ArticleUrology annals
Challenging the gold standard: Flank-free modified supine versus prone position in the management of complex renal stones.
Article in Urology annals. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: The purpose of this study was to compare the safety, efficacy, and operative outcomes of the flank-free modified supine position versus the standard prone position for percutaneous nephrolithotomy (PCNL) in patients with complex renal stones. Materials and Methods: In this prospective randomized controlled trial (May 2022-November 2024), 178 patients with complex renal stones (Guy's Stone Score II-IV) were randomized 1:1 to undergo PCNL in the flankfree modified supine position ( Results: Baseline characteristics and stone complexity were comparable between groups. Mean operative time was significantly shorter in the supine group (72.61 ± 8.07 vs. 92.80 ± 6.90 min; Conclusion: Flank-free modified supine PCNL is a safe and effective alternative to standard prone PCNL for complex renal stones, providing significantly shorter operative time and favorable ergonomics without compromising stone clearance or safety.
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