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Twenty patients with ten in each cohort were recruited. Preoperative data and mean bladder stone size were comparable in both groups. The duration of surgery was significantly reduced from 70.80 ± 25.28min in low-power cohort to 40.90 ± 15.01min in the high-power group (p = 0.005). There were no significant intra-operative complications in either group. All patients were stone-free following the procedure. High-power laser setting of up to 100W results in a significant reduction in duration of surgery without any increase in the complica