Evidence map›Paper›PMID 39294307›Full record

Trial reportUrolithiasis2024

Ultrathin semirigid retrograde ureteroscopy versus antegrade flexible ureteroscopy in treating proximal ureteric stones 1-2 cm, a prospective randomized multicenter study.

Tarek Mohamed Gharib, Ibrahim Abdel-Al, Basheer N Elmohamady, Hazem Deif, Ahmed Abdelazim Haty, Salah E Shebl, Omar Safar, Gamal M Hassan, Yasser M Haggag, Adel Elatreisy

Abstract readMulticenter StudyRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Urolithiasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tarek Mohamed GharibUrology Department, Faculty of Medicine, Benha University, Benha, Egypt.ORCID https://orcid.org/0000-0001-6760-3795
Ibrahim Abdel-AlUrology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Assuit, Egypt. dribrahemuro2011@yahoo.com.ORCID https://orcid.org/0000-0002-2628-8407
Basheer N ElmohamadyUrology Department, Faculty of Medicine, Benha University, Benha, Egypt.ORCID https://orcid.org/0000-0002-6623-4059
Hazem DeifUrology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Assuit, Egypt.ORCID https://orcid.org/0000-0001-7281-7528
Ahmed Abdelazim HatyUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Salah E SheblUrology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-2418-0803
Omar SafarUrology Department, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia.ORCID https://orcid.org/0000-0001-8306-690X
Gamal M HassanUrology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Assuit, Egypt.ORCID https://orcid.org/0000-0003-4351-3503
Yasser M HaggagUrology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Assuit, Egypt.ORCID https://orcid.org/0009-0009-3245-4529
Adel ElatreisyUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0001-8407-0564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the outcomes of using Ultrathin semirigid retrograde ureteroscopy and antegrade flexible ureteroscopy to treat proximal ureteric stones of sizes 1-2 cm. A prospective randomized multicenter study included patients who had proximal ureteric stones 1-2 cm, amenable for ureteroscopy and laser lithotripsy between August 2023 and February 2024. Two hundred thirty patients were divided evenly into two treatment groups. Group I included patients treated with antegrade flexible ureteroscopy and holmium laser stone fragmentation, and Group II included patients treated with retrograde ultrathin semirigid ureteroscopy. The study groups were compared in terms of patient demographics, stone access success, operation time, reoperation rates, peri-operative complications, and stone-free status. Group I included 114 patients, while Group II included 111. The mean age of the patients was 33.92 ± 10.37 years, and the size of the stones was 15.88 ± 3 mm. The study groups had comparable demographics and stone characteristics. The mean operative time was significantly longer in group I than in group II (102.55 ± 72.46 min vs. 60.98 ± 14.84 min, respectively, P < 0.001). Most reported complications were MCCS grades I and II, with no significant difference between the study groups. The stone-free rate after four weeks was 92.1% and 81.1% for groups I and II, respectively, which increased to 94.7% and 85.6% after eight weeks (P > 0.05). Antegrade flexible ureteroscopy is equivalent to retrograde ultrathin semirigid ureteroscopy in treating proximal ureteric stones regarding stone-free status and procedure-related morbidity. However, the antegrade approach has a longer operative time, greater fluoroscopy exposure, and longer hospital stays.

Indexed as

Operative TimeUreteral CalculiUreteroscopyAdultFemaleHumansLasers, Solid-StateLithotripsy, LaserMaleMiddle AgedPostoperative ComplicationsProspective StudiesTreatment OutcomeUreteroscopesYoung AdultLaserPercutaneous renal surgeryUreteral stonesUrolithiasis

Identifiers

PMID39294307

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.