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.

Abstract:

: Objectives: To assess the effect of irrigation settings and the size of ureteral access sheath (UAS) on the maximal intra-pelvic pressure (IPPmax) during ureteroscopy (URS) in pigs. Materials and Methods: In supine position, three anesthetized female pigs underwent cystoscopy to insert a 6F ureteral catheter in each ureter. Pigs were then turned to prone position to establish a percutaneous access, insert a 10F nephrostomy tube in the kidney, and connect it to a urodynamic device. An 8F semi-rigid ureteroscope or the Flex-X2 Flexible Ureteroscope was used with two irrigation settings: gravity flow and manual pumping using a commercial pump. URS was performed without UAS and with the UAS 9.5/11, 12/14, 14/16 at the ureteropelvic junction and the IPPmax was recorded. Results: Under gravity irrigation, the recorded IPPmax during semi-rigid URS in the distal ureter and the renal pelvis was 0 and 30 cmH2O, respectively. Further, the IPPmax during flexible URS in the renal pelvis without UAS, with UAS 9.5/11.5, with UAS 12/14, and with UAS 14/16 was 23, 6, 2, and 1 cmH2O, respectively. Under manual pumping, the IPPmax during semi-rigid URS in the distal ureter and the renal pelvis was 84 and 105 cmH2O, respectively. Further, the IPPmax during flexible URS in the renal pelvis without UAS, with UAS 9.5/11.5, with UAS 12/14, and with UAS 14/16 was 45, 46, 18, and 1 cmH2O, respectively. Conclusion: Manual pumping can significantly increase the IPPmax to unsafe levels during URS. The UAS can significantly decrease the IPPmax, even under manual pumping. The larger the UAS, the lower the IPPmax. The use of UAS can render URS safer by acting as a safeguard against the consequences of increased IPP, even under forced irrigation.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Noureldin YA,Kallidonis P,Ntasiotis P,Adamou C,Zazas E,Liatsikos EN

doi

10.1089/end.2019.0317

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

725-729

issue

9

eissn

0892-7790

issn

1557-900X

journal_volume

33

pub_type

杂志文章
  • Evaluation of the Impact of Ureteroscope, Access Sheath, and Irrigation System Selection on Intrarenal Pressures in a Porcine Kidney Model.

    abstract:: Introduction: Elevated intrarenal pressure (IRP) during flexible ureterorenoscopy (FURS) is a predictor of postoperative complications. The aim of this study is to evaluate IRP during FURS in a porcine kidney model to determine the safest combination of irrigation device, ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0838

    authors: MacCraith E,Yap LC,Elamin M,Patterson K,Brady CM,Hennessey DB

    更新日期:2020-11-05 00:00:00

  • Acute ureteral elongation in two animal models using a balloon expander.

    abstract:BACKGROUND AND OBJECTIVE:Repair of ureteral injuries and strictures often necessitates a major reconstructive procedure such as a psoas hitch, Boari flap, renal mobilization, ileal interposition, or autotransplantation. Tissue expanders have been used to elongate nerves and arteries. We examined the effects of acute ur...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1999.13.245

    authors: Goldfischer ER,Stravodimos KG,Jabbour ME,Klima WJ,Anderson A,Smith AD

    更新日期:1999-05-01 00:00:00

  • The impact of ischemia on long-term renal function after partial nephrectomy in the two kidney model.

    abstract:PURPOSE:To determine whether on-clamp partial nephrectomy (ON-PN) has any significant impact on long-term renal function in a two kidney model. PATIENTS AND METHODS:From November 1999 to July 2013, 607 patients underwent PN at our institution. After excluding patients with solitary kidneys, multiple renal masses, and ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0476

    authors: Salevitz DA,Patton MW,Tyson MD 2nd,Nunez-Nateras R,Ferrigni EN,Andrews PE,Humphreys MR,Castle EP

    更新日期:2015-04-01 00:00:00

  • Spectroscopic view of life and work of the Nobel Laureate Sir C.V. Raman.

    abstract::Raman spectroscopic and microscopic techniques have been used for nondestructive characterization of tissues and to differentiate benign and malignant tissues. The discovery of the principles of spectroscopy is credited to Sir C.V. Raman of India, who in 1930 brought the Nobel Prize in Physics to the East side of Suez...

    journal_title:Journal of endourology

    pub_type: 传,历史文章,杂志文章

    doi:10.1089/end.2006.9998

    authors: Rao AR,Hanchanale V,Javle P,Karim O,Motiwala H

    更新日期:2007-01-01 00:00:00

  • Radiofrequency coagulation of renal parenchyma: comparison of effects of energy generators on treatment efficacy.

