ArticleSpringerPlus2015
Intraluminal pressure profiles during flexible ureterorenoscopy.
Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
75 citing papers in PubMed, 1 synthesis or guideline pooled it, 149 citations in OpenAlex.
- Pooled it
- A novel small fragment removal system holds promise to improve stone extraction during lithotripsy.World journal of urology · 2025Trial
- Intrarenal pressure with hand-pump or pressurized-bag irrigation: randomized clinical trial at retrograde intrarenal surgery.The British journal of surgery · 2024Trial
- Fluid absorption during flexible ureteroscopy with intelligent control of renal pelvic pressure: a randomized controlled trial.World journal of urology · 2024Trial
- Endoscopic visual cues of intrarenal pressure during ureteroscopy: in vivo porcine studies.BJU international · 2026Article
- Paradigm shifts in fluid management using suction irrigation pressure autoregulating systems in modern flexible ureteroscopy with flexible and navigable suction access sheath: an evidence-based narrative from EAU Endourology.Current opinion in urology · 2026Review
- Clinical evaluation and related factor analysis of intrarenal pressure using a Chinese-made disposable pressure-measuring flexible ureteroscope.The Canadian journal of urology · 2026Article
- Correlation of simultaneously monitored intrarenal and irrigation pressures during ureteroscopy: an in vivo pilot study.World journal of urology · 2026Article
- Article
- Flexible and navigable suction access sheaths: balancing sheath and scope size for desired flows.BJU international · 2026Article
- Handle with care: ureteral access sheath positioning modulates intrarenal pressure-insights from an EAU endourology ex vivo study using four ureteroscope sizes.World journal of urology · 2026Article
- Monitoring Intrarenal Pressure vs. Irrigation Fluid Absorption for Infection Prevention in Ureteroscopy.Advances in urology · 2026Review
- Suction irrigation pressure autoregulating systems (SIPS): Is this the future of endourology?Central European journal of urology · 2026Article
- Iatrogenic upper urinary tract injuries during ureteroscopy for urolithiasis: a comprehensive review on incidence, mechanisms and preventative strategies.Nature reviews. Urology · 2025Review
- Hyperspectral Imaging Accurately Detects Renal Malperfusion Due to High Intrarenal Pressure.European urology open science · 2025Article
- Article
- Intrarenal pressure management using flexible ureteroscope with direct in-scope suction in combination with different size ureteral access sheaths: an experimental ex-vivo study.World journal of urology · 2025Article
- Article
- Intrarenal Pressure Monitoring During Ureteroscopy: A Delphi Panel Consensus.European urology open science · 2025Article
- Novel pressure- and temperature-controlled flexible ureteroscope system with a suction ureteral access sheath: a multicenter retrospective feasibility study.World journal of urology · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIrrigation and instrumentation during ureterorenoscopic procedures may cause increased pressure in the renal pelvis (PP) with potential harmful adverse effects. In order to assess the pressure increases during ureterorenoscopy, we measured the intraluminal renal pelvic pressure during retrograde intrarenal stone surgery (RIRS).
methodsTwelve patients admitted for RIRS were included. Irrigation rate was standardized to 8 ml/min. A ureteral catheter was retrogradely placed in the renal pelvis for PP measurements. PP was measured one time per second during insertion of the Storz Flex-X2 ureteroscope and during stone treatment.
resultsBaseline PP was mean 10(±4.0) mmHg. During simple ureterorenoscopy, PP was mean 35(±10) mmHg. During stone management the average PP was 54(±18) mmHg and pelvic pressure peaks up to 328 mmHg occurred. In a 5-min standardized period of simple ureterorenoscopy, 83 pressure peaks >50 mmHg were measured in average per patient (range 2-238). Forced irrigation with a 20 ml syringe resulted in pressure peaks up to 288 mmHg.
conclusionVery high pelvic pressures are obtained during flexible ureterorenoscopy. Taking into consideration that the threshold for pyelovenous backflow is around 30 mmHg, it is concerning that PPs >300 mmHg are not uncommon during these procedures. Methods to monitor and lower the PP during ureterorenoscopy, therefore, are considered of importance.
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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.