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Current Urology Reports

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01-10-2021 | Endoscopy of the Urinary Tract | Endourology (P Mucksavage, Section Editor)

Role of Intrarenal Pressure in Modern Day Endourology (Mini-PCNL and Flexible URS): a Systematic Review of Literature

Authors: Theodoros Tokas, Eirini Tzanaki, Udo Nagele, Bhaskar Kumar Somani

Published in: Current Urology Reports | Issue 10/2021

Abstract

Purpose of Review

To review the latest evidence about intrarenal pressures (IRPs) generated during flexible ureteroscopy (fURS) and mini percutaneous nephrolithotomy (mPCNL) and present tools and techniques to maintain decreased values.

Recent Finding

fURS and PCNL constitute the primary means of stone treatment. New flexible ureterorenoscopes with small diameter and miniaturized PCNL instruments achieve optimal stone-free rates (SFRs) while decreasing invasiveness and morbidity. Nevertheless, endourologists must remain cognizant regarding the dangers of increased IRPs to avoid complications. Current research presents essential information for urologists regarding this topic.

Summary

During fURS, using a ureteral access sheath (UAS), we avoid extremely high IRPs with all irrigation types. During mPCNL, pressure remains low, mainly using the purging effect or a vacuum-assisted sheath. Devices of intraoperative IRP measurement and intelligent pressure control have proven their feasibility, accuracy and efficacy. These will have an increasing role to play in the future management of stone disease.

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Title: Role of Intrarenal Pressure in Modern Day Endourology (Mini-PCNL and Flexible URS): a Systematic Review of Literature
Authors: Theodoros Tokas
Eirini Tzanaki
Udo Nagele
Bhaskar Kumar Somani
Publication date: 01-10-2021
Publisher: Springer US
Keyword: Endoscopy of the Urinary Tract
Published in: Current Urology Reports / Issue 10/2021
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-021-01067-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Role of Intrarenal Pressure in Modern Day Endourology (Mini-PCNL and Flexible URS): a Systematic Review of Literature

Abstract

Purpose of Review

Recent Finding

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Finding

Summary

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