Evidence map›Paper›PMID 42604254›Full record

ArticleAsian journal of urology2026

Should we choose suction mini-percutaneous nephrolithotomy or flexible ureteroscopy with flexible and navigable suction ureteral access sheath in patients aged 65 years and older? An International Alliance of Urolithiasis and European Association of Urology Section of Endourology collaboration.

Chu Ann Chai, Steffi Kar Kei Yuen, Bhaskar Kumar Somani, Guohua Zeng, Wei Zhu, Deepak Ragoori, Khi Yung Fong, Vigen Malkhasyan, Nariman Gadzhiev, Arman Tsaturyan and 14 more

Abstract read
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

24 authors.

Chu Ann ChaiUrology Unit, Department of Surgery, University of Malaya, Kuala Lumpur, Malaysia.
Steffi Kar Kei YuenSH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.
Bhaskar Kumar SomaniDepartment of Urology, University Hospitals Southampton, NHS Trust, Southampton, Hampshire, UK.
Guohua ZengDepartment of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Wei ZhuDepartment of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Deepak RagooriDepartment of Urology, Asian Institute of Nephrology & Urology, Irram Manzil Colony, Hyderabad, Telangana, India.
Khi Yung FongThe Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Vigen MalkhasyanThe Moscow Urology Center, Botkin Hospital, Moscow, Russia.
Nariman GadzhievDepartment of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia.
Arman TsaturyanDepartment of Urology, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia.
Jia-Lun KwokDepartment of Urology, Tan Tock Seng Hospital, Singapore.
Mohamed ElshazlyUrology Department, Faculty of Medicine, Menoufia University, Shibin el Kom, Monufia Governorate, Egypt.
Tzevat TefikDepartment of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye.
Luis RicoDepartment of Urology, Hospital Aleman, Buenos Aires, Argentina.
Kremena PetkovaDepartment of Urology and Nephrology, Military Medical Academy, Sofia, Bulgaria.
Yadgar Abduljabbar ShwaniDepartment of Urology, Erbil Teaching Hospital, Erbil, Iraq.
Mahmoud LaymonUrology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Mohamed Amine LakmichiDepartment of Urology, University Hospital Mohammed the VIth of Marrakesh, Marrakesh, Marrakech-Safi Region, Morocco.
Jaisukh KalathiaFortune Urology Clinic, Botad, Gujarat, India.
Takaaki InoueDepartment of Urology, Hara Genitourinary Private Hospital, Kobe University, Kobe, Japan.
Olivier TraxerDepartment of Urology, Sorbonne University, Tenon Hospital, AP-HP, Paris, France.
Thomas TaillyDepartment of Urology, University Hospital of Ghent, Ghent, East Flanders, Belgium.
Daniele CastellaniUrology Unit, Azienda Ospedaliero-Universitaria delle Marche, Università Politecnica delle Marche, Ancona, Marche, Italy.
Vineet GauharDepartment of Urology, Asian Institute of Nephrology & Urology, Irram Manzil Colony, Hyderabad, Telangana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We aimed to conduct a multicenter, prospective cohort study comparing the outcomes of suction mini-percutaneous nephrolithotomy (SM-PCNL) and flexible ureteroscopy (FURS) with a flexible and navigable suction ureteral access sheath (FANS) in patients aged ≥65 years. Methods: A total of 340 patients were enrolled from global registries, of whom 130 underwent FURS with a FANS and 210 underwent SM-PCNL. Baseline, operative, and perioperative data were collected, and patients were followed for 30 days. The primary outcome was the stone-free rate (SFR) assessed by non-contrast CT at 30 days, with secondary outcomes including complications and reinterventions. Predictors of complete stone clearance were evaluated using multivariable logistic regression. Results: Both techniques demonstrated high overall SFRs at 30 days (94% for the SM-PCNL group Conclusion: These real-world data suggest both methods are effective in elderly stone formers, with FURS combined with a FANS favored for lower morbidity rates and SM-PCNL shown to have higher efficacy for complex stones. Treatment should be individualized based on stone complexity, patient factors, and surgeon expertise.

Indexed as

ElderlyEndourologyFlexible and navigable suction ureteral access sheathFlexible ureteroscopySuctionSuction mini-percutaneous nephrolithotomyUrolithiasis

Identifiers

PMID42604254
PMCPMC13476969

What OpenQuestion holds

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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.