Evidence map›Paper›PMID 40949444›Full record

ReviewTranslational andrology and urology2025

Prevention and management of difficult ureteroscope withdrawal caused by ureteroscopic impaction: a narrative review.

Feng Yin, Hongtai Tu, Hongmin Chen, Tianxiang Xie, Junrong Zou, Rihai Xiao

Abstract readReview
In one paragraph

Review in Translational andrology and urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Feng Yin *First Clinical College, Gannan Medical University, Ganzhou, China.
Hongtai Tu *First Clinical College, Gannan Medical University, Ganzhou, China.
Hongmin ChenFirst Clinical College, Gannan Medical University, Ganzhou, China.
Tianxiang XieFirst Clinical College, Gannan Medical University, Ganzhou, China.
Junrong ZouFirst Clinical College, Gannan Medical University, Ganzhou, China.
Rihai XiaoFirst Clinical College, Gannan Medical University, Ganzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Among the complications of ureteroscopic lithotripsy, withdrawal difficulties due to ureteroscopic impaction have not been well studied. Most of the existing literature is limited to single-center retrospective analysis or small-sample case reports. The purpose of this article is to elucidate the causes of intraoperative ureteroscopic impaction, summarize relevant research evidence, and propose effective prevention and management strategies. Methods: Through a systematic search of PubMed and Web of Science spanning from 1999 to 2024, English and Chinese literature containing keywords such as "ureteroscopy", "difficult ureteroscope withdrawal", "ureteroscopic impaction", and "ureteral injury" were included. The search covered retrospective studies, case reports, and experimental studies. Key Content and Findings: This review identified that the primary causes of ureteroscopic impaction encompass operator-related factors, instrumental characteristics, ureteral anatomical strictures, pathological strictures, and ureteral spasms. Preventive strategies involve comprehensive preoperative assessment, appropriate ureteroscopy selection, and meticulous procedural technique. Regarding management, mild cases may resolve spontaneously with observation, whereas severe impaction necessitates employment of specialized exit techniques. Conclusions: This review offers clinicians comprehensive strategies for preventing and managing ureteroscopic impaction, which can help reduce surgical risks and improve patient outcomes. Further multicenter, prospective studies are necessary to optimize relevant technologies and methods in the future.

Indexed as

difficult ureteroscope withdrawalUreteroscopeureteroscopic impaction

Identifiers

PMID40949444
PMCPMC12433161

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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.