ReviewWorld journal of urology2016
Mortality and flexible ureteroscopy: analysis of six cases.
Review in World journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.
- Mortality from ureteroscopy for kidney stone disease: systematic review of literature from the section of EAU endourology.World journal of urology · 2025Pooled it
- International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.BJU international · 2023Guideline
- Trial
- Mortality following endoscopic management of symptomatic urolithiasis over a 10-year period: a single-centre retrospective cohort and case series.World journal of urology · 2026Article
- Predictive value of renal pelvis urine density and perinephric fat stranding for infectious complications after ureteroscopy in patients with obstructive ureteral stones.Urolithiasis · 2026Article
- An outbreak of multidrug-resistant Pseudomonas aeruginosa infections following flexible ureteroscopic stone removal.The Canadian journal of urology · 2026Article
- Concurrent septic shock and massive renal hematoma following flexible ureteroscopy resulting in emergency nephrectomy: a case report.BMC urology · 2026Article
- Parameter mapping for the use of flexible and navigable suction sheath: an in vitro study.Urolithiasis · 2026Article
- An in vitro study evaluating the internal pressure during RIRS of suction ureteral access sheath versus traditional sheath.Arab journal of urology · 2026Article
- Radiologically Measured Renal Pelvis Urine Density Is Associated with Severe Infectious Complications After Ureteroscopy for Ureteral Stones: A Post Hoc Analysis of a Multicenter Prospective Study.European urology open science · 2025Article
- What is the preferred management of lower ureteral stones? SWL or URS - a critical evaluation with an emphasis on the changes in patient's quality of life.Urolithiasis · 2025Article
- Constructing a machine learning model for systemic infection after kidney stone surgery based on CT values.Scientific reports · 2025Article
- Assessing flexible ureteroscopy outcomes for lower Pole versus non lower Pole stones using the flexible and navigable suction ureteric access sheath: a prospective multicenter study by EAU Endourology and PEARLS group.World journal of urology · 2024Article
- Complications of Single-Use Flexible Ureteroscopy vs. Reusable Flexible Ureteroscopy: A Narrative Review.Cureus · 2024Review
- The infection post flexible UreteroreNoscopy (I-FUN) predictive model based on machine learning: a new clinical tool to assess the risk of sepsis post retrograde intrarenal surgery for kidney stone disease.World journal of urology · 2024Article
- Understanding intrarenal backflow: Intrarenal pressure during ureteroscopy and beyond.Asian journal of urology · 2024Article
- Multi-aspect analysis of ureteral access sheath usage in retrograde intrarenal surgery: A RIRSearch group study.Asian journal of urology · 2024Article
- Ureteroscopy in the elderly: safety and functional results.World journal of urology · 2023Article
- Urinary Tract Infections: Prevention, Diagnosis, and Treatment.Journal of clinical medicine · 2023Article
- Nomogram for predicting risk factors of fever in patients with negative preoperative urine culture after retrograde intrarenal surgery.World journal of urology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdvancements in the endourological equipment have made retrograde intrarenal surgery (RIRS) an attractive, widespread technique, capable of competing with traditional shock wave lithotripsy and percutaneous nephrolithotomy. Since the complication rate is generally low, even less is known about dramatic and fatal complications after RIRS.
methodsWe performed a survey asking 11 experienced endourologists to review their RIRS series and report the cases of mortality to their best knowledge.
resultsSix urologists reported on six fatal cases. In three cases, a history of urinary tract infections was present. Four patients died from urosepsis, one due to an anesthetic and one due to hemorrhagic complication. The use of ureteral access sheath was not common.
conclusionEven respecting the standards of care, it may happen that physicians are occasionally tempted to overdo for their patients, sometimes skipping safety rules with an inevitable increase in risks. Despite the fact that RIRS has become a viable option for the treatment of the majority of kidney stones, its complication rates remain low. Nevertheless, rare fatal events may occur, especially in complex cases with a history of urinary tract infections, and advanced neurological diseases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.