Intrarenal pressure variations during flexible ureteroscopy in a porcine kidney model: impact of ureteral access sheath types and irrigation methods

Hong A, du Plessis J, Browne C, Jack G, Bolton D (2023) Mechanism of urosepsis: relationship between intrarenal pressures and pyelovenous backflow. BJU Int 132(5):512–519. https://doi.org/10.1111/bju.16095

Article  PubMed  CAS  Google Scholar 

John J, Wisniewski P, Fieggen G, Kaestner L, Lazarus J (2025) Intrarenal pressure in retrograde intrarenal surgery: A narrative review. Urology 195:201–209. https://doi.org/10.1016/j.urology.2024.09.026

Article  PubMed  Google Scholar 

Peng L, Xu Z, Wen J, Zhong W, Zeng G (2021) A quick stone component analysis matters in postoperative fever: a propensity score matching study of 1493 retrograde intrarenal surgery. World J Urol 39(4):1277–1285. https://doi.org/10.1007/s00345-020-03268-y

Article  PubMed  CAS  Google Scholar 

Zhong W, Leto G, Wang L, Zeng G (2015) Systemic inflammatory response syndrome after flexible ureteroscopic lithotripsy: a study of risk factors. J Endourol 29(1):25–28. https://doi.org/10.1089/end.2014.0409

Article  PubMed  Google Scholar 

Bhanot R, Pietropaolo A, Tokas T, Kallidonis P, Skolarikos A, Keller EX et al (2022) Predictors and strategies to avoid mortality following ureteroscopy for stone disease: A systematic review from European association of urologists sections of urolithiasis (EULIS) and Uro-technology (ESUT). Eur Urol Focus 8(2):598–607. https://doi.org/10.1016/j.euf.2021.02.014

Article  PubMed  Google Scholar 

Tokas T, Herrmann TRW, Skolarikos A, Nagele U (2019) Training and research in urological surgery and technology (T.R.U.S.T.)-Group. Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology. World J Urol 37(1):125–131. https://doi.org/10.1007/s00345-018-2378-4

Article  PubMed  Google Scholar 

Yuen SKK, Zhong W, Chan YS, Castellani D, Bhojani N, Agarwal MS et al (2025) Current utility, instruments, and future directions for intra-renal pressure management during ureteroscopy: scoping review by global research in intra-renal pressure collaborative group initiative. Ther Adv Urol 17:17562872251314809. https://doi.org/10.1177/17562872251314809

Article  PubMed  PubMed Central  Google Scholar 

De Coninck V, Keller EX, Rodríguez-Monsalve M, Audouin M, Doizi S, Traxer O (2018) Systematic review of ureteral access sheaths: facts and Myths. BJU Int 122(6):959–969. https://doi.org/10.1111/bju.14389

Article  PubMed  Google Scholar 

Tokas T, Skolarikos A, Herrmann TRW, Nagele U (2019) Training and research in urological surgery and technology (T.R.U.S.T.)-Group. Pressure matters 2: intrarenal pressure ranges during upper-tract endourological procedures. World J Urol 37(1):133–142. https://doi.org/10.1007/s00345-018-2379-3

Article  PubMed  Google Scholar 

Noureldin YA, Kallidonis P, Ntasiotis P, Adamou C, Zazas E, Liatsikos EN (2019) The effect of irrigation power and ureteral access sheath diameter on the maximal intra-Pelvic pressure during ureteroscopy: in vivo experimental study in a live anesthetized pig. J Endourol 33(9):725–729. https://doi.org/10.1089/end.2019.0317

Article  PubMed  Google Scholar 

Wright A, Williams K, Somani B, Rukin N (2015) Intrarenal pressure and irrigation flow with commonly used ureteric access sheaths and instruments. Cent Eur J Urol 68(4):434–438. https://doi.org/10.5173/ceju.2015.604

Article  CAS  Google Scholar 

Zeng G, Wang D, Zhang T, Wan SP (2016) Modified access sheath for continuous flow ureteroscopic lithotripsy: A preliminary report of a novel concept and technique. J Endourol 30(9):992–996. https://doi.org/10.1089/end.2016.0411

Article  PubMed  Google Scholar 

Chen Y, Li C, Gao L, Lin L, Zheng L, Ke L et al (2022) Novel flexible Vacuum-Assisted ureteral access sheath can actively control intrarenal pressure and obtain a complete Stone-Free status. J Endourol 36(9):1143–1148. https://doi.org/10.1089/end.2022.0004

Article  PubMed  Google Scholar 

Gauhar V, Traxer O, Castellani D, Sietz C, Chew BH, Fong KY et al (2024) Could Use of a Flexible and Navigable Suction Ureteral Access Sheath Be a Potential Game-changer in Retrograde Intrarenal Surgery? Outcomes at 30 Days from a Large, Prospective, Multicenter, Real-world Study by the European Association of Urology Urolithiasis Section. Eur Urol Focus. ;S2405-4569(24)00073 – 7. https://doi.org/10.1016/j.euf.2024.05.010

Schwalb DM, Eshghi M, Davidian M, Franco I (1993) Morphological and physiological changes in the urinary tract associated with ureteral dilation and ureteropyeloscopy: an experimental study. J Urol 149(6):1576–1585. https://doi.org/10.1016/s0022-5347(17)36456-x

