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The forces increased with increasing pulse energy settings while shorter pulse lengths led to 12-44% higher retropulsive force in the 2.0J/5Hz comparisons. The TmYAG device not only significantly generated lower retropulsion forces in all comparisons to Holmium at corresponding settings but also offers adjustment options to achieve lower energy pulses and longer pulse durations to produce even lower retropulsion. These advantages are a promising add-on to laser lithotripsy procedures and may be highly relevant for improving laser lithot

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