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oai:recercat.cat:11351/123642025-10-24T10:17:25Zcom_2072_378070com_2072_378040col_2072_378092

A review of the Moses effect and its applications in endourology Piñero, Adrià Placer, José Miret Alomar, Enric NARVAEZ BARROS, ALONSO Enrique, Trilla Herrera Morote Robles, Juan Institut Català de la Salut [Piñero A, Trilla E, Morote J] Servei d’Urologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Departament de Cirurgia, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Narváez A, Placer J, Miret E] Servei d’Urologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus Hiperplàsia benigna de pròstata - Cirurgia per làser Hiperplàsia benigna de pròstata - Cirurgia endoscòpica ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Urogenital Surgical Procedures::Urologic Surgical Procedures ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Laser Therapy::Lithotripsy, Laser DISEASES::Male Urogenital Diseases::Genital Diseases, Male::Prostatic Diseases::Prostatic Hyperplasia Other subheadings::Other subheadings::Other subheadings::/surgery TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos urogenitales::procedimientos quirúrgicos urológicos TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamiento con láser::litotricia por láser ENFERMEDADES::enfermedades urogenitales masculinas::enfermedades de los genitales masculinos::enfermedades de la próstata::hiperplasia prostática Otros calificadores::Otros calificadores::Otros calificadores::/cirugía Moses effect; Endourology Efecto Moisés; Endourología Efecte Moisès; Endourologia 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. 2024-12-30T12:42:51Z 2024-12-30T12:42:51Z 2024-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Piñero A, Narváez A, Placer J, Miret E, Trilla E, Morote J. A review of the Moses effect and its applications in endourology. Curr Urol. 2024 Dec;18(4):257-64. 1661-7657 https://hdl.handle.net/11351/12364 10.1097/CU9.0000000000000239 001329233100018 http://hdl.handle.net/11351/12364 eng Current Urology;18(4) https://doi.org/10.1097/CU9.0000000000000239 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess application/pdf Wolters Kluwer Health Scientia