Evidence map›Paper›PMID 40180630›Full record

ArticleWorld journal of urology2025

Relocation of big stone fragments with direct-in scope suction.

Arman Tsaturyan, Eugenio Ventimiglia, Arkadya Musayelyan, Hayk Grigoryan, Marat Harutyunyan, Gagik Amirjanyan, Armen Muradyan, Marine Khaskhazyan, Angelis Peteinaris, Vasileios Tatanis and 8 more

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

18 authors.

Arman TsaturyanDepartment of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia. tsaturyanarman@yahoo.com.
Eugenio VentimigliaEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.
Arkadya MusayelyanDepartment of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia.
Hayk GrigoryanDepartment of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia.
Marat HarutyunyanDepartment of Urology, Erebouni Medical Center, Yerevan, 0087, Armenia.
Gagik AmirjanyanDepartment of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia.
Armen MuradyanDepartment of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia.
Marine KhaskhazyanDepartment of Allergology and Immunology, National Institute of Health after Academician S. Avdalbekyan, Yerevan, Armenia.
Angelis PeteinarisDepartment of Urology, University of Patras, Patras, Greece.
Vasileios TatanisDepartment of Urology, University of Patras, Patras, Greece.
Evangelos LiatsikosAdvancing Suction and Pressure and Innovative Research in Endourology (ASPIRE), Yerevan, Armenia.
Panagiotis KallidonisAdvancing Suction and Pressure and Innovative Research in Endourology (ASPIRE), Yerevan, Armenia.
Francesco EspertoEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.
Patrick Juliebø-JonesEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.
Lazaros TzelvesEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.
Ali TalyshinskiiEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.
Bhaskar SomaniAdvancing Suction and Pressure and Innovative Research in Endourology (ASPIRE), Yerevan, Armenia.
Amelia PietropaoloEAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group Arnhem, Arnhem, NL-6803, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effectiveness of DISS feature of novel 7.5Fr and 9.2Fr single-use flexible digital ureteroscopes to relocate and evacuate stone fragments (2-5 mm in diameter) without any accessory instruments.

methodsAn ex-vivo experimental study on porcine kidney and ureter was performed. Natural calcium oxalate dihydrate stone fragments sized 2-5 mm placed in the upper, middle and lower calyces were used. For each stone in each location 5 attempts were performed. The attempt was defined as successful if stone evacuation was reported while withdrawing the scope through the 12/14Fr UAS. The time collapsing the collecting system was also reported.

resultsThe time needed to collapse the porcine pelvi-calyceal system (PCS) was 4-5 s for 9.2Fr and 5-6 s for 7.5Fr scope. Evacuation of 2 mm stone fragments occurred in all trials both with 9.2Fr and 7.5Fr scopes. In case of 3 mm stone, evacuation of stone fragments was observed in 3 out of 5 and 1 out of 5 attempts in upper calyx, 5 out of 5 and 3 out of 5 in the middle calyx and 2 out of 5 and 0 out 5 in lower calyx using 7.5Fr and 9.2Fr scope, respectively.

conclusionThe DISS feature of the novel 7.5Fr and 9.2Fr single-use digital flexible ureteroscope can be potentially used not only to aspirate dust but also to relocate and evacuate larger stone fragments up to 4 mm in diameter using only suction. The speed of collapse of the PCS seems to be one of the main predictors of success.

Indexed as

Kidney CalculiUreteral CalculiUreteroscopesUreteroscopyAnimalsEquipment DesignSuctionSwineDISSRIRSSRSStone evacuationStone relocation

Identifiers

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Read underepoch 390

Registered trials

None linked

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.