ReviewJournal of clinical medicine2022
A Practical Guide for Intra-Renal Temperature and Pressure Management during Rirs: What Is the Evidence Telling Us.
Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07306819 (Flexible Ureteroscopy Using a Tip-Bendable Suction Ureteral Access Sheath Versus Mini-Percutaneous Nephrolithotomy for the Treatment of 2-3 cm Renal Stones), which is not on this map. Cited by 40 papers.
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.
Flexible Ureteroscopy Using a Tip-Bendable Suction Ureteral Access Sheath Versus Mini-Percutaneous Nephrolithotomy for the Treatment of 2-3 cm Renal Stones: A Randomized Controlled Trial
Who cites it
40 citing papers in PubMed.
- Use of Moses 2.0 with extended frequency and optimized Moses vs. high-power laser in MiniPCNL: a randomized controlled trial.Urolithiasis · 2023Trial
- Intrarenal thermal and pressure dynamics during ureteroscopy: an in vitro study.BJU international · 2026Article
- Thermal determinants during in situ lithotripsy of nonrelocatable impacted ureteral calculi using a flexible and navigable suction ureteral access sheath: an in vitro study.World journal of urology · 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
- Real-time monitoring with DISS and FANS systems to assure safe and effective stone treatment: Insights from ex-vivo experimental study from EAU endourology.World journal of urology · 2026Article
- A novel 7.5 single-use flexible ureteroscope with in-built temperature and pressure sensors: Is there a limit to reliability and safety? An in vivo experimental study.World journal of urology · 2026Article
- Pre-clinical evaluation of a laser system with emission control based on stone vs soft tissue recognition.BJU international · 2026Article
- Optimization of Thulium Fiber Laser Lithotripsy Efficacy Based on Multidimensional Parameter Combination Strategies.European urology open science · 2026Article
- Real-world DISS practice combined with and without access sheath: insights from the global DISS dataset: a EAU endourology study.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
- Thermal safety during retrograde intrarenal surgery and laser lithotripsy. Changes of intrarenal temperature while using direct-in-scope-suction : an in-vitro study by young academic urologists and EAU endourology sections.World journal of urology · 2026Article
- Feasibility and efficiency of the use of pulsed thulium: YAG (Thulio) laser for ECIRS: a multicenter evaluation.World journal of urology · 2026Article
- Management of complex renal stones in horseshoe kidney using real-time intrarenal pressure monitoring with artificial intelligence in retrograde intrarenal surgery: A case report.Urology case reports · 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
- Iatrogenic upper urinary tract injuries during ureteroscopy for urolithiasis: a comprehensive review on incidence, mechanisms and preventative strategies.Nature reviews. Urology · 2025Review
- Innersight, a novel software for the formation of preoperative CT-based 3D models for the treatment of lithiasis: does it really help? A pilot study.World journal of urology · 2025Article
- Head-to-head comparison of novel suction technologies in endourology: suction mini-PCNL versus flexible ureteroscopy using flexible and navigable suction ureteral access sheaths for renal stone management. An EAU-endourology, propensity score-matched analysis of 1372 patients.World journal of urology · 2025Article
- Tip-flexible suctioning ureteral access sheath combined with flexible ureteroscope: a single-institution experience including in vitro experiments.BMC urology · 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
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOne of the main limitations of Ho:YAG lithotripsy is represented by its advancement speed. The need for faster lithotripsy has led to the introduction of high-power laser equipment. This general trend in increasing Ho:YAG lithotripsy power has certain points that deserve to be considered and analyzed. The objective is to carry out a narrative review on intrarenal temperature and pressure during ureteroscopy.
methodsA literature search using PUBMED database from inception to December 2021 was performed. The analysis involved a narrative synthesis.
resultsUsing more power in the laser correlates with an increase in temperature that can be harmful to the kidney. This potential risk can be overcome by increasing either the irrigation inflow or outflow. Increasing irrigant flow can lead to high intrarenal temperature (IRP). The factors that allow the reduction of intrarenal pressure are a low irrigation flow, the use of a ureteral access sheath of adequate diameter according to the equipment used, and the occupation of the working channel by the laser or basket.
conclusionTo maintain a safe temperature profile, it has been proposed to use chilled irrigation fluid, intermittent laser activation or to increase irrigation flow. This last recommendation can lead to increased IRP, which can be overcome by using a UAS. Another option is to use low power laser configurations in order to avoid temperature increases and not require high irrigation flows.
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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.