Evidence map›Paper›PMID 41647484›Full record

ArticleBJUI compass2026

Does instrumentation and irrigation configuration affect intrarenal pressure during PCNL?

Evan Seibly, Ali Albaghli, Kyu Park, Elizabeth A Baldwin, Ala'a Farkouh, Katya Hanessian, Nicole Mack, Cliff De Guzman, Toby Clark, Matthew Buell and 6 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

16 authors.

Evan SeiblyDepartment of Urology Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0009-0006-8198-4719
Ali AlbaghliDepartment of Urology Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0000-0003-4935-0602
Kyu ParkDepartment of Urology Loma Linda University Health Loma Linda California USA.
Elizabeth A BaldwinDepartment of Urology Loma Linda University Health Loma Linda California USA.
Ala'a FarkouhDepartment of Urology Loma Linda University Health Loma Linda California USA.
Katya HanessianDepartment of Urology Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0009-0007-8181-4178
Nicole MackDepartment of Urology Loma Linda University Health Loma Linda California USA.
Cliff De GuzmanDepartment of Urology Loma Linda University Health Loma Linda California USA.
Toby ClarkDepartment of Urology Loma Linda University Health Loma Linda California USA.
Matthew BuellDepartment of Urology Loma Linda University Health Loma Linda California USA.
Rose LeuDepartment of Urology Loma Linda University Health Loma Linda California USA.
Kanha SheteDepartment of Urology Loma Linda University Health Loma Linda California USA.
Sikai SongDepartment of Urology Loma Linda University Health Loma Linda California USA.
Akin S AmasyaliDepartment of Urology Loma Linda University Health Loma Linda California USA.
Zham OkhunovDepartment of Urology Loma Linda University Health Loma Linda California USA.
D Duane BaldwinDepartment of Urology Loma Linda University Health Loma Linda California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To measure the effects of varying configurations of nephroscope sheath, irrigation, instruments, and suction on intrarenal pressure (IRP) during percutaneous nephrolithotomy (PCNL). Materials and Methods: Kidney and ureter 3D printed models from a deidentified patient's CT scan were placed in a plaster and foam mould, simulating the torso of a prone patient. An Amplatz sheath was inserted into the kidney model. Fourteen different rigid nephroscope sheath (RNS), irrigation, instrument and suction configurations were compared. IRP was measured in a retrograde fashion. Comparisons were performed using the Wilcoxon Signed-Rank test followed by Bonferroni correction. Results: The mean IRP with and without the RNS was 19.1 and 14.7 mm Hg, respectively ( Conclusion: In situations where the IRP should be low, removal of the RNS, irrigating through the inflow port, and frequent use of suction maintain the lowest pressures. If temporary increases in IRP are necessary to improve visualisation in the setting of bleeding, irrigating through the outflow port, minimising drainage and use of the RNS can be used to raise IRP.

Indexed as

instrumentationlithotripsynephrolithiasispercutaneous nephrolithotomypressure

Identifiers

PMID41647484
PMCPMC12869112

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.