Article  PubMed  CAS  Google Scholar 

WILSON WT, PREMINGER GM (1990) Intrarenal pressures generated during flexible deflectable ureterorenoscopy. J Endourol 4(2):135–141. https://doi.org/10.1089/end.1990.4.135

Article  Google Scholar 

Croghan SM, O’Meara S, Cunnane EM, Purtill H, Walsh MT, O’Brien FJ et al (2024) Intrarenal pressure with hand-pump or pressurized-bag irrigation: randomized clinical trial at retrograde intrarenal surgery. Br J Surg 111(6):znae137. https://doi.org/10.1093/bjs/znae137

Article  PubMed  PubMed Central  Google Scholar 

Geraghty RM, Jones P, Somani BK (2017) Worldwide trends of urinary stone disease treatment over the last two decades: A systematic review. J Endourol 31(6):547–556. https://doi.org/10.1089/end.2016.0895

Article  PubMed  Google Scholar 

Deng X, Xie D, Du C, Song L, Huang J, Tan W (2019) A novel technique to intelligently monitor and control renal pelvic pressure during minimally invasive percutaneous nephrolithotomy. Urol Int 103(3):331–336. https://doi.org/10.1159/000501047

Article  PubMed  Google Scholar 

Chang D, Manecksha RP, Syrrakos K, Lawrentschuk N (2012) An investigation of the basic physics of irrigation in urology and the role of automated pump irrigation in cystoscopy. ScientificWorldJournal 2012:476759. https://doi.org/10.1100/2012/476759

Article  PubMed  PubMed Central  Google Scholar 

Lechevallier E, Luciani M, Nahon O, Lay F, Coulange C (2003) Transurethral ureterorenolithotripsy using new automated irrigation/suction system controlling pressure and flow compared with standard irrigation: a randomized pilot study. J Endourol 17(2):97–101. https://doi.org/10.1089/08927790360587423

Article  PubMed  Google Scholar 

Doersch KM, Hart KD, Elmekresh A, Milburn PA, Machen GL, El Tayeb MM (2018) Comparison of utilization of pressurized automated versus manual hand irrigation during ureteroscopy in the absence of ureteral access sheath. Proc (Bayl Univ Med Cent) 31(4):432–435. https://doi.org/10.1080/08998280.2018.1482518

Article  PubMed  Google Scholar 

Jefferson FA, Sung JM, Limfueco L, Lu S, Cottone CM, Tapiero S et al (2020) Prospective randomized comparison of standard hand pump infuser irrigation vs an automated irrigation pump during percutaneous nephrolithotomy and ureteroscopy: assessment of operating room efficiency and surgeon satisfaction. J Endourol 34(2):156–162. https://doi.org/10.1089/end.2019.0419

Article  PubMed  PubMed Central  Google Scholar 

Yuen SKK, Traxer O, Wroclawski ML, Gadzhiev N, Chai CA, Lim EJ et al (2024) Scoping review of experimental and clinical evidence and its influence on development of the Suction ureteral access sheath. Diagnostics (Basel) 14(10):1034. https://doi.org/10.3390/diagnostics14101034

Article  PubMed  Google Scholar 

Zhu W, Liu S, Cao J, Wang H, Liang H, Jiang K et al (2024) Tip bendable Suction ureteral access sheath versus traditional sheath in retrograde intrarenal stone surgery: an international multicentre, randomized, parallel group, superiority study. EClinicalMedicine 74:102724. https://doi.org/10.1016/j.eclinm.2024.102724

Article  PubMed  PubMed Central  Google Scholar 

Wang D, Han Z, Bi Y, Ma G, Xu G, Hu Q et al (2022) Comparison of intrarenal pressure between convention and vacuum-assisted ureteral access sheath using an ex vivo Porcine kidney model. World J Urol 40(12):3055–3060. https://doi.org/10.1007/s00345-022-04149-2

Article  PubMed  Google Scholar 

Ostergar A, Wong D, Shiang A, Ngo S, Venkatesh R, Desai A et al (2023) Intrarenal pressure with Vacuum-Assisted ureteral access sheaths using an in situ cadaveric Porcine model. J Endourol 37(3):353–357. https://doi.org/10.1089/end.2022.0573

Article  PubMed  Google Scholar 

Chen KW, Koo KC, Zhong T, Ren R, Wong VK, Almousa S et al (2025) Real time monitoring of intrarenal pressures while using the flexible and navigable Suction ureteral access sheath. World J Urol 43(1):76. https://doi.org/10.1007/s00345-025-05444-4

Article  PubMed  Google Scholar 

Han Z, Wang B, Liu X, Jing T, Yue W, Wang Y et al (2023) Intrarenal pressure study using 7.5 French flexible ureteroscope with or without ureteral access sheath in an ex-vivo Porcine kidney model. World J Urol 41(11):3129–3134. https://doi.org/10.1007/s00345-023-04598-3

Article  PubMed  Google Scholar 

Guan W, Liang J, Wang D, Lin H, Xie S, Chen S et al (2023) The effect of irrigation rate on intrarenal pressure in an ex vivo Porcine kidney model-preliminary study with different flexible ureteroscopes and ureteral access sheaths. World J Urol 41(3):865–872. https://doi.org/10.1007/s00345-023-04295-1

Article 

Comments (0)

No login
gif