Evidence map›Paper›PMID 39614239›Full record

ArticleBMC urology2024

For upper ureteral stone, semirigid ureteroscopy or flexible ureteroscopy? Strengths and weaknesses.

Weisong Wu, Wenlong Wan, Junyi Yang, Yirixiatijiang Amier, Xianmiao Li, Jiaqiao Zhang, Xiao Yu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
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

7 authors.

Weisong WuDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Wenlong WanDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Junyi YangDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Yirixiatijiang AmierDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Xianmiao LiDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Jiaqiao ZhangDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Xiao YuDepartment of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. yujiuhu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlexible and semirigid ureteroscopy are two often used modalities in treating for upper ureteral stone. How about the outcome of each procedure?

methodsA retrospective cohort study among 167 patients who underwent flexible or semirigid ureteroscopic lithotripsy was performed. The pre-, intra-, postoperative and one-year follow-up outcomes were taken into comparison.

resultsSignificantly higher instant stone-clearance rate (81.3% vs. 92.4%, p = .032) and less operative time (62.1 ± 27.6 min vs. 44.1 ± 24.6 min, p<.001) were found in semirigid ureteroscopy. However, the stone-clearance rate at one month (90.7% vs. 93.5%, p = .500) was similar. Baseline characteristics including patient demographics, stone characteristics, duration of stone symptoms, hospital stay, expense, and complications between groups were approximately same. Three cases of stricture were found in the flexible ureteroscopy, and two in the semirigid ureteroscopy. Outcomes showed no significant difference. Further analysis showed that flexible ureteroscopy was likely more negatively affected by hydronephrosis and stone size, and semirigid ureteroscopy was more affected by stone location.

conclusionflexible ureteroscopy and semirigid ureteroscopy both had high stone clearance rate in the treatment for upper ureteral stones. They had similar outcomes and follow-up results. However, they also had their each most suitable application object.

Indexed as

Ureteral CalculiUreteroscopesUreteroscopyAdultAgedCohort StudiesEquipment DesignFemaleHumansLithotripsyMaleMiddle AgedRetrospective StudiesTreatment OutcomeFollow upStone freeStrictureUreteral stoneUreteroscopy

Identifiers

PMID39614239
PMCPMC11605917

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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.