    abstract:PURPOSE:We compared experimental renal lesions created with temperature-based or impedance-based radiofrequency (RF) generators using normal renal parenchyma in an animal model with protocols recommended by the manufacturer. MATERIALS AND METHODS:Bilateral renal mobilization was completed in seven farm pigs in prepara...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277902753619564

    authors: Gettman MT,Lotan Y,Corwin TS,Smith TG,Napper CA,Lindberg G,Cadeddu JA

    更新日期:2002-03-01 00:00:00

  • Genitourinary exam skills training curriculum for medical students: a follow-up study of comfort and skill utilization.

    abstract:PURPOSE:We developed a genitourinary skills training (GUST) curriculum for incoming third year medical students (MS3) and performed a follow-up study of comfort with and utilization of these skills. MATERIALS AND METHODS:GUST consisted of a didactic lecture followed by skills sessions including standardized patient te...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0284

    authors: Kaplan AG,Abdelshehid CS,Alipanah N,Zamansani T,Lee J,Kolla SB,Sountoulides PG,Graversen J,Lusch A,Kaufmann OG,Louie M,Clayman RV,McDougall EM

    更新日期:2012-10-01 00:00:00

  • Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation in Children: Top-Down Suturing Technique Without Stent Placement.

    abstract::Extravesical robotic-assisted laparoscopic ureteral reimplantation in children is a challenging procedure. Our top-down suturing technique facilitates this reconstructive surgery. After mobilization of the ureter without the use of ureteral stent placement, the detrusor muscle is divided. Once adequate muscle flaps ar...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0815

    authors: Silay MS,Baek M,Koh CJ

    更新日期:2015-08-01 00:00:00

  • Age, Body Mass Index, and Gender Predict 24-Hour Urine Parameters in Recurrent Idiopathic Calcium Oxalate Stone Formers.

    abstract:INTRODUCTION AND OBJECTIVE:Despite guidelines, routine 24-hour urine testing is completed in <10% of high-risk, recurrent stone formers. Using surrogates for metabolic testing, such as key patient characteristics, could obviate the cost and burden of this test while providing information needed for proper stone prevent...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2017.0352

    authors: Otto BJ,Bozorgmehri S,Kuo J,Canales M,Bird VG,Canales B

    更新日期:2017-12-01 00:00:00

  • Resonance metallic ureteral stents do not successfully treat ureteroenteric strictures.

    abstract:PURPOSE:To report the outcomes of patients with ureteroenteric strictures after ileal conduit urinary diversion that were managed with Resonance metallic ureteral stents. PATIENTS AND METHODS:Ten ureteroenteric strictures in patients with ileal conduits that were managed with metallic ureteral stenting were retrospect...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0454

    authors: Garg T,Guralnick ML,Langenstroer P,See WA,Hieb RA,Rilling WS,Sudakoff GS,O'Connor RC

    更新日期:2009-07-01 00:00:00

  • Minimally invasive percutaneous ablation of parapelvic renal cysts and caliceal diverticula using bipolar energy.

    abstract:BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0525

    authors: Korets R,Mues AC,Gupta M

    更新日期:2011-05-01 00:00:00

  • Ureteral access sheath provides protection against elevated renal pressures during routine flexible ureteroscopic stone manipulation.

    abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277904322836631

    authors: Auge BK,Pietrow PK,Lallas CD,Raj GV,Santa-Cruz RW,Preminger GM

    更新日期:2004-02-01 00:00:00

  • Transurethral Resection of Prostate and Bleeding: A Prospective, Randomized, Double-Blind Placebo-Controlled Trial to See the Efficacy of Short-Term Use of Finasteride and Dutasteride on Operative Blood Loss and Prostatic Microvessel Density.

    abstract:OBJECTIVE:The aim of this study was to determine the efficacy of short-duration use of finasteride and dutasteride before transurethral resection of the prostate (TURP) on intraoperative blood loss and microvessel density (MVD) of prostate stroma and suburethral tissues in benign prostatic hyperplasia (BPH). METHODS:T...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2016.0696-rev

    authors: Bansal A,Arora A

    更新日期:2017-09-01 00:00:00

  • Urinary stone size: comparison of abdominal plain radiography and noncontrast CT measurements.

    abstract:BACKGROUND AND PURPOSE:To compare urinary stone size as measured by abdominal plain radiography (AXR) with stone size as measured by noncontrast three-dimensional spiral CT in patients with acute renal colic. PATIENTS AND METHODS:Patients presenting to the emergency room of a single institution with urinary stones tha...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903770802245

    authors: Parsons JK,Lancini V,Shetye K,Regan F,Potter SR,Jarrett TW

    更新日期:2003-11-01 00:00:00

  • The role of lymphadenectomy in minimally invasive urologic oncology.

