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9 (3.9-5.7) mm /sec for RIRS and 5.0 (4.6-11.3) mm /sec for PCNL (p = 0.085). We found a significant correlation between retropulsion and the type of surgery performed with higher retropulsion in the PCNL (r = 0.298 with p = 0.012). The stone-free rate at 3-months was 85.7% in RIRS and 89.3% in PCNL (p = 0.505). SP TFL is a safe and effective modality for lithotripsy for both, RIRS and PCNL, achieving minimal retropulsion and good visibility. No discrepancies in procedure duration, complications, or LOT were identified between the different modaliti