ArticleWorld journal of urology2023
Quantification of outflow resistance for ureteral drainage devices used during ureteroscopy.
Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 9 citations in OpenAlex.
- Pressure-flow behavior during RIRS irrigation: a controlled ex vivo porcine kidney study of flow-dependent apparent outflow resistance.World journal of urology · 2026Article
- Endoscopic visual cues of intrarenal pressure during ureteroscopy: in vivo porcine studies.BJU international · 2026Article
- Intrarenal pressure response to suction during ureteroscopy with a flexible and navigable suction sheath: in vivo porcine studies.Urolithiasis · 2026Article
- Flexible and navigable suction access sheaths: balancing sheath and scope size for desired flows.BJU international · 2026Article
- Characterization of renal pelvis compliance and outflow resistance during ureteroscopy of the ex-vivo human kidney.American journal of clinical and experimental urology · 2026Article
- Iatrogenic upper urinary tract injuries during ureteroscopy for urolithiasis: a comprehensive review on incidence, mechanisms and preventative strategies.Nature reviews. Urology · 2025Review
- Improved control of renal pelvis pressure using a prototype fluid management system incorporating ureteroscope pressure feedback.Urolithiasis · 2025Article
- Renal pelvis pressure and flowrate with a multi-channel ureteroscope: invoking the concept of outflow resistance.Urolithiasis · 2025Article
- Rise in intraluminal temperature during ureteroscopy: Is this a concern?Investigative and clinical urology · 2025Review
- The impact of siphoning effect on renal pelvis pressure during ureteroscopy using an in vitro kidney and ureter model.World journal of urology · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSince renal pelvis pressure is directly related to irrigation flowrate and outflow resistance, knowledge of outflow resistance associated with commonly used drainage devices could help guide the selection of the type and size of ureteral access sheath or catheter for individual ureteroscopic cases. This study aims to quantitatively measure outflow resistance for different drainage devices utilized during ureteroscopy.
methodsWith measured irrigation flowrate and renal pelvis pressure, outflow resistance was calculated using a hydrodynamic formula. After placement of a drainage device into a silicone kidney-ureter model, a disposable ureteroscope with a 9.5-Fr outer diameter was inserted with its tip positioned at the renal pelvis. Irrigation was delivered through the ureteroscope from varying heights above the renal pelvis. Renal pelvis pressure was measured directly from the port of the kidney model using a pressure sensor (Opsens, Canada). Outflow resistance was determined by plotting flowrate versus renal pelvis pressure. All trials were performed in triplicate for each drainage device inserted.
resultsFlowrate was linearly dependent on renal pelvis pressure for all drainage devices tested. Outflow resistance values were 0.2, 1.1, 1.4, 3.9, and 6.5 cmH
conclusionsIn this study, outflow resistance of different ureteral drainage devices was quantitatively measured. This knowledge can be useful when selecting which type and size of drainage device to insert to maintain safe renal pelvis pressure during ureteroscopy.
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