Observational studyWorld journal of urology2025
Automated intrarenal pressure control in flexible ureteroscopy using an integrated ureteroscope pressure measurement and fluid management system: first-in-human use.
Observational study 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 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Automated irrigation systems in mitigating laser-induced temperature during simulated ureteroscopy.BJU international · 2026Article
- Staged transurethral surgery for complete stone clearance in a rare giant infected ureteral stone: a case report.Translational andrology and urology · 2026Article
- Intelligent pressure-guided flexible ureteroscopic lithotripsy improves stone-free rates and reduces infectious complications in upper urinary tract infectious stones.American journal of translational research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the safety and clinical performance of a fluid-management system with intrarenal pressure management during flexible ureteroscopy in patients with renal or ureteral stones.
methodsprospective, observational, descriptive study at two centers in Santiago, Chile, from April to June 2025. Adults (≥ 18 years) with confirmed upper urinary tract stones undergoing flexible ureteroscopy were included (n = 14). Exclusion criteria comprised active urinary infection, significant anatomical abnormalities, pregnancy or lactation. All procedures employed a single-use LithoVue Elite ureteroscope integrated with Asurys. Continuous intrarenal pressure measurements were recorded, with the Asurys system configured in LithoVue Elite Mode using a target pressure limit of 25-35 cmH₂O (18.4-25.8 mmHg) (flow limiter) and adjustable flush limiter (typically 80-100 cmH₂O (58.8-73.6 mmHg)). Intraoperative parameters, including operative time, laser usage, and instrument sheath utilization, were documented. Postoperative complications were classified by Clavien-Dindo. Laboratory values (e.g., C-reactive protein, fibrinogen, creatinine) were obtained preoperatively and 2-3 h postoperatively.
resultsThe mean age was 51 years, 78% were male. Stones had a median diameter of 8 mm and a median volume of 189.9 mm³. Median operative time was 60 min (range 50.0-90.5). The mean intrarenal pressure was 29 ± 13 cmH₂O (21.3 ± 9.6 mmHg). One patient (7%) experienced a Clavien-Dindo II urinary tract infection; one (7%) had grade I pain.
conclusionAsurys was associated with low complication rates and high surgeon satisfaction, suggesting that automated pressure control is safe and effective during flexible ureteroscopy.
Indexed as
Identifiers
41396486What OpenQuestion holds
Registered trials
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.