ArticleWorld journal of urology2026
Intrarenal pressure monitoring in retrograde intrarenal surgery for high-infectious risk populations.
Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
purposeTo evaluate the feasibility of real-time intrarenal pressure (IRP) monitoring using the LithoVue™ Elite (LVE) ureteroscope and assess postoperative infectious complications after retrograde intrarenal surgery (RIRS) in patients with positive urine cultures.
methodsThis multicenter, single-arm, prospective cohort study (August 2023-October 2024) included patients with upper urinary tract calculi and positive preoperative urine cultures who underwent RIRS with real-time IRP monitoring via the LVE. Irrigation was adjusted to maintain IRPs below 30 mmHg. The primary endpoint was postoperative fever ≥ 38 °C. Secondary endpoints included systemic inflammatory response syndrome (SIRS), stone-free rates, ipsilateral flank pain scores, and complications.
resultsOf 148 eligible patients, 104 were enrolled. The median operative time and artificial intelligence-corrected IRP were 50 min (interquartile range: 36.8-80.0) and 13.3 mmHg (10.4-19.1), respectively. Postoperative fever occurred in 7.7% of patients, SIRS in 3.8%, and no septic shock was observed. Patients who developed postoperative fever were older (p = 0.019) and had longer preoperative ureteral stent indwelling times (p = 0.015). Univariable linear regression analysis demonstrated that higher body mass index (BMI), irrigation method, and ureteral access sheath tip location were significantly associated with higher intraoperative IRP (all p ≤ 0.005). Higher postoperative white blood cell counts and ipsilateral flank pain scores were also associated with elevated IRP (p = 0.010 and p = 0.032, respectively). In multivariable linear regression analysis, higher BMI and manual irrigation remained independent increased intraoperative IRP predictors (p = 0.042 and p = 0.009, respectively).
conclusionReal-time IRP monitoring using the LVE ureteroscope maintained low intrarenal pressures during RIRS and was associated with a low rate of postoperative fever in high-risk patients. These findings suggest that incorporating IRP monitoring into RIRS protocols is feasible and may improve pressure management in patients with positive urine cultures.
Indexed as
Identifiers
42667385What 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.