18/07/2025

Mykola Kvach: Practical Experience with the Thulium Laser Fiber Dust in Urology

Modern urological surgery increasingly relies on minimally invasive techniques that provide not only effectiveness but also patient comfort. One example of such an approach is the use of the Fiber Dust thulium laser by the Italian manufacturer Quanta System. Sharing his experience is Mykola Kvach, PhD in Medicine, urologist of the highest category, and Chief Medical Officer of the Right Bank "Harmony of Health" clinic.

Over 250 procedures – no TUR, laser only

At the Harmony of Health clinic in Kyiv, the Fiber Dust thulium laser has been used for prostate surgery for more than two years. During this time, over 250 laser enucleations for benign prostatic hyperplasia have been performed – without traditional TUR.

This systematic use of the laser confirms the reliable effectiveness of the method. As Dr. Kvach notes, the procedures are performed continuously, the laser does not overheat, and does not require long breaks. This allows better time management during surgery and reduces stress on the surgical team.

Watch the full video review by Mykola Kvach on Fiber Dust on our YouTube channel – learn how the thulium laser is used in modern urology practice.

Safe operation with minimal risk

One of the advantages of the Fiber Dust thulium fiber laser is its gentle, controlled action on tissues, enabling highly precise work. According to Mykola Kvach, compared to holmium lasers, the thulium laser offers shallower penetration, reducing the risk of damaging surrounding structures, such as the bladder wall or rectum during enucleation.

The Quanta System laser platform also ensures consistent performance even during large-volume procedures – it maintains its power output throughout surgery, with modes easily adjustable to the surgeon’s needs.

Efficient lithotripsy – control and outcome

Another advantage of Fiber Dust is its high efficiency in lithotripsy. According to the doctor, even dense bladder stones can be fragmented without excessive mechanical force. Thanks to adjustable frequency and power settings, stones virtually "melt" under the laser beam – without bouncing unpredictably within the bladder. This reduces complications and improves visual control during the procedure.

Support and training – key to successful implementation

Proper training is essential for effective laser use. As Dr. Kvach notes, after purchasing the system, the Harmony of Health team completed full training – both physicians and nurses. They also received technical support from Loran Group, including on-site assistance when needed.

Open to knowledge sharing

Mykola Kvach emphasizes that the clinic is open to colleagues from across Ukraine. Urologists from different regions visit to observe live laser enucleations, see how Fiber Dust works in practice, and discuss clinical cases.

For clinics aiming to implement minimally invasive treatment methods and improve the quality of urological care, the Quanta System Fiber Dust thulium laser can be a reliable solution. You can find this and other surgical lasers in the Loran Group catalog, along with professional consultation and implementation support.

You can also watch another video review of the Fiber Dust laser by urologist Mykola Khodakivskyi from Korosten City Hospital.


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