    abstract::Growing data suggest that lymphadenectomy is a critical component of the surgical management of urologic malignancies with both diagnostic and therapeutic benefit. The increased use of minimally invasive approaches for the management of urologic malignancies may be in conflict with the need for more extensive lymphade...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2009.0562

    authors: Weizer AZ,Montgomery JS

    更新日期:2010-08-01 00:00:00

  • Laparoscopic marsupialization of postrenal transplantation lymphoceles.

    abstract:BACKGROUND AND PURPOSE:Clinically significant post-transplantation lymphoceles are not uncommon. Surgical marsupialization with internal peritoneal drainage is the treatment of choice. We describe the successful laparoscopic formation of a peritoneal window for post-transplantation lymphocele drainage as an effective a...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.904

    authors: Abou-Elela A,Reyad I,Torky M,Meshref A,Morsi A

    更新日期:2006-11-01 00:00:00

  • Doxazosin for the management of distal-ureteral stones.

    abstract:PURPOSE:To evaluate the efficacy of doxazosin in inducing spontaneous passage of stones in the distal ureter and to compare its efficacy according to the size of the stone. PATIENTS AND METHODS:Seventy-three patients with a mean age of 46.38 +/- 10.17 years who presented with a distal-ureteral stone were divided into ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2006.0107

    authors: Liatsikos EN,Katsakiori PF,Assimakopoulos K,Voudoukis T,Kallidonis P,Constantinides C,Athanasopoulos A,Stolzenburg JU,Perimenis P

    更新日期:2007-05-01 00:00:00

  • Predictors of Medical and Surgical Complications After Robot-Assisted Partial Nephrectomy: An Analysis of 1139 Patients in a Multi-Institutional Kidney Cancer Database.

    abstract:INTRODUCTION:Previous robot-assisted partial nephrectomy (RAPN) studies have identified various predictors of overall and major postoperative complications, but few have evaluated the specific role of these factors in the development of medical and surgical complications. In this study, we present an analysis of the mo...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2016.0217

    authors: Moskowitz EJ,Paulucci DJ,Reddy BN,Blum KA,Rosen DC,Abaza R,Eun DD,Hemal AK,Krane LS,Badani KK

    更新日期:2017-03-01 00:00:00

  • The Acceptable Criterion of Stone Burden and the Significant Factors to Choose Retrograde Intrarenal Stone Surgery or Miniaturized Percutaneous Nephrolithotomy for the Treatment of Renal Stones >10 mm.

    abstract:OBJECTIVE:We investigated the surgical efficiency and cutoff criteria to determine whether retrograde intrarenal surgery (RIRS) or supine miniaturized percutaneous nephrolithotomy (MPCNL) is appropriate for managing renal stones with a mean size >10 mm. MATERIALS AND METHODS:Data of a single session RIRS or supine MPC...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2017.0244

    authors: Park J,Oh S,Cho MC,Son H,Jeong H,Jeong CW,Oh JJ,Cho SY

    更新日期:2017-10-01 00:00:00

  • Robotic Radical Cystectomy Outcomes after Intervention for Prostate Cancer.

    abstract:INTRODUCTION AND OBJECTIVES:We evaluated patients who underwent treatment for prostate cancer and then subsequent robotic radical cystectomy (RARC). Our objective was to understand clinical, pathologic, and survival outcomes in these patients. MATERIALS AND METHODS:A total of 333 male patients underwent RARC with stan...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0627

    authors: Patel NH,Miranda G,Cai J,Desai MM,Gill I,Aron M

    更新日期:2020-12-02 00:00:00

  • Rapid prototyping model for percutaneous nephrolithotomy training.

    abstract:PURPOSE:Rapid prototyping is a technique used for creating computer images in three dimensions more efficiently than classic techniques. Percutaneous nephrolithotomy (PCNL) is a popular method to remove kidney stones; however, broader use by the urologic community has been hampered by the morbidity associated with need...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0025

    authors: Bruyère F,Leroux C,Brunereau L,Lermusiaux P

    更新日期:2008-01-01 00:00:00

  • Extracorporeal shockwave therapy for Peyronie's disease: who benefits?

    abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.135

    authors: Taylor J,Forster JA,Browning AJ,Biyani CS

    更新日期:2006-02-01 00:00:00

  • New technique in managing ureteropelvic junction obstruction: percutaneous endoscopic pyeloplasty.

