ArticleWorld journal of urology2024
Factors affecting the intraoperative calculi excretion during flexible ureteroscopy lithotripsy: an in vitro analysis.
Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 12 citations in OpenAlex.
- The application of new type ureteroscope and traditional linear ureteroscope in ureteric stone patients.BMC urology · 2024Trial
- 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
- Pressure and sheath settings in a flexible suction ureteral access sheath: in-vitro assessment for retrograde intrarenal surgery.World journal of urology · 2026Article
- 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
- 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
- Impact of flow rate and ratio of endoscope-sheath diameter on stone removal in flexible ureteroscopic lithotripsy: in vitro and CFD analyses insights.International urology and nephrology · 2025Article
- Impact of negative-pressure ureteral access sheath on preventing "boiled ureter" during holmium laser lithotripsy.World journal of urology · 2025Article
- Optimizing aspiration efficiency in RIRS: the impact of ratio of endoscope-sheath diameter, irrigation flow, and negative pressure in an vitro study.Urolithiasis · 2025Article
- Article
- First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient.Urology case reports · 2025Article
- Optimizing infusion-suction diameter ratio (ISDR) in ureteroscopy: in vitro pressure and flow prediction and management.Urolithiasis · 2025Article
- Status study of clinical application of ureteral access sheath in urology: a narrative review.Translational andrology and urology · 2025Review
- Application of tip-flexible vacuum-assisted ureteral access sheath in flexible ureteroscopic laser lithotripsy for renal stones in a child after pyeloplasty: a case report.Frontiers in pediatrics · 2025Article
- Safety of flexible ureteroscopic lithotripsy with 365 μm fibers of Ho: YAG laser: a short-term follow-up.Lasers in medical science · 2024Article
- Scoping Review of Experimental and Clinical Evidence and Its Influence on Development of the Suction Ureteral Access Sheath.Diagnostics (Basel, Switzerland) · 2024Article
- Efficacy and cost-effectiveness analysis of flexible ureteroscopic lithotripsy with TFDS in the treatment of urolithiasis.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo explore the parameters influencing intraoperative calculi excretion (ICE) during flexible ureteroscopy lithotripsy (fURL) using in vitro simulation experiments.
methods3D-printed human kidney models were used to simulate the elimination of gravel during fURL. The factors influencing the ICE during fURL were analyzed by comparing the effects of different degrees of hydronephrosis (mild, moderate, and severe), surgical positions (supine and lateral position), ratios of endoscope-sheath diameter (RESD) (0.625, 0.725, and 0.825), gravel sizes (0.50-1.00 mm, 0.25-0.50 mm, and 0.10-0.25 mm), and ureteral access sheaths (UASs) (traditional UAS and negative-pressure UAS) on ICE.
resultsThe impacts of various UAS, RESD, degree of hydronephrosis, surgical positions, and gravel sizes on ICE were all significant (p < 0.05). We found no evidence of multicollinearity for all the independent variables, and the linear regression equation fitted as
conclusionEmploying negative-pressure UAS, smaller RESD, milder hydronephrosis, lateral position, and smaller gravel size contribute to improved ICE during fURL. Among them, the adoption of negative-pressure UAS had the most substantial effects.
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