Evidence map›Paper›PMID 41053538›Full record

ArticleThe Journal of international medical research2025

Retrospective analysis of flexible ureteroscopic lithotripsy using end-fire, flexible negative-pressure ureteral access sheath for the management of 2-3-cm kidney stones.

Chenglong Wu, Cong Yin, Jieqing Chen, Qiaolin Mei, Yujia Sun, Hongbing Mei, Xinhui Liao

Abstract read
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Article in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Review
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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

7 authors.

Chenglong WuDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.
Cong YinDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.ORCID 0000-0001-6334-4677
Jieqing ChenDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.
Qiaolin MeiDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.
Yujia SunSpecial Needs Clinic, Shenzhen Children's Hospital, China.
Hongbing MeiDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.
Xinhui LiaoDepartment of Urology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo compare the efficacy and safety of flexible ureteroscopic lithotripsy using end-fire flexible negative-pressure ureteral access sheath (F-UAS) versus traditional ureteral access sheath (T-UAS) for 2-3-cm kidney stones.MethodsThis retrospective case-control study included 136 patients with kidney stones treated with flexible ureteroscopic lithotripsy using F-UAS at Shenzhen Second People's Hospital from November 2022 to November 2023 (F-UAS group) and 132 patients treated with flexible ureteroscopic lithotripsy using T-UAS from November 2021 to October 2022 (T-UAS group). Preoperative assessments included imaging studies (kidney, ureter, and bladder X-ray; noncontrast computed tomography; and renal ultrasound) and laboratory tests (complete blood count, biochemical tests, coagulation function, and urine culture). The stone clearance rate, operation time, intraoperative blood loss, and complications were compared between the two groups.ResultsBaseline characteristics of the two groups were balanced. The F-UAS group showed significantly higher stone clearance rate (91.9% vs. 81.8%, p = 0.014), shorter operation time (51.0 ± 13.9 vs. 59.8 ± 18.2 min, p < 0.001), and lower postoperative antibiotic use (2.9% vs. 6.8%, p = 0.027) than the T-UAS group. The intraoperative blood loss and length of hospital stay did not differ significantly between the two groups.ConclusionsFlexible ureteroscopic lithotripsy using F-UAS improves stone clearance, reduces infection-related complications, and shortens operation time compared with that using T-UAS in the treatment of 2-3-cm kidney stones. Further prospective studies are warranted to confirm these findings.

Indexed as

Kidney CalculiLithotripsyUreteroscopyAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeUreterUreteroscopesflexible negative-pressure ureteral access sheathFlexible ureteroscopic lithotripsykidney stonetraditional negative-pressure ureteral access sheath

Identifiers

PMID41053538
PMCPMC12508542

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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.