Evidence map›Paper›PMID 34622341›Full record

SynthesisCurrent urology reports2021

Role of Intrarenal Pressure in Modern Day Endourology (Mini-PCNL and Flexible URS): a Systematic Review of Literature.

Theodoros Tokas, Eirini Tzanaki, Udo Nagele, Bhaskar Kumar Somani

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current urology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 4 countries.

Theodoros TokasDepartment of Urology and Andrology, General Hospital Hall I.T, Milser Str. 10, 6060, Hall i.T., Hall in Tirol, Austria. ttokas@yahoo.com.ORCID http://orcid.org/0000-0003-0928-0507
Eirini TzanakiMedical School, University of Pavia, Harvey Course, Pavia, Italy.ORCID http://orcid.org/0000-0002-4064-6178
Udo NageleDepartment of Urology and Andrology, General Hospital Hall I.T, Milser Str. 10, 6060, Hall i.T., Hall in Tirol, Austria.ORCID http://orcid.org/0000-0001-9565-2834
Bhaskar Kumar SomaniDepartment of Urology, University Hospital Southampton NHS Trust, Southampton, UK.ORCID http://orcid.org/0000-0002-6248-6478
Tirol Kliniken · ATManipal Academy of Higher Education · INUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo review the latest evidence about intrarenal pressures (IRPs) generated during flexible ureteroscopy (fURS) and mini percutaneous nephrolithotomy (mPCNL) and present tools and techniques to maintain decreased values. RECENT FINDING: fURS and PCNL constitute the primary means of stone treatment. New flexible ureterorenoscopes with small diameter and miniaturized PCNL instruments achieve optimal stone-free rates (SFRs) while decreasing invasiveness and morbidity. Nevertheless, endourologists must remain cognizant regarding the dangers of increased IRPs to avoid complications. Current research presents essential information for urologists regarding this topic. During fURS, using a ureteral access sheath (UAS), we avoid extremely high IRPs with all irrigation types. During mPCNL, pressure remains low, mainly using the purging effect or a vacuum-assisted sheath. Devices of intraoperative IRP measurement and intelligent pressure control have proven their feasibility, accuracy and efficacy. These will have an increasing role to play in the future management of stone disease.

Indexed as

Kidney CalculiNephrolithotomy, PercutaneousEndoscopyHumansKidneyUrologistsIntra-pelvic pressureIntra-renal pressureIrrigation flowIrrigation pressureKidney calculiPCNLPercutaneous nephrolithotomyRenal-pelvic pressureRIRSUreteroscopyURS

Identifiers

PMID34622341
OpenAlexW3202657640

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.