World Journal of Urology

New in @wjurol: thi scoping review in World Journal of Urology synthesizes 35 studies on intrarenal pressure during #PCNL. Irrigation, tract size and outflow matter; suction-assisted systems lower pressure without compromising stone clearance.

doi.org/10.1007/s00345…

🚨 New in @wjurol

Single-port robotic prostatectomy was associated with:
🔹 Radical RP: 46.7% same-day discharge vs 10.7% with multiport
🔹 5.25× higher adjusted odds of SDD
🔹 Shorter LOS in radical & simple prostatectomy
🔹 No significant increase in 30-day complications

New in @wjurol on real-time IRP monitoring of DISS +FANS during fURS:

✅ Suction rapidly reduced IRP in all settings
⚠️ Excessive suction → PCS collapse & mucosal injury
✅ 9.2 Fr DISS + 12/14 Fr FANS showed the best balance of pressure control and fragment evacuation

New in @wjurol
Real-time intrarenal pressure monitoring during RIRS in 104 patients with positive urine cultures:

✅ Mean IRP 13.3 mmHg
✅ Fever 7.7%
✅ SIRS 3.8%
✅ Septic shock 0%

Pressure-guided RIRS may improve intraoperative pressure control in high-risk patients.

New publication in the @wjurol on renal functional outcomes after RIRS vs mPCNL.
In a multicenter cohort of 606 patients, the authors found comparable postoperative renal function trends and similar AKI/AKD rates between procedures.
#Urology #Endourology #RIRS #PCNL #KidneyStones