Evidence map›Paper›PMID 42604099›Full record

ArticleAsian journal of urology2026

Outpatient versus inpatient flexible ureteroscopy with flexible and navigable suction access sheath: A multicenter comparative analysis of perioperative outcomes from the flexible and navigable access sheath collaborative study group.

Carlo Giulioni, Daniele Castellani, Federico Falsetti, Arman Tsaturyan, Nariman Gadzhiev, Marek Zawadzki, Kremena Petkova, Kemal Sarica, Steffi Kar Kei Yuen, Anil Shrestha and 13 more

Abstract read
In one paragraph

Article in Asian journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

23 authors.

Carlo GiulioniDepartment of Urology, Casa di Cura Villa Igea, Ancona, Italy.
Daniele CastellaniUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Federico FalsettiDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Division of Urology, Andrology and Kidney Transplantation Unit, University of Bari "Aldo Moro", Bari, Italy.
Arman TsaturyanDepartment of Urology, Yerevan State Medical University After Mkhitar Heratsi, Yerevan, Republic of Armenia.
Nariman GadzhievDepartment of Urology, Saint-Petersburg State University Hospital, Saint Petersburg, Russia.
Marek ZawadzkiUrology Unit, St. Anna Hospital, Piaseczno, Poland.
Kremena PetkovaDepartment of Urology and Nephrology, Military Medical Academy, Sofia, Bulgaria.
Kemal SaricaDepartment of Urology, Medical School, Biruni University, Istanbul, Türkiye.
Steffi Kar Kei YuenUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Anil ShresthaNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Pablo ContrerasDepartment of Urology, Hospital Alemán, Buenos Aires, Argentina.
Sundaram PalaniappanDepartment of Urology, Singapore General Hospital, Singapore.
Tsung Wen ChongDepartment of Urology, Singapore General Hospital, Singapore.
Angelo CafarelliDepartment of Urology, Casa di Cura Villa Igea, Ancona, Italy.
Wei ZhuDepartment of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Guohua ZengDepartment of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yi Quan TanDepartment of Urology, Ng Teng Fong General Hospital, Singapore.
Jia-Lun KwokDepartment of Urology, Tan Tock Seng Hospital, Singapore.
Amelia PietropaoloDepartment of Urology, University Hospitals Southampton, NHS Trust, Southampton, UK.
Thomas HerrmannUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Olivier TraxerUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Bhaskar Kumar SomaniUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.
Vineet GauharUrology Unit, Azienda Ospedaliero-Universitaria Delle Marche, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the clinical effectiveness and safety of outpatient versus inpatient flexible ureterorenoscopy (FURS) using the flexible and navigable suction access sheath (FANS). Methods: Conducted across 25 global centers between July 2023 and March 2024, this study included patients undergoing retrograde intrarenal surgery stratified by surgical setting. All patients were counseled for FURS with FANS as an outpatient procedure unless otherwise planned earlier. The primary outcome was stone-free rate defined as zero residual fragments or a single fragment of ≤2 mm on a 30-day non-contrast CT scan. The secondary outcome was complication rates. Outpatient status applied to any patient observed for less than 24 h postoperatively. No fixed criteria were assigned for outpatient care. Results: Seven hundred and four patients were included, with 356 undergoing outpatient surgery and 348 receiving inpatient care. Operative, lasing, and ureteroscope times were significantly shorter in the outpatient group ( Conclusion: Outpatient FURS with FANS demonstrates excellent outcomes, with a low rate of minor complications. These findings support the broader adoption of outpatient RIRS in patients with kidney stones and normal renal anatomy, provided that patient selection and intraoperative planning are appropriately optimized.

Indexed as

Flexible and navigable suction access sheathFlexible ureterorenoscopeOutpatientStone-free rateUrinary tract infection

Identifiers

PMID42604099
PMCPMC13476959

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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.