GuidelineBJU international2023
International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.
Guideline in BJU international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07058402 (A Multicenter, Randomized Controlled Trial Comparing the Retrograde Intrarenal Surgery With a Tip-Flexible Suction Access Sheath to the Standard Percutaneous Nephrolithotomy for the Treatment of 2-3 cm Unilateral Renal Stones), which is not on this map. Cited by 70 papers, 5 of them syntheses that pooled 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.
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.
A Multicenter, Randomized Controlled Trial Comparing the Retrograde Intrarenal Surgery With a Tip-Flexible Suction Access Sheath to the Standard Percutaneous Nephrolithotomy for the Treatment of 2-3 cm Unilateral Renal Stones
Who cites it
70 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Role of pediatric ureteroscopy for large renal stones: a systematic review and meta-analysis from EAU endourology.World journal of urology · 2025Pooled it
- Efficacy and safety of flexible and navigable suction access sheaths versus traditional access sheath in flexible ureteroscopic lithotripsy: a systematic review and meta-analysis.World journal of urology · 2025Pooled it
- International Alliance of Urolithiasis (IAU) guideline on staghorn calculi management.World journal of urology · 2024Guideline
- Efficacy and safety of various endosurgical procedures for management of large renal stone: a systemic review and network meta-analysis of randomised control trials.Urolithiasis · 2023Pooled it
- Does displacement of lower pole stones during retrograde intrarenal surgery improves stone-free status? A systematic review and meta-analysis.Acta cirurgica brasileira · 2023Pooled it
- Omitting catheterization after ureteroscopic lithotripsy: a prospective, multicenter, randomized controlled trial.World journal of urology · 2026Trial
- Enhanced versus extended preoperative antibiotic prophylaxis for retrograde intrarenal surgery in high infectious risk patients: a randomized controlled trial.World journal of urology · 2025Trial
- Mini-PCNL (percutaneous nephrolithotomy) vs. FURSL (flexible ureteroscopy and laser lithotripsy): a head-to-head comparison in treating calyceal diverticulum stones: a prospective randomized study.World journal of urology · 2025Trial
- Effect of bladder emptying status on the ureteral access sheath insertion resistance and following ureteral injury in RIRS: a prospective randomized controlled trial in academic hospital.World journal of urology · 2023Trial
- Pressure-flow behavior during RIRS irrigation: a controlled ex vivo porcine kidney study of flow-dependent apparent outflow resistance.World journal of urology · 2026Article
- Flexible ureteroscopy with a flexible and navigable suction ureteral access sheath versus mini-percutaneous nephrolithotomy for renal stones larger than 2 cm in patients with a solitary kidney: a propensity score-matched and win ratio analysis.World journal of urology · 2026Article
- Is the direct in-scope suction (DISS) the solution for the non-prestenting and sheathless flexible ureteroscopy?International urology and nephrology · 2026Article
- Success rate and pain management in ureteroscopic lithotripsy under local anesthesia: a retrospective analysis of 151 consecutive cases.Urolithiasis · 2026Article
- A novel regional anesthesia technique for retrograde intrarenal surgery in high-risk patients: a prospective observational study.BMC anesthesiology · 2026Observational
- FANS-UAS-assisted RIRS under local anesthesia: promising results, but are we ready for definitive conclusions?International journal of surgery (London, England) · 2026Article
- Urinary Tract Infectious Complications After Retrograde Intrarenal Surgery: The RIRS-STAMP Risk Score from a Two-Center Cohort.Pathogens (Basel, Switzerland) · 2026Article
- Clusterin elaborated by renal tubular epithelial cells under high oxalate stress serves as a matrix protein to facilitate kidney stone formation.Cellular and molecular life sciences : CMLS · 2026Article
- Impact of diabetes mellitus on stone access and surgical outcomes in patients undergoing ureteroscopic lithotripsy: a retrospective cohort study.BMC urology · 2026Article
- Mirabegron administration for the prevention of ureteral injuries during ureteral access sheath insertion.World journal of urology · 2026Article
- Letter to the Editor: insights into "A comparative analysis of tip-bendable suction ureteral access sheath versus traditional sheath in retrograde intrarenal stone surgery: a systematic review and meta-analysis of comparative studies".International journal of surgery (London, England) · 2026Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
25 authors at 20 institutions in 17 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. MATERIALS AND
methodsAfter a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided.
resultsA total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications.
conclusionThe series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.
Indexed as
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What OpenQuestion holds
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.