ReviewNature reviews. Urology2024
Mechanical characteristics of the ureter and clinical implications.
Review in Nature reviews. Urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 citing papers in PubMed, 19 citations in OpenAlex.
- Article
- Quantifying Local Strain Field and Deformation in Active Contraction of Bladder Using a Pretrained Transformer Model: A Speckle-Free Approach.Results in engineering · 2026Article
- Ureteral wall thickness as an imaging-based predictor of difficult ureter during ureteroscopic lithotripsy: a retrospective analysis.BMC urology · 2026Article
- Posteriorly Augmented Anastomotic Ureteroplasty with Lingual Mucosal Onlay Grafts: 8-year Multi-institutional Experience in 61 Cases.European urology open science · 2026Article
- How do we choose the optimal length of flexible and navigable suction ureteral access sheaths (FANS): an EAU endourology and AUSET prospective multicenter analysis.World journal of urology · 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
- Clinical risk factors and machine learning-assisted interpretation of ureteral access sheath insertion failure: a multicenter study and meta-analysis.Frontiers in surgery · 2026Article
- Research progress on treating urinary system stones using ureteroscopy combined With a negative-pressure suction sheath.Frontiers in surgery · 2026Review
- Stenting severely obstructed ureters: a useful method for a common challenge.The Canadian journal of urology · 2025Article
- Prior knowledge-guided multimodal deep learning system for biomarker exploration and prognosis prediction of urothelial carcinoma.NPJ digital medicine · 2025Article
- Iatrogenic upper urinary tract injuries during ureteroscopy for urolithiasis: a comprehensive review on incidence, mechanisms and preventative strategies.Nature reviews. Urology · 2025Review
- Tip-flexible suctioning ureteral access sheath combined with flexible ureteroscope: a single-institution experience including in vitro experiments.BMC urology · 2025Article
- Prevention and management of difficult ureteroscope withdrawal caused by ureteroscopic impaction: a narrative review.Translational andrology and urology · 2025Review
- Mechanical characterization and constitutive law of porcine urethral tissues: a hyperelastic fiber model based on a physical approach.Biomechanics and modeling in mechanobiology · 2025Article
- Development and validation of a predictive model for failure of ureteral access sheath placement in patients with ureteral calculi.BMC urology · 2024Article
- Mechanical characterization of porcine ureter for the evaluation of tissue-engineering applications.Frontiers in bioengineering and biotechnology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ureteric wall is a complex multi-layered structure. The ureter shows variation in passive mechanical properties, histological morphology and insertion forces along the anatomical length. Ureter mechanical properties also vary depending on the direction of tensile testing and the anatomical region tested. Compliance is greatest in the proximal ureter and lower in the distal ureter, which contributes to the role of the ureter as a high-resistance sphincter. Similar to other human tissues, the ureteric wall remodels with age, resulting in changes to the mechanical properties. The passive mechanical properties of the ureter vary between species, and variation in tissue storage and testing methods limits comparison across some studies. Knowledge of the morphological and mechanical properties of the ureteric wall can aid in understanding urine transport and safety thresholds in surgical techniques. Indeed, various factors alter the forces required to insert access sheaths or scopes into the ureter, including sheath diameter, safety wires and medications. Future studies on human ureteric tissue both in vivo and ex vivo are required to understand the mechanical properties of the ureter and how forces influence these properties. Testing of instrument insertion forces in humans with a focus on defining safe upper limits and techniques to reduce trauma are also needed. Last, evaluation of dilatation limits in the mid and proximal ureter and clarification of tensile strength anisotropy in human specimens are necessary.
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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.