive and effective.

The future reserves better results

The Tulium fiber laser laser marks a watershed in the approach of urolisias. With a refined technique, better results and lesser impact on the patient, it represents a leap in national urological care.

Be aware of signs such as intense back pain, blood in the urine or difficulty urinating – typical symptoms of Renal calculation.

The search for a trained urologist, such as Dr. Pedro Bastos in Juiz de Fora, can guarantee access to more advanced technologies and a more comfortable recovery.

Source: Terra

Ben

Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.