    abstract::Endopyelotomy is currently advocated for management of the obstructed ureteropelvic junction (UPJ). Healing of the stented UPJ occurs by secondary intention. Regardless of the method employed, success rates approach 85%. In order to increase the rate of success, we have devised a method of performing endopyelotomy in ...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.1996.10.147

    authors: Oshinsky GS,Jarrett TW,Smith AD

    更新日期:1996-04-01 00:00:00

  • Retrograde balloon dilatation for pelviureteric junction obstruction: long-term follow-up.

    abstract::The results of 10 years' experience of treating pelviureteric junction (PUJ) obstruction by balloon dilatation are reviewed, and recommendations about the suitability of the technique for individual patients are made based on the patient's history and a preoperative DTPA renogram. Of 76 patients, 32 (42%) had no furth...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.239

    authors: Webber RJ,Pandian SS,McClinton S,Hussey J

    更新日期:1997-08-01 00:00:00

  • Open surgery, laparoscopic surgery, or transureteral lithotripsy--which method? Comparison of ureteral stone management outcomes.

    abstract:BACKGROUND AND PURPOSE:The optimal treatment option for ureteral calculi is a controversial issue. In this study, we present our experience of 60 patients, divided into three groups, who were treated using open surgery, laparoscopic surgery, or transureteral lithotripsy (TUL). PATIENTS AND METHODS:We enrolled 60 patie...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2010.0344

    authors: Falahatkar S,Khosropanah I,Allahkhah A,Jafari A

    更新日期:2011-01-01 00:00:00

  • Bilateral single-session percutaneous nephrolithotomy: a feasible and safe treatment.

    abstract:BACKGROUND AND PURPOSE:The treatment of bilateral urinary calculus disease is often staged, irrespective of the modality of the treatment. Bilateral simultaneous percutaneous nephrolithotomy (PCNL) is still considered by many to be adventurous and risky. We carried out this prospective study of bilateral PCNL under a s...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1089/end.2000.14.285

    authors: Maheshwari PN,Andankar M,Hegde S,Bansal M

    更新日期:2000-04-01 00:00:00

  • Physiological principles for surgical correction of detrusor dysfunction.

    abstract::Urinary incontinence may be the result of various forms of detrusor overactivity. Several surgical therapies have been devised, but with the exception of procedures to relieve urethral obstruction, none abolishes the overactivity or restores normal micturition. In general, ablative neurosurgery is considered only in p...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.1996.10.213

    authors: Blaivas JG,Heritz DM

    更新日期:1996-06-01 00:00:00

  • Management strategies and results for severely encrusted retained ureteral stents.

    abstract:PURPOSE:To review the management approach to and results of severely encrusted retained ureteral stents and analyze predictive risk factors. PATIENTS AND METHODS:Medical records from January 1996 to March 2006 were reviewed for Double-J stent complications and their final outcome. A total of 876 stents were inserted i...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.0250

    authors: Rana AM,Sabooh A

    更新日期:2007-06-01 00:00:00

  • Bladder cryoablation in a porcine model: evaluation of three surgical approaches and cryolesion predictability.

    abstract:PURPOSE:To determine the feasibility of bladder cryoablation (BC) applied laparoscopically, percutaneously, and transurethrally in a porcine survival study. The expected and observed area of cell death after BC was also examined. MATERIALS AND METHODS:Nine pigs were divided equally into the three treatment groups. Cry...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0200

    authors: Sutherland DE,Wagner KR,Compton JB,Rezaei MK,Schwartz AM,Jarrett TW

    更新日期:2009-03-01 00:00:00

  • Adrenal-sparing laparoscopic surgery for aldosterone-producing adenoma.

    abstract::We herein present the first case in the literature of enucleation of an aldosterone-producing adenoma by laparoscopy. The indication for adrenal-sparing surgery was bilateral adrenal adenoma. The operation turned out to be easier than laparoscopic adrenalectomy. The postoperative course was uneventful, and the patient...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.145

    authors: Janetschek G,Lhotta K,Gasser R,Finkenstedt G,Jaschke W,Bartsch G

    更新日期:1997-04-01 00:00:00

  • Comparison of newer laparoscopic port closure techniques in the porcine model.

    abstract::Obtaining a precise fascial closure of larger laparoscopic port sites presents an ongoing challenge for even the most experienced laparoscopic surgeons. To this end, we evaluated five new methods for closing laparoscopic port sites and compared these with the standard technique of a hand-sutured repair using a 0 absor...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1995.9.397

    authors: Nakada SY,McDougall EM,Gardner SM,Gonzalez G,Clayman RV

    更新日期:1995-10-01 00:00:00