ReviewWorld journal of urology2023
The heat is on: the impact of excessive temperature increments on complications of laser treatment for ureteral and renal stones.
Review 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 20 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.
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Who cites it
20 citing papers in PubMed, 22 citations in OpenAlex.
- A novel small fragment removal system holds promise to improve stone extraction during lithotripsy.World journal of urology · 2025Trial
- Soft Tissue Safety Assessment of Pulsed Solid-State Thulium:YAG Versus Holmium:YAG Lasers: A Quantitative Porcine Model Simulation.Lasers in surgery and medicine · 2026Article
- Article
- 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
- Article
- Effect of Conventional Versus Flexible and Navigable Suction Ureteral Access Sheaths on Ureteral Temperature Modulation During High-power Ho:YAG Laser Lithotripsy: An In Vitro Evaluation.European urology open science · 2026Article
- A feasibility study of a novel irrigation technique for reducing intrapelvic pressure during ureterorenoscopy using conventional devices.BMC urology · 2026Article
- Article
- Intraoperative detection of a right atrial mass during holmium: YAG laser lithotripsy: A fatal and rare complication: A case report.Medicine · 2025Article
- Is a Ureteral Access Sheath Necessary for Maintaining Safe Intrarenal Pressures During Retrograde Lithotripsy Using a Flexible 7.5 Fr Scope and a High-Power TFL? In Vivo Experimental Study.Medicina (Kaunas, Lithuania) · 2025Article
- Ureteral stricture pathogenesis includes operative features as well as stone characteristics in patients undergoing ureteroscopic surgery.World journal of urology · 2025Article
- Commentary on "improved control of renal pelvis pressure using a prototype fluid management system incorporating ureteroscope pressure feedback".Urolithiasis · 2025Article
- Impact of negative-pressure ureteral access sheath on preventing "boiled ureter" during holmium laser lithotripsy.World journal of urology · 2025Article
- High-frequency in laser lithotripsy: do we truly know what it means?World journal of urology · 2025Review
- Evaluating safe irrigation rates for Tm fiber laser lithotripsy to prevent thermal injury: an in vitro and numerical simulation.World journal of urology · 2025Article
- Comparison of Temperature Changes Between Holmium-YAG Laser and Thulium Fiber Laser in an In Vitro Setting.Urology research & practice · 2025Article
- Renal and ureteral temperatures changes during ureteroscopic pulsed thulium: YAG laser lithotripsy: anCentral European journal of urology · 2025Article
- Influence of manual hand pump irrigation on intrapelvic temperature during retrograde intrarenal surgery: a thermography-based in vitro study.Central European journal of urology · 2024Article
- Thulium versus holmium: Which is safer for the removal of entombed stents?Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTechnological advancements in the field of urology have led to a paradigm shift in the management of urolithiasis towards minimally invasive endourological interventions, namely ureteroscopy and percutaneous nephrolithotomy. However, concerns regarding the potential for thermal injury during laser lithotripsy have arisen, as studies have indicated that the threshold for cellular thermal injury (43 °C) can be exceeded, even with conventional low-power laser settings. This review aims to identify the factors that contribute to temperature increments during laser treatment using current laser systems and evaluate their impact on patient outcomes. MATERIALS AND
methodsTo select studies for inclusion, a search was performed on online databases including PubMed and Google Scholar. Keywords such as 'temperature' or 'heat' were combined with 'lithotripsy', 'nephrolithotomy', 'ureteroscopy', or 'retrograde intrarenal surgery', both individually and in various combinations.
resultsVarious strategies have been proposed to mitigate temperature rise, such as reducing laser energy or frequency, shortening the duration of laser activation, increasing the irrigation fluid flow rate, and using room temperature or chilled water for irrigation. It is important to note that higher irrigation fluid flow rates should be approached cautiously due to potential increases in intrarenal pressure and associated infectious complications. The utilization of a ureteral access sheath (UAS) may offer benefits by facilitating irrigation fluid outflow, thereby reducing intrapelvic pressure and intrarenal fluid temperature.
conclusionAchieving a balance between laser power, duration of laser activation, and irrigation fluid rate and temperature appears to be crucial for urologists to minimize excessive temperature rise.
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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.