ArticleUrology2025
Impact of Intraoperative Digital Stone Measurement on Surgeon Decision Making in Ureteroscopy.
Article in Urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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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
1 citing paper in PubMed.
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo assess the clinical use of a novel software capable of accurately measuring stone fragments in real-time and its impact on intraoperative decision-making.
methodsAdult patients undergoing flexible ureteroscopy and holmium laser lithotripsy for renal stones were prospectively enrolled. Intraoperative measurements of fragments were performed live and reported to surgeons upon request during surgery. After each case, surgeons were surveyed about the reasons for taking measurements and how the measurements impacted their intraoperative decisions.
resultsAmong 106 patients undergoing ureteroscopy, surgeons took an average of 2.4 intraoperative measurements per case. The software was deployed successfully in all cases. Surgeons' most frequent reason for taking intraoperative measurements was to determine whether postlithotripsy fragments were extractable (52%), but they also requested measurements to assess stone size (30%) and extractability (34%) before lithotripsy. Based on stone measurements, surgeons changed intraoperative plans in 28% of cases and instead continued lithotripsy (11%), extracted fragments (14%), or left fragments behind for passage (3%). Surgeons rated the ability to take intraoperative measurements as "very helpful" (61%) or "somewhat helpful" (38%). The time burden of taking measurements affected procedural efficiency in 3% of cases.
conclusionThe ability to take stone measurements during flexible ureteroscopy changed surgeons' intraoperative stone management decisions in 28% of cases. Integrating digital measurement tools may improve procedural efficiency and reduce fragment extraction failures and the risk of ureteral injury.
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Registered